公共卫生 公共卫生
Bernhard Michalowsky1, Wolfgang Hoffmann2,3, Steffi G Riedel-Heller4
1Deutsches Zentrum für Neurodegenerative Erkrankungen e. V. (DZNE), site Rostock / Greifswald, Greifswald, Mecklenburg-Vorpommern, Germany.
在2015年至2022年期间,德国的痴呆症发病率和流行率显著下降,与全球老龄化趋势相反. 这项研究分析了医疗保险数据,以追踪这些痴呆症诊断趋势.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 全球人口变化预测痴呆病例的增加.
- 然而,最近的证据表明,痴呆症发病率的潜在下降.
- 这项研究调查了德国诊断的痴呆症趋势.
研究的目的:
- 分析最近诊断痴呆症的发病率和流行率的趋势.
- 在德国人口老龄化背景下研究这些趋势.
主要方法:
- 使用了2015-2022年德国法定医疗保险索赔数据 (88%的人口覆盖率).
- 包括65岁以上的人,连续四个季度确诊痴呆症.
- 计算的年龄和性别标准化发病率和流行率.
主要成果:
- 痴呆症发病率下降了26% (2020年为每10万人口中的1500人).
- 患病率下降了18% (每10万人口中有10380人降至8470) .
- 确诊的痴呆病例减少了8.4% (1.56至143万).
结论:
- 尽管老龄化,但在德国确诊的痴呆症的发病率和流行率下降.
- 诸如更健康的生活方式或诊断实践等因素可能有所贡献.
- 需要进一步的队列研究来证实这些发现.
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