1990年から2021年までの子宮内膜症の世界的,地域的,国家的な負担:傾向分析
Hailan Yan1,2, Xiaoyan Li1,2, Yi Dai1,2
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Frontiers in medicine
|September 2, 2025
まとめ
子宮内膜症の発生率と障害調整寿命 (DALYs) は1990年から2021年にかけて全般的に減少しています. しかし,病気の負担は依然として大きく,特に社会人口統計指標が低い地域では,緊急の公衆衛生介入が必要である.
科学分野:
- 婦人科
- 流行病学
- 公衆衛生
背景:
- 子宮内膜症は一般的な 慢性的な婦人科疾患で 生活の質に影響を及ぼします
- 病気の重荷と傾向が大きく変化しているため,最新のデータが必要である.
- 現在,子宮内膜症の負担と傾向に関する包括的なデータは不足しています.
研究 の 目的:
- 子宮内膜症の世界的,国家的,地域的な傾向を分析する.
- 1990年から2021年までの発生率と障害調整寿命 (DALYs) の変化を調査する.
- 子宮内膜症の傾向における 人口統計学的および地理的変動を特定する.
主な方法:
- 発生率,DALY,年齢標準化発生率 (ASIR),および年齢標準化DALY率 (ASDR) (1990-2021) のためのGBD 2021データベースのデータを使用した.
- ASIRとASDRの時間的な動向を決定するために,推定年率変化 (EAPC) を計算した.
- トレンドのグローバル分布とASIRとHDIとの相関を示した.
主要な成果:
- 2021年の世界での感染者数は345万人,DALYは2050万人でした.
- グローバルASIRとASDRは1990年から2021年にかけて減少傾向を示した (EAPC -1.00).
- 若者 (20~29歳),ニジェール,オセアニア,低社会人口指数 (SDI) の地域で最も高い負担が観察されています.
結論:
- エンドメトリオシスの世界的な負担は依然として大きく,1990年代以降多くの地域で増加しています.
- 標的を絞った公衆衛生戦略,改善された診断,先進的な治療が必要である.
- 地理的・人口的格差は 適正な介入の必要性を強調しています
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