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吸烟导致的风湿性关节炎负担的全球趋势:GBD 2021的见解
Kaibin Lin1, Yang Yi1, Xi Xu2
1School of Computer Science, Hunan First Normal University, Changsha, Hunan, China.
PloS one
|August 5, 2025
概括
尽管发病率有所下降,但全球吸烟导致的类风湿性关节炎 (RA) 死亡和DALY增加. 针对性控制烟草至关重要,特别是对于高负担的地区和人口来说,以减少RA疾病负担.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 吸烟是风湿性关节炎 (RA) 的一个主要环境风险因素.
- 关于吸烟趋势及其对RA负担的影响的全球研究是有限的.
- 了解这些趋势对于公共卫生战略至关重要.
研究的目的:
- 分析可归因于吸烟的风湿性关节炎 (RA) 的全球负担.
- 从2000年到2021年,研究RA负担指标和吸烟率的趋势.
- 根据人口统计和社会经济因素,确定RA负担的差异.
主要方法:
- 利用2021年全球疾病负担 (GBD) 数据库对RA负担指标 (死亡,DALY,YLD,YLL,SDI) 的数据库.
- 分析数据按年龄,性别,年份和地区分层.
- 从世卫组织 (2000-2021) 提取的吸烟率和烟草使用数据.
主要成果:
- 在全球范围内,吸烟导致的年龄标准化RA负担指标下降,但绝对死亡和DALY增加.
- 存在显著的区域差异,高收入地区的减少更大.
- 男性和老年人群承担更高的负担;中等SDI国家在死亡/YLL中领先,高SDI在YLD中领先.
结论:
- 吸烟继续对全球RA负担产生重大影响.
- 烟草控制政策对于减轻RA负担至关重要.
- 需要针对高负担地区/人口量身定制的干预措施和加强的管理策略.
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