Objectives The aim of the 25 by 25 goal is to reduce mortality from premature non-communicable diseases by 25% before 2025. Studies have evaluated the 25 by 25 goal in many countries, but not in Taiwan. The aim of this study was to estimate the 25 by 25 goal for premature mortality from cardiovascular diseases in Taiwan.
Methods We applied the age-period-cohort model to project the incidence of premature death from cardiovascular disease from 2015 to 2024 and used the population attributable fraction to estimate the contributions of targeted risk factors. The probability of death was used to estimate the percent change.
Results The percent change in business-as-usual trend during 2010-2024 was only a 6% (range 1.7-10.7%) lower risk of premature mortality from cardiovascular disease among men. The greatest reduction in the risk of mortality occurred with a 30% reduction in the prevalence of smoking; however, there was only a 14.5% (10.6-18.3%) decrease in percent change and in the corresponding number of men (3706: range 3543-3868) who were prevented from dying. More than a 25% reduction in the percent change of premature cardiovascular disease mortality among women was achieved without control of any risk factor. To reach a 25% reduction in men before 2025, there needs to be a 70% reduction in the prevalence of smoking to reduce mortality by 26.2% (22.9-29.3%).
Conclusions Cigarette smoking is the primary target in the prevention of cardiovascular disease. Through the stringent control of smoking, the goal of a 25% reduction in premature mortality from cardiovascular disease may be achieved before 2025 in Taiwan.
- cardiovascular diseases
- population attributable fraction
- probability of death
- age-period-cohort analysis
- 25 x 25 goal
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Contributors SYS was in charge of data collection, analysis, and wrote the first draft and the revision of the manuscript. WCL and KLC contributed to study design and wrote the part of first draft of the manuscript. TTC was in charge of data collection. All authors approved the final version of the manuscript.
Funding The study was supported by the Ministry of Science and Technology, Taiwan, (MOST 104-2321-B-002-077 -, MOST 103-2314-B-002 -135 -MY3).
Competing interests None declared.
Ethics approval The proposal was approved by the IRB, National Taiwan University, and no consent from participants was needed because of anonymity.
Provenance and peer review Not commissioned; externally peer reviewed.
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