从1990年到2019年,全球204个国家的部疼痛负担
Yongfu Li1, Shunan Zhang2, Peng Shu3
1Department of Orthopedics, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Archives of medical science : AMS
|December 7, 2023
概括
全球部疼痛发病率和残疾调整寿命年率 (DALY) 从1990年到2019年有所下降. 然而,显著的区域和人口差异需要针对性的干预措施来减少部疼痛负担.
科学领域:
- 流行病学 流行病学
- 全球健康 全球健康
- 疼痛管理 疼痛管理
背景情况:
- 部疼痛代表着一个重要的全球健康问题.
- 对部疼痛的全球负担及其趋势的估计缺乏.
- 了解这些趋势对于公共卫生规划至关重要.
研究的目的:
- 为了估计部疼痛的全球趋势和负担.
- 根据性别,年龄,地区和社会人口统计指数 (SDI) 分析部疼痛负担.
主要方法:
- 关于部疼痛发生率和残疾调整寿命年 (DALY) 的数据是从2019年全球疾病负担数据库中提取的.
- 从1990年到2019年的趋势使用估计年度百分比变化 (EAPC) 和95%置信区间 (CI) 进行了评估.
- 分析包括年龄标准化发病率和DALY率.
主要成果:
- 在全球范围内,部疼痛的年龄标准化发病率和DALY率在1990年至2019年之间呈现下降趋势 (EAPC为-0.06和-0.09).
- 趋势与SDI有负相关性;像北美这样的高SDI地区出现下降,而热带拉丁美洲则出现快速增长 (EAPC为0.53至0.60).
- 菲律宾和高收入的北美在2019年拥有最高的利率.
结论:
- 部疼痛的全球年龄标准化发病率和DALY率从1990年到2019年有所下降.
- 部疼痛负担在性别,年龄和地区之间存在显著差异.
- 有针对性的预防和风险因素控制措施对于有效的分配和管理至关重要.
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