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全球风湿性关节炎负担的增加:从1990年到2019年的流行病学分析
Wei Zou1, Yefei Fang2, Dan Xu2
1Department of Rheumatology, Yuyao People's Hospital, Ningbo, Zhejiang, China.
Archives of medical science : AMS
|August 10, 2023
概括
全球类风湿性关节炎 (RA) 发病率和DALYs从1990-2019年增加,特别是在高SDI地区和女性中. 未来的预防应针对这些高风险群体和地区.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 类风湿性关节炎 (RA) 构成了全球健康的重大负担.
- 了解RA的流行病学趋势对于有效的公共卫生战略至关重要.
研究的目的:
- 分析风湿性关节炎 (RA) 的全球,区域和国家负担.
- 通过性别,年龄,地理分布和社会人口指数 (SDI) 来检查RA趋势.
主要方法:
- 利用了全球疾病负担研究 (1990-2019) 的数据.
- 分析了RA的全球发病率,受残疾调整的寿命年 (DALYs) 和估计的年度百分比变化 (EAPC).
主要成果:
- 从1990年到2019年,全球RA发病率和DALY分别增加了6.47%和1.15%,分别增加了6.47%和1.15%.
- 根据年龄标准化的RA发病率和DALY显示全球上升趋势 (EAPC=0.30和EAPC=0.12).
- 在高SDI地区观察到更高的发病率,在安第斯拉丁美洲,赤道几内亚,不丹和秘鲁显著增加. 在男性中,RA发病率低于女性.
结论:
- 在全球范围内,年龄标准化RA发病率和DALY正在增加.
- 预防策略应优先考虑妇女,老年人以及安第斯拉丁美洲,拉丁美洲南部,中亚和撒哈拉以南非洲西部等高风险地区的人口.
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