产妇高血压疾病的流行病学
Yan Zhao1, Yue Wang1, Fei Tong2
1Department of Obstetrics and Gynaecology (Y.Z., Y.W., B.L.), Shengjing Hospital of China Medical University, Liaoning, China.
Hypertension (Dallas, Tex. : 1979)
|February 12, 2025
概括
怀孕期间的高血压疾病在全球范围内增加,特别是在低收入地区,尽管年龄标准化率下降. 未来的趋势预测发病率下降,有助于针对性卫生政策的孕产妇健康.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 孕产妇高血压疾病是一个重大的全球卫生挑战,不成比例地影响着社会人口统计指数 (SDI) 较低的地区.
- 了解流行病学趋势对于有效的干预和管理至关重要.
研究的目的:
- 揭示和预测全球怀孕期间高血压疾病的流行病学趋势.
- 分析基于社会人口统计指数 (SDI) 和年龄组的变化.
主要方法:
- 使用的2019年全球疾病负担数据.
- 采用一个年龄时期的队列模型来评估趋势和影响.
- 应用自回归集成移动平均 (ARIMA) 模型用于未来预测和风险因素分析.
主要成果:
- 从1990年到2019年,全球妊娠高血压疾病增加了10.9%,主要是在SDI较低的国家.
- 根据年龄标准化的发病率在全球范围内下降 (-23.6%),净漂移为-0.8%,尽管一些高SDI的国家显示出积极的漂移.
- 发病率在20-29岁年龄组达到顶峰;在高/中高SDI国家,不良时期影响在2010年后出现. 预测显示到2030年将出现下降趋势.
结论:
- 妊娠期间高血压疾病存在显著的区域,国家和年龄相关差异,按SDI分层.
- 调查结果支持有针对性,成本效益的卫生政策,资源分配和改善孕产妇健康管理.
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