局部性骨关节炎负担的跨国不平等的全球和区域时间变化,1990-2021年
Haowei Chen1, Lei Si2, David J Hunter1,3,4
1Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Arthritis care & research
|August 4, 2025
概括
骨关节炎 (OA) 负担的不平等在全球范围内持续存在,在许多地区恶化,尽管收入较高的国家有所改善. 有针对性的战略对于公平的OA管理和减少全球健康负担至关重要.
科学领域:
- 流行病学 流行病学
- 全球健康 全球健康
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 是一个重大的全球健康挑战,各国的疾病负担各不相同.
- 了解跨国不平等的时间趋势对于制定有效的公共卫生干预措施至关重要.
研究的目的:
- 从1990年到2021年,分析从1990年到2021年的特定地点骨关节炎负担的跨国不平等的全球和区域变化.
- 为了确定区域和特定的OA类型与恶化或改善不平等的趋势.
主要方法:
- 从2021年全球疾病负担研究中对特定地点的OA使用了年龄标准化残疾年 (ASYR) 数据.
- 计算了不平等的斜率指数 (SII) 和度指数 (CCI) 来衡量跨国绝对和相对不平等.
- 使用年平均百分比变化 (AAPC) 评估时间变化.
主要成果:
- 全球OA负担 (ASYR) 从1990年增加到2021年. 在社会人口指数 (SDI) 较高的国家,跨国不平等改善了OA总量 (SII和CCI下降).
- 然而,大多数地区在SDI较高的国家中出现了不平等的恶化;中撒哈拉以南非洲 (SII) 和东亚 (CCI) 的增长最大.
- 在SDI较高的国家,手工OA显示不平等状况持续改善,而其他类型的OA则呈现不平等状况持续恶化.
结论:
- 在OA负担方面,持续和日益恶化的跨国不平等凸显了全球重大健康差异.
- 地理位置和受影响的关节是影响OA负担和不平等的关键因素.
- 定制的预防和管理策略对于减轻日益增长的OA负担和促进健康公平至关重要.
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