Health Impact of NCDs 1 Mortality and morbidity
Health Impact of NCDs
1. Mortality and morbidity Mortality Considerations: • Use metrics that focus on premature mortality – Years of life lost • Compared to a uniform standard across the region? – Mortality before age 70 (or lower) – Proportions of death within an age category (percent of CVD deaths before age…) • Need for better data to allow comparisons
1. Mortality and Morbidity (cont. ) For Morbidity Prevalence of the following: Hypertension Obesity Diabetes Cancer Cardiovascular disease (ischemic, cerebrovascular) Renal failure Asthma COPD Dementia Cirrhosis
1. Mortality and Morbidity (cont. ) • For mortality, morbidity, and risk factors: – Focus on inequities and describe by: • • • Sex Ethnicity Education Urban/rural GDP – If data not available for subgroups, consider casestudies of particular countries with data to highlight these issues (e. g. ethnicity).
2. Risk Factors • Important to bring in how risk factors are tied to social determinants of health. One approach may be to take a risk factors as a case study and explore upstream factors. • Risk factors: – Tobacco – Physical inactivity – Poor nutrition – Alcohol – Occupational exposure – Air pollution (indoor/outdoor)
3. Social determinants • Integrated throughout – All disease metrics broken out by subgroups as available – Discussion of risk factors explicitly linked to social determinants.
4. Disability • Include DALYs as the summary metric. • Report age decades to highlight impact of lost productivity due to death and/or disability
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