肌肉骨疾病的负担 - 全球和金+国家,1990-2021年
Bo Liang1, Yue Wei1, Heming Pei2
1Institute of Population Research, Peking University, Beijing, China.
China CDC weekly
|May 16, 2025
概括
肌肉骨系统 (MSK) 疾病显著影响金+国家,各国的趋势各不相同. 腰部疼痛是主要的原因,不成比例地影响女性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 肌肉骨系统疾病 (MSK) 是一个日益严重的全球健康挑战.
- 金+国家 (巴西,俄罗斯,印度,中国,南非,沙特阿拉伯,埃及,阿联,伊朗,埃塞俄比亚) 面临着不断升级的MSK疾病负担.
- 了解区域MSK疾病趋势对于有效的公共卫生干预至关重要.
研究的目的:
- 从1990年到2021年,分析BRICS+国家中MSK疾病的负担.
- 根据地点和性别确定发病率,流行率和残疾调整寿命年 (DALYs) 的趋势.
- 在金+的背景下,确定主要和最不常见的MSK疾病.
主要方法:
- 利用了2021年全球疾病负担 (GBD) 数据库.
- 使用发病率,流行率和DALYs测量MSK疾病负担.
- 从1990-2021年计算的平均年均百分比变化 (AAPC) 来评估负担趋势.
主要成果:
- 在2021年,巴西和中国分别拥有最高和最低的年龄标准化每10万人的DALY. 女性总是比男性有更高的DALY.
- 中国的DALY下降幅度最大 (-2.35%),而沙特阿拉伯在1990年至2021年间的DALY上升幅度最大 (10.74%).
- 腰部疼痛 (LBP) 是DALYs的主要原因;痛风是最少的. 趋势各不相同,中国的DALY下降,沙特阿拉伯和其他国家的DALY上升.
结论:
- 在金+国家中,MSK疾病给BRICS+国家带来了实质性和多样化的负担.
- 巴西和伊朗的负担特别高,需要量身定制的医疗保健战略.
- 在MSK疾病的流行和趋势中,不同的模式要求每个金+国家制定具体的公共卫生政策和资源配置.
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