性別および年齢層別における喘息負担の分析:2030年の流行傾向の予測
Zhenzhen Pan1,2, Hongye Yang3, Yuting Jin4
1Department of Respiratory Medicine, Children's Hospital of Soochow University, Suzhou, China.
Frontiers in medicine
|September 5, 2025
まとめ
喘息の負担は 世界的に減っていますが 青少年では増加しています 喫煙やBMIが高いことが主な危険因子で,15歳から19歳の若者の予防に重点を置く必要があります.
科学分野:
- 世界保健疫学
- 呼吸器医学
- 公衆衛生政策
背景:
- 喘息は世界的な健康問題です
- 喘息の負担を理解することは 効果的な公衆衛生政策の開発に不可欠です
研究 の 目的:
- GBD 2021のデータを用いて,世界の喘息の負担を評価する.
- 世界中で喘息の負担の傾向,危険因子,および将来の予測を分析する.
主な方法:
- 1990年から2021年までの2021年の利用された世界疾病負荷 (GBD) のデータ.
- 年齢標準化率 (ASR) を計算し,トレンドの年間変化率 (EAPC) を推定する.
- 年齢,性別,社会人口指数 (SDI),リスク要因による変動を分析し,将来の負担を予測した.
主要な成果:
- インドや中国のような人口密度が高い国では 喘息の罹患率が高くなります
- 1990年から2021年までの喘息ASRの総減少傾向
- 14歳未満の子供はより高い発生率を示し,高齢者 (> 90) はピークの流行とDALYを示しています. 性別の違いは15歳から19歳の頃に現れる. 喫煙と高いBMIは中国の主要なリスク因子であり,BMIのリスクが増加しています.
結論:
- 青春期 (15歳から19歳) は,性別の喘息の負担のシフトにとって重要な時期です.
- 喫煙,高いBMI,およびNO2を重要な喘息リスク因子として特定した.
- 全般的な喘息の減少が予測されていますが,15~19歳の若者の増加が予測されているため,特に中国では,標的を絞った予防と健康教育が必要になります.
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