西太平洋地区的糖尿病负担,趋势和不平等,1990-2019:基于人口的研究
Yanli Cao1, Chenye Jin2, Jing Zhang3
1Department of Endocrinology and Metabolism, The Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Disease, The First Hospital of China Medical University, Shenyang, Liaoning, China.
西太平洋地区的糖尿病发病率显著增加,特别是2型糖尿病. 疾病负担正在向社会经济地位较低的人群转移,突显了预防和早期检测策略的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 糖尿病在西太平洋地区是一个显著且日益增长的健康挑战.
- 了解区域负担,趋势和不平等对于有效的公共卫生干预至关重要.
研究的目的:
- 描述西太平洋地区糖尿病的区域负担,时间趋势和社会经济不平等.
- 分析从1990年到2019年的发病率,死亡率和残疾调整寿命年 (DALY) 率.
主要方法:
- 利用了2019年全球疾病负担研究数据.
- 评估了年龄标准化的发病率,DALY率和年平均百分比变化 (AAPC).
- 评估了糖尿病DALY率的跨国不平等情况.
主要成果:
- 从1990年到2019年,1型糖尿病 (T1DM) 和2型糖尿病 (T2DM) 的年龄标准化发病率增加.
- 患T1DM的发病率增幅最大的是70岁以上的人群,T2DM的发病率增幅最大的是15-49岁的人群.
- 虽然T1DM DALYs下降,T2DM DALYs增加,负担转移到较低的社会人口指数国家.
结论:
- 三十年来,西太平洋地区的糖尿病发病率大幅上升,伴随着国家间的不平等.
- 糖尿病的负担正在从社会人口统计指数较高的国家转移到较低的国家.
- 糖尿病仍然是一个关键的公共卫生问题,特别是在年轻人群中,需要紧急预防和早期检测工作.
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