Department of Periodontics, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2021 Oct 25;50(5):545-552. doi: 10.3724/zdxbyxb-2021-0321.
To analyze the global burden of periodontal disease and its relation with socioeconomic development. Data of global disability-adjusted life year (DALY) due to periodontal disease and human development index (HDI) from 1990 to 2019 were obtained from Global Health Data Exchange (GHDx) and human development reports. The trend of the global burden of periodontal disease from 1990 to 2019 was described. The correlation between age-standardized DALY rates and HDI were examined in 2019, and between-country periodontal disease burden inequality from 1990 to 2019 was measured using health-related Gini coefficients and concentration indexes. From 1990 to 2019, the global DALY rate due to periodontal disease increased from 78.63 to 85.48, and the epidemiological burden did not increase significantly. Statistical differences were found across different HDI categories for age-standardized DALY rates of periodontal disease ( 44.315, <0.01) in 2019. Linear regression analysis also revealed a negative correlation between age-standardized DALY rate of periodontal disease and HDI ( = -0.417, <0.01) . Gini coefficients decreased from 0.361 to 0.281 and concentration indexes fell from 0.0339 to -0.0538 between 1990 and 2019. The global burden of periodontal disease did not increase between 1990 and 2019, though the socioeconomic-associated inequality still existed. The burden of periodontal disease was more concentrated in less developed countries, and the socioeconomic-associated inequality has increased since 2000.
分析牙周病的全球负担及其与社会经济发展的关系。从全球健康数据交换（GHDx）和人类发展报告获取 1990 年至 2019 年全球因牙周病所致残疾调整生命年（DALY）和人类发展指数（HDI）数据。描述 1990 年至 2019 年全球牙周病负担的变化趋势。2019 年分析年龄标准化 DALY 率与 HDI 的相关性，1990 年至 2019 年用健康相关基尼系数和集中指数测量国家间牙周病负担的不平等。1990 年至 2019 年，全球牙周病 DALY 率从 78.63 增至 85.48，但流行病学负担未显著增加。2019 年，不同 HDI 类别牙周病年龄标准化 DALY 率的差异有统计学意义（ 44.315，<0.01）。线性回归分析还显示牙周病年龄标准化 DALY 率与 HDI 呈负相关（ = -0.417，<0.01）。1990 年至 2019 年，基尼系数从 0.361 降至 0.281，集中指数从 0.0339 降至 -0.0538。1990 年至 2019 年全球牙周病负担未增加，但仍存在与社会经济相关的不平等。牙周病负担在欠发达国家更为集中，自 2000 年以来，与社会经济相关的不平等有所增加。
