吸烟导致的神经健康损失:年龄特定的负担和健康差异
1Department of Geriatrics, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou University, Henan Province, People's Republic of China.
Journal of neurology, neurosurgery, and psychiatry
|February 12, 2025
概括
吸烟显著影响神经系统疾病,老年人承担的负担最大. 尽管吸烟率略有下降,但吸烟相关的残疾和死亡的绝对病例正在上升,这凸显了紧急预防的需要.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 吸烟是神经系统疾病的主要危险因素.
- 吸烟对神经疾病的全球影响尚未完全理解.
研究的目的:
- 从1990年到2021年,分析吸烟导致的神经疾病负担的趋势.
- 评估社会经济差距并预测未来的趋势.
主要方法:
- 利用的2021年全球疾病负担数据.
- 分析了因残疾调整的寿命年数 (DALY) 和因中风,痴呆症和多发性硬化症的死亡人数.
- 采用贝叶斯式年龄时期队列模型和社会经济不平等指数.
主要成果:
- 由于吸烟导致的每年DALY和死亡率略有下降 (-1.93%和-1.92%),但绝对数量增加.
- 老年人 (60岁以上) 承受了最大的负担 (58.15%的DALY,75.57%的死亡在2021年).
- 差距因情况和社会经济地位而异,中风集中在低收入地区,MS集中在高收入地区.
结论:
- 确定了特定于年龄的负担和与吸烟有关的神经系统疾病的差异扩大.
- 老年人面临着一个不成比例的不断升级的影响.
- 针对性预防和老年人公平的医疗保健至关重要.
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