全球,区域和国家中风负担归因于焦虑:比较风险评估研究的见解
Jiali Zhou1, Jiayao Ying1, Yuan Song2
1Center for Clinical Big Data and Statistics of the Second Affiliated Hospital Zhejiang University School of Medicine, School of Public Health Zhejiang University School of Medicine, Hangzhou, China.
Neuroepidemiology
|December 2, 2025
概括
焦虑显著增加了中风风险,大大增加了全球中风负担. 将心理健康纳入公共卫生政策可以帮助减少这种负担并改善结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 焦虑是一个日益增长的全球健康问题.
- 在全球范围内,中风仍然是导致残疾和死亡的主要原因.
- 可归因于焦虑的中风的具体负担需要量化.
研究的目的:
- 从1990年到2021年量化与焦虑相关的全球,区域和国家中风负担.
- 分析可归因于焦虑的中风的趋势和不平等.
- 评估焦虑和中风风险之间的关联.
主要方法:
- 在PubMed,Embase和MEDLINE的系统文献搜索.
- 纵向研究的元分析,以确定焦虑和中风的综合危险比率.
- 利用的全球疾病负担研究2021年流行率和残疾调整寿命年 (DALYs) 数据.
- 计算了年龄标准化的DALY率 (ASDR) 和不平等指标 (SII,度指数).
主要成果:
- 包括六项研究,显示焦虑和中风风险的聚合危险比为1.25 (95% CI:1.07-1.45).
- 通过ASDR测量的全球焦虑归因性中风负担,从2000年的195.94下降到2021年每10万人口中的133.50.
- 在中等SDI地区,东地中海地区和低收入国家观察到最高的中风负担率,性别之间存在明显的不平等.
结论:
- 焦虑和中风风险增加之间存在显著的关联.
- 这项研究量化了可归因于焦虑的大量全球中风负担.
- 将心理健康纳入公共卫生战略可能会减少中风负担并改善健康结果.
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