疾病负担的变化和流行病学的转变
Gabriel Gulis1,2, Radka Zidkova3, Zdenek Meier3
1Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6700, Esbjerg, Denmark. ggulis@health.sdu.dk.
Scientific reports
|March 16, 2025
概括
这项研究引入了流行病学过渡估计 (ETE) 指数,以衡量社会健康转变. 该指数显示女性的过渡速度更快,并突出了各国收入群体的不同进展.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 社会经历了由人口,社会和健康变化标志着的流行病学转型.
- 急性传染病会影响早期死亡率,而慢性疾病则主导了终身疾病负担.
研究的目的:
- 开发和验证流行病学过渡估计 (ETE) 指数.
- 测量跨国家和性别的流行病学转型阶段.
主要方法:
- 利用了1990-2019年全球疾病负担 (GBD) 数据.
- 计算ETE指数为由于残疾而丧失的生命年数 (YLD) 与丧失的生命年数 (YLL) 的比率.
- 分析了195个国家的数据,按性别和社会人口指数 (SDI) 五分位数分层.
主要成果:
- 在男性 (0.131-1.067) 和女性 (0.180-2.108) 之间,ETE指数值存在显著差异.
- 流行病学转变似乎在女性中比男性更快地进展.
- 在五个基于SDI的国家组中观察到ETE指数的持续增长,这表明了不同的过渡阶段.
结论:
- 在评估流行病学转型进展方面,ETE指数表现出稳健性.
- 研究结果表明,性别之间的过渡速度可能存在差异.
- 该指数可以为未来的健康和社会护理系统规划提供信息,以应对残疾和死亡负担.
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