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基于对 1990 年至 2019 年全球疾病负担研究(GBD 2019)的综合分析,在后疫情时代优先考虑非传染性疾病。

Prioritizing non-communicable diseases in the post-pandemic era based on a comprehensive analysis of the GBD 2019 from 1990 to 2019.

机构信息

The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

College of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

出版信息

Sci Rep. 2023 Aug 16;13(1):13325. doi: 10.1038/s41598-023-40595-7.

Abstract

This study aimed to assess the burden of communicable diseases (CDs) and non-communicable diseases (NCDs) globally, regionally, and nationally from 1990 to 2019, and propose global strategies to transform the public health policy. Using data from the Global Burden of Disease Study (GBD) 2019, we analyzed CDs and NCDs across various factors such as sex, age, year, and location, and evaluate the temporal trends of these diseases with joinpoint analysis. We also examined the differences between regions based on their socio-demographic index (SDI). In 2019, there were 7,862,907 (95% uncertainty interval [UI], 7,183,475 to 8,654,104) deaths from CDs and 42,034,124 (40,081,323 to 43,942,475) deaths from NCDs recorded worldwide. The low SDI region had markedly high age-standardized death and DALY rates of CDs. Although the age-standardized incidence rate of CDs has decreased in about half of the regions since 1990, NCDs have been on the rise in most regions. Over the past 30 years, the global burden of CDs has decreased significantly, while the burden of NCDs has aggrandized to an extent. In the post-pandemic era, effective interventions and cooperation among countries should be promoted to allocate medical resources more reasonably and improve healthcare for NCD patients.

摘要

本研究旨在评估 1990 年至 2019 年期间全球、区域和国家的传染病(CDs)和非传染性疾病(NCDs)负担,并提出全球战略以改变公共卫生政策。我们使用 2019 年全球疾病负担研究(GBD)的数据,分析了不同因素(如性别、年龄、年份和地点)下的 CDs 和 NCD,并通过联合分析评估这些疾病的时间趋势。我们还根据社会人口指数(SDI)比较了不同区域之间的差异。2019 年,全球有 7862907 例(95%不确定区间[UI]:7183475-8654104)CD 死亡和 42034124 例(40081323-43942475)NCD 死亡。低 SDI 地区的 CD 标准化年龄死亡率和 DALY 率明显较高。尽管自 1990 年以来,约一半的地区的 CD 标准化发病率有所下降,但大多数地区的 NCD 发病率都在上升。在过去 30 年中,全球 CDs 负担显著下降,而 NCD 负担则有所增加。在后疫情时代,应促进国家间的有效干预和合作,以更合理地分配医疗资源并改善 NCD 患者的医疗保健。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b1c/10432467/c365d58c8b2d/41598_2023_40595_Fig1a_HTML.jpg

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