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dc.contributor.authorAminde, LN
dc.contributor.authorPhung, HN
dc.contributor.authorPhung, D
dc.contributor.authorCobiac, LJ
dc.contributor.authorVeerman, JL
dc.date.accessioned2021-06-28T00:35:40Z
dc.date.available2021-06-28T00:35:40Z
dc.date.issued2021
dc.identifier.issn2296-2565
dc.identifier.doi10.3389/fpubh.2021.682975
dc.identifier.urihttp://hdl.handle.net/10072/405387
dc.description.abstractDietary salt reduction has been recommended as a cost-effective population-wide strategy to prevent cardiovascular disease. The health and economic impact of salt consumption on the future burden of stroke in Vietnam is not known. Objective: To estimate the avoidable incidence of and deaths from stroke, as well as the healthy life years and healthcare costs that could be gained from reducing salt consumption in Vietnam. Methods: This was a macrosimulation health and economic impact assessment study. Data on blood pressure, salt consumption and stroke epidemiology were obtained from the Vietnam 2015 STEPS survey and the Global Burden of Disease study. A proportional multi-cohort multistate lifetable Markov model was used to estimate the impact of achieving the Vietnam national salt targets of 8 g/day by 2025 and 7 g/day by 2030, and to the 5 g/day WHO recommendation by 2030. Probabilistic sensitivity analysis was conducted to quantify the uncertainty in our projections. Results: If the 8 g/day, 7 g/day, and 5 g/day targets were achieved, the prevalence of hypertension could reduce by 1.2% (95% uncertainty interval [UI]: 0.5 to 2.3), 2.0% (95% UI: 0.8 to 3.6), and 3.5% (95% UI: 1.5 to 6.3), respectively. This would translate, respectively, to over 80,000, 180,000, and 257,000 incident strokes and over 18,000, 55,000, and 73,000 stroke deaths averted. By 2025, over 56,554 stroke-related health-adjusted life years (HALYs) could be gained while saving over US$ 42.6 million in stroke healthcare costs. By 2030, about 206,030 HALYs (for 7 g/day target) and 262,170 HALYs (for 5 g/day target) could be gained while saving over US$ 88.1 million and US$ 122.3 million in stroke healthcare costs respectively. Conclusion: Achieving the national salt reduction targets could result in substantial population health and economic benefits. Estimated gains were larger if the WHO salt targets were attained and if changes can be sustained over the longer term. Future work should consider the equity impacts of specific salt reduction programs.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherFrontiers Media SA
dc.relation.ispartofpagefrom682975
dc.relation.ispartofjournalFrontiers in Public Health
dc.relation.ispartofvolume9
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1117
dc.subject.keywordsblood pressure
dc.subject.keywordshealthcare costs
dc.subject.keywordsmortality
dc.subject.keywordsmulti-state model
dc.subject.keywordssodium
dc.titleDietary Salt Reduction, Prevalence of Hypertension and Avoidable Burden of Stroke in Vietnam: Modelling the Health and Economic Impacts
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAminde, LN; Phung, HN; Phung, D; Cobiac, LJ; Veerman, JL, Dietary Salt Reduction, Prevalence of Hypertension and Avoidable Burden of Stroke in Vietnam: Modelling the Health and Economic Impacts, Frontiers in Public Health, 2021, 9, pp. 682975
dcterms.dateAccepted2021-05-10
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-06-25T22:57:57Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2021 Aminde, Phung, Phung, Cobiac and Veerman. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorAminde, Leopold N.
gro.griffith.authorPhung, Hai N.
gro.griffith.authorVeerman, Lennert L.
gro.griffith.authorPhung, Dung T.


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