首页|1990—2021年我国骨质疏松疾病负担变化及趋势分析

1990—2021年我国骨质疏松疾病负担变化及趋势分析

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目的:分析1990—2021年我国骨质疏松疾病负担及其变化趋势,为骨质疏松疾病防控提供数据支撑.方法:利用2021年全球疾病负担数据库,对1990—2021年我国不同性别和年龄人群骨质疏松的死亡情况及疾病负担进行描述性分析,使用Joinpoint软件计算年度变化百分比和平均年度变化百分比,运用年龄-时期-队列模型评估年龄、时期和出生队列因素对疾病负担产生的影响.结果:我国低骨密度(LBMD)男性死亡率及疾病负担高于女性,标化死亡率和疾病负担随年龄增加而升高,80岁及以上人群死亡率及疾病负担最高;女性伤残调整生命年(DALYs)率在65岁以后高于男性;跌倒是造成LBMD相关死亡的主要原因;标化死亡率、DALYs率、早死损失寿命年率总体呈下降趋势;我国LBMD标化死亡率及疾病负担高于全球;年龄效应系数呈上升趋势,时期效应系数呈先升后降趋势,出生队列效应系数为下降趋势.结论:随着我国人口老龄化的加剧,未来我国骨质疏松相关疾病的负担仍将十分沉重;应积极做好跌倒防控策略,减少骨质疏松性骨折及相关死亡事件发生;多措并举,加强骨质疏松的监测和防治.
Analysis of the Disease Burden and Trend of Osteoporosis in China from 1990 to 2021
Objective:To analyze the disease burden and trend of osteoporosis in China from 1990 to 2021,and provide theoretical basis for the prevention and control of osteoporosis. Methods:Using the Global Burden of Disease 2021 (GBD 2021) database,the descriptive analysis of the mortality and disease burden of osteoporosis in different sex and age groups in China from 1990 to 2021 was conducted,the annual change percentage and the average annual change percentage were calculated using Joinpoint Software,and the Age-Period-Cohort (APC) model was used to evaluate the impact of age,period and birth cohort factors on disease burden. Results:The mortality and disease burden of Low Bone Mineral Density (LBMD) in male is higher than that of female,and the mortality and disease burden increases with age,and the mortality and disease burden is the highest in people over 80 years old. The gross rate of Disability Adjusted Life Years (DALYs) in female is higher than that in male after the age of 65;falls are the leading cause of LBMD-related deaths. The mortality rate,DALY rate and YLL rate showe a downward trend. The burden of LBMD mortality and disease in China is higher than that in the world. The age effect coefficient shows an upward trend,the period effect coefficient shows a first increasing and then decreasing trend,and the birth cohort effect coefficient shows a downward trend. Conclusion:With the intensification of aging,the burden of osteoporosis-related diseases in China will still be very heavy in the future. It is needed to actively carried out fall prevention and control strategies to reduce the occurrence of osteoporotic fractures and related deaths;take multiple measures to strengthen the monitoring and prevention of osteoporosis.

disease burdenosteoporosisAge-Period-Cohort (APC) Model

祁丽、柴培培、翟铁民、万泉、吴爽

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华北理工大学经济管理学院 河北 唐山 063210

国家卫生健康委卫生发展研究中心 北京 100044

华北理工大学卫生健康政策与管理研究中心 河北 唐山 063210

疾病负担 骨质疏松 年龄-时期-队列模型

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(12)