发展中国家白内障负担:基于中国1990年至2021年数据的趋势分析
Cancan Zhang1, Pingping Li1, Lurun Yu1
1Department of Eye Center, Renmin Hospital of Wuhan University, Wuhan, China.
Frontiers in medicine
|May 14, 2025
概括
由于人口老龄化,与白内障相关的视力障碍在中国正在增加,女性患病率更高. 未来的预测表明白内障负担的持续增加,需要改进预防和治疗策略.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,白内障仍然是导致失明和视力受损的重要原因.
- 发展中国家在管理白内障相关视力障碍负担方面面临着独特的挑战.
研究的目的:
- 调查1990年至2021年中国白内障相关失明和视力障碍负担的趋势.
- 为发展中国家未来的白内障预防和控制战略提供证据.
主要方法:
- 利用了来自2021年全球疾病负担 (GBD) 数据库的数据.
- 使用Joinpoint回归,分解分析和ARIMA建模来分析趋势和预测未来的负担.
主要成果:
- 从1990年到2021年,中国的白内障患病率和残疾寿命 (YLDs) 显著增加.
- 人口老龄化是主要的驱动因素,对患病率的增加贡献超过73%,对YLD的增加贡献超过98%.
- 预测显示,到2035年,原始患病率将上升26%,原始YLD将上升23%,女性承受更高的负担.
结论:
- 人口增长和老龄化导致白内障负担增加,尽管治疗方面取得了进展.
- 解决性别差异,改善对白内障手术和预防护理的准入至关重要.
- 中国的年龄标准化税率低于全球平均水平,但需要持续关注.
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