从1990年到2019年,盆腔炎症疾病和异胎妊娠的全球负担
1Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
BMC public health
|October 2, 2023
概括
盆腔炎症 (PID) 和异胎妊娠 (EP) 仍然是生殖年龄妇女的全球重大健康问题. 尽管年龄标准化费率略有下降,但他们的负担是强烈相关的,需要有针对性的公共卫生战略.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 盆腔炎症 (PID) 是一种普遍存在的全球性健康问题,影响生殖年龄的女性.
- PID可能导致严重的生殖并发症,包括不孕症,早产,慢性盆腔疼痛和宫外妊娠 (EP).
研究的目的:
- 评估从1990年到2019年在生育年龄妇女中PID和EP的全球负担和趋势.
- 评估同一时期PID和EP负担之间的相关性变化.
主要方法:
- 关于PID和EP的数据是从2019年全球疾病负担研究中提取的,该研究针对15-49岁的女性.
- 使用病例数和年龄标准化率 (ASR) 来衡量疾病负担.
- 使用估计年百分比变化 (EAPC) 和皮尔森相关系数分析了趋势和相关性.
主要成果:
- 2019年,PID患病率的ASR为53.19/100,000,EP发病率为342.44/100,000,两者在全球均呈现下降趋势 (EAPC:PID为-0.50,EP为-1.15).
- 在1990-2019年全球PID和EP负担之间观察到强烈的正相关性 (r=0.89).
- 报告指出,负担和趋势存在区域差异,一些地区的PID或EP率上升,与社会人口统计指数有负相关性.
结论:
- 在全球范围内,PID和EP继续构成重大公共卫生挑战.
- 尽管年龄标准化率下降,但PID和EP之间强烈的相关性强调了它们的相互联系.
- 政策制定者必须制定针对特定区域需求的本地化干预措施,以解决这些持续的健康负担.
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