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Disability-Adjusted Life Years (DALYs) Due to Ischemic Heart Disease (IHD) Associated with Natural Disasters: A Worldwide Population-Based Ecological Study Cover

Disability-Adjusted Life Years (DALYs) Due to Ischemic Heart Disease (IHD) Associated with Natural Disasters: A Worldwide Population-Based Ecological Study

Open Access
|Apr 2021

Figures & Tables

Figure 1

The average occurrence and casualty for subgroups of natural disasters from 1990 to 2017.

* The average occurrence for extra-terrestrial disasters is 0.056.

Figure 2

Map of trends in natural disaster occurrence, DALYs rate due to IHD from 1990 to 2017 in 193 countries. (A) Trend in DALYs due to IHD, per 100,000 population per year. (B) Trend in the occurrence of natural disasters, per year. (C) Trend in total damage due to natural disasters, 1000 US$ per year.

Table 1

Summary statistics of natural disaster impact, age-standardized mortality and DALYs due to IHD during two periods in 193 countries.

1990 to 20132014 to 2017TrendsP value*
Natural disaster
  Occurrence1.77 ± 3.192.00 ± 3.560.23 ± 1.090.004
  Casualty3.21 × 104 ± 2.86 × 1051.27 × 104 ± 6.58 × 104–1.95 × 104 ± 2.66 × 1050.310
  Total damage3.28 × 105 ± 1.55 × 1067.70 × 105 ± 4.59 × 1064.41 × 105 ± 3.18 × 1060.055
DALYs
  Male3030.950 ± 2154.2732791.383 ± 2108.517–239.567 ± 832.1130.000
  Female1966.962 ± 1437.1111743.577 ± 1388.023–223.385 ± 502.1530.000
  Both2494.384 ± 1757.9262263.474 ± 1711.314–230.91 ± 647.010.000

[i] * One-sample T-test, test value = 0.

Table 2

Correlation of natural disaster impact, age-standardized mortality and DALYs due to IHD during two periods in 193 countries.

OccurrenceCasualtyTotal damage
R*P valueRP valueRP value
Male0.128.076–0.0840.248–0.0320.660
Female0.1630.024–0.1050.145–0.0400.576
Total0.1460.043–0.0950.190–0.0360.620

[i] * Pearson correlation.

Table 3

Multivariate linear regression derived coefficients of natural disaster and socioeconomic variables on DALYs due to IHD for males, female and both sexes from 1990 to 2017 in 193 countries, weighted by population.

FactorsDALYs* for maleDALYs** for femaleDALYs*** for both sexes
Coefficients (95% CI)Standardized CoefficientsP valueCoefficients (95% CI)Standardized CoefficientsP valueCoefficients (95% CI)Standardized CoefficientsP value
Natural disaster
Occurrence39.955(7.473–72.436)0.1920.01630.323(9.867–50.780)0.2300.00431.122(5.547–57.698)0.1870.022
CasualtyNA0.0880.462NA0.0270.823NA0.1540.216
Total damage2.035 × 10–5(1.043 × 10–5–3.027 × 10–5)0.2430.0001.103 × 10–5(4.952 × 10–6–1.712 × 10–5)0.2080.0001.434 × 10–7(6.387 × 10–6–2.229 × 10–5)0.2140.000
Fat&MeatNA–0.0500.464NA–0.0130.832NA–0.0570.390
Tobacco27.361(8.214–46.509)0.1380.00521.012(9.739–32.286)0.1670.00023.758(9.124–38.392)0.1490.002
AlcoholNA0.0370.511NA–0.0680.114NA0.0450.400
GDP per capita–0.146(–0.174–0.119)–0.6420.000–0.073(–0.089–0.057)–0.5080.000–0.112(–0.133–0.090)–0.6120.000
Life expectancy (males)–43.361(–77.655–90.67)–0.1250.013NA–0.0830.098–28.297(–54.091–2.503)–0.1070.032
Education expenditure (% of GDP)NA0.0030.944NA–0.0330.477NA–0.0220.643
Urban population(% of total)NA0.1350.11612.961(1.605–24.316)0.1800.02614.097(–0.667–28.860)0.1540.061
CO2 emissions129.996(58.992–201.070)0.2760.00067.230(19.899–114.562)0.2250.00683.620(22.183–145.058)0.2210.008
Trade (% of GDP)NA0.0220.654NA0.0470.298NA0.0380.415
IndustryNA0.1480.092NA0.1280.118NA0.1380.100

[i] * Stepwise method was used, R2 = 0.589, F = 43.879, p = 0.000.

** Stepwise method was used, R2 = 0.643, F = 55.277, p = 0.000.

*** Stepwise method was used, R2 = 0.628, F = 44.065, p = 0.000.

Not applicable for variables not included as predictors.

DOI: https://doi.org/10.5334/gh.919 | Journal eISSN: 2211-8179
Language: English
Submitted on: Sep 10, 2020
Accepted on: Apr 7, 2021
Published on: Apr 28, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Kai-Sen Huang, Debarati Guha-Sapir, Qian-Lan Tao, Yan-Yan Wang, Xiao-Jian Deng, Tao Xiao, Yong-Qiang Yang, Ding-Xiu He, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.