Evidence map›Paper›PMID 41542360›Full record

ArticleFrontiers in neurology2025

Trends and projections of smoking-attributable ischemic stroke mortality in China, 1990-2035: a global burden of disease study.

Zhiguo Wen, Bingxue Zhang, Cong Xia, Meiqiu Chen, Yawei Sun, Yifan Zhang

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Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhiguo WenThe Affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Bingxue ZhangThe Affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Cong XiaDepartment of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Meiqiu ChenDepartment of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Yawei SunThe Affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Yifan ZhangThe Affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Smoking is a major modifiable risk factor for ischemic stroke and remains a significant public health challenge in China. Understanding long-term mortality trends attributable to smoking is essential for guiding prevention and policy interventions. Methods: We analyzed smoking-attributable ischemic stroke mortality in China from 1990 to 2021 using data from the Global Burden of Disease (GBD) 2021 study. Temporal patterns were assessed using Joinpoint regression, and age, period, and cohort effects were evaluated using the age-period-cohort (APC) model. Future mortality trends were projected up to 2035 using a Bayesian APC model. Results: Overall age-standardized mortality declined from 1990 to 2021, with a sharper decrease in women (AAPC -2.65%) than in men (AAPC -0.58%). APC analysis showed increasing mortality risk with age and distinct cohort patterns between sexes. Bayesian projections indicate that smoking-attributable ischemic stroke mortality in China will continue to decline slowly over the next decade, with only a mild plateau after 2030 among older men but no substantial rebound. Conclusion: Smoking remains a substantial contributor to ischemic stroke mortality in China, with persistent gender disparities. Although short-term declines are expected to continue, demographic aging and historical smoking patterns may slow future progress. Strengthened, targeted tobacco control strategies particularly for middle-aged and older men are essential to prevent a resurgence in smoking-attributable stroke mortality.

Indexed as

Bayesian predictionglobal burden of disease databaseischemic strokemortalitysmokingtrend analysis

Identifiers

PMID41542360
PMCPMC12801345

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