以色列帕金森病发病率的下降 (2002-2021)
Yacov Balash1,2, Tamar Zohar3, Ronit Gilad4,5
1Department of Neurology, Kaplan Medical Center, 76100, Rehovot, Israel. yacovbalash@gmail.com.
Journal of neural transmission (Vienna, Austria : 1996)
|July 22, 2025
概括
2002年至2021年间,以色列帕金森病 (PD) 发病率显著下降2.8倍,特别是在老年人群中. 这一趋势表明,医疗保健和生活条件的改善可能是导致因素.
科学领域:
- 流行病学 流行病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 全球趋势表明,由于人口老龄化和预期寿命的增加,帕金森病 (PD) 发病率正在上升.
- 先前在发达国家进行的研究记录了随着时间的推移,PD率的增加.
研究的目的:
- 调查以色列帕金森病 (PD) 的原始和年龄调整发病率 (AAIR) 的趋势.
- 使用年龄周期分析分析AAIR变化模式,并确定纵向年龄曲线和净漂移.
主要方法:
- 利用了以色列最大的健康维护组织的注册数据,涵盖了2002-2021年.
- 员工结合点回归和年龄期分析以评估PD发病率.
- 计算的纵向年龄曲线 ("局部漂移") 和预期率的年度变化 ("净漂移").
主要成果:
- 在20年内,PD的整体年龄调整发病率 (AAIR) 降低了2.8倍,从每10万人口中的57.0个降至20.3个.
- 发生率在女性 (AAPC -5.3%) 的下降速度比男性 (AAPC -4.5%) 更快.
- 在最老的年龄组中,AAIR显示出明显的下降,特别是在女性中.
结论:
- 这项研究记录了2002-2021年以色列帕金森病发病率的逐渐下降,特别是在老年人中.
- 潜在的促成因素包括诊断能力的进步,改善健康,生活质量和以色列环境条件.
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