BRICS諸国における2型糖尿病の負担の時間的変化,1990年から2021年:世界疾病負担に関する総合的な分析研究2021年
Jinhua Wang1,2, Huiwen Yang1,2, Shuqi Chen3,2
1Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Medical University, Dongguan, 523808, China.
BMC public health
|August 30, 2025
まとめ
2型糖尿病 (T2DM) の負担はBRICS諸国で増加し,国や年齢層によって傾向が異なっています. T2DMに対処するには,ロシア,インド,南アフリカの高齢者,中国とブラジルの中年/若年層に焦点を当てた戦略が必要です.
科学分野:
- 世界保健
- 流行病学について
- 公衆衛生政策
背景:
- BRICS諸国では,2型糖尿病 (T2DM) の治理を進める大きな可能性を秘めています.
- T2DMの傾向と不平等をBRICSの中で評価することは,特に開発途上国にとって効果的な管理戦略を開発するために不可欠です.
研究 の 目的:
- 過去のT2DMの傾向とBRICSの国境間の不平等を分析する.
- 2035年までのBRICS諸国のT2DM負担の変化を予測する.
主な方法:
- T2DMの発生率,流行率,およびDALYsの年齢標準化率を計算した.
- 傾向と属性の変化を評価するために,ジョインポイント回帰,年齢期間コホートモデル,分解分析を使用しました.
- 将来のT2DM負担の予測のためにベイジアン年齢期間コホートモデルを使用した.
主要な成果:
- 1990年から2021年にかけて,特にロシアと南アフリカでは,T2DMの発生率,流行率,およびDALYが増加しました.
- BRICS諸国におけるピーク発生年齢とリスク要因の違いを特定し,中国人の若者における顕著な傾向と65歳以上の人々の高い流行を明らかにした.
- T2DMの負担は,中国での相対的なリスクの減少を除いて,時間の経過とともに増加し,各国間の健康格差が顕著に示されました.
結論:
- 全面的なT2DMガイドラインは,高齢化人口と慢性疾患管理の経験を利用したBRICS協力の優先事項です.
- 推奨される標的型介入は,ロシア,インド,南アフリカにおける高齢者,中国とブラジルにおける中年および高齢者,中国における若年発症型2型糖尿病です.
- インスリン不足や感染症などの課題を強調し,特に発展途上国における早期介入,教育,統合医療の必要性を強調した.
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