归因于环境颗粒物污染的2型糖尿病:从1990年到2019年的全球负担研究
1Department of Intensive Care Medicine, Ningbo No.2 Hospital, Ningbo, Zhejiang, China.
Frontiers in public health
|June 4, 2024
概括
环境颗粒物污染 (APMP) 从1990年到2019年,在全球范围内显著增加了2型糖尿病 (T2D) 疾病负担. 这种负担不成比例地影响男性,老年人以及社会人口指数中低的地区的人口,这凸显了对空气污染控制政策的需要.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病 (T2D) 构成了全球重大健康挑战.
- 环境颗粒物污染 (APMP) 是T2D的新兴环境风险因素.
- 了解归因于APMP的T2D负担的时空趋势对于公共卫生干预至关重要.
研究的目的:
- 评估从1990年到2019年,由于APMP导致的T2D疾病负担的变化.
- 分析不同社会人口指数 (SDI) 地区的T2D负担的地理变化和趋势.
- 确定与APMP相关的T2D最受影响的特定人群和地区.
主要方法:
- 利用了2019年全球疾病负担研究 (GBD2019) 数据库.
- 分析了因年龄标准化的死亡率 (ASDR) 和因残疾调整的生命年 (DALYs) 对于归因于APMP的T2D.
- 雇佣人估计的年度百分比变化 (EAPCs) 来评估从1990年到2019年的趋势,遍及204个国家/地区.
主要成果:
- 由于APMP导致的T2D的全球年龄标准化DALY和ASDR率显示出日益增长的趋势 (EAPC分别为2.21和1.50).
- 这种负担在老年人,男性,非洲和亚洲地区,特别是中低SDI地区的负担最高.
- 2019年,ASDR为2.47/100,000,DALY率为108.98/100,000;男性和中等SDI国家显示高率,而高SDI地区如北美显示下降趋势.
结论:
- 与APMP相关的T2D负担在1990年至2019年期间发生了全球显著的增加.
- 男人,老年人以及低至中等SDI地区的人口受影响不成比例.
- 紧急实施空气污染控制政策是必要的,以减轻日益增加的T2D负担,特别是在脆弱的地区.
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