中国一般人群颈部疼痛负担，1990-2019 年：2019 年全球疾病负担研究分析。
Burden of neck pain in general population of China, 1990-2019: An analysis for the Global Burden of Disease Study 2019.
机构信息
Department of Spinal Surgery, Peking University People's Hospital, Peking University, Beijing, China.
Chinese Preventive Medicine Association, Committee on Prevention and Control of Spinal Disease, Beijing, China.
出版信息
J Glob Health. 2024 Apr 5;14:04066. doi: 10.7189/jogh.14.04066.
BACKGROUND
Neck pain has become very common in China and has greatly affected individuals, families, and society in general. In this study, we aimed to report on the rates and trends of the prevalence, incidence, and years lived with disability (YLDs) caused by neck pain in the general population of China from 1990 to 2019.
METHODS
We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) study to estimate the number and age standardised rates per 100 000 population of neck pain point prevalence, annual incidence, and YLDs in 33 provinces/municipalities/autonomous regions of China, stratified by age, sex, and sociodemographic index (SDI) from 1990 to 2019. We then compared these estimates with other G20 countries.
RESULTS
There were 6.80 × 10 patients with neck pain in 2019, presenting an increase from 3.79 × 10 in 1990. Likewise, the national age-standardised point prevalence increased slightly from 3.53% in 1990 to 3.57% in 2019. The YLDs increased by 78.08%, from 3814 × 10 in 1990 to 6792 × 10 in 2019. The age-standardised YLDs rate increased 1.50% from 352.84 in 1990 to 358.10 in 2019. The point prevalence of neck pain in 2019 was higher in females compared with males. These estimates were all above the global average level and increased more rapidly among G20 countries from 1990 to 2019. We generally observed a positive association between age-standardised YLD rates for neck pain and SDI, suggesting the burden is higher at higher sociodemographic indices.
CONCLUSIONS
Neck pain is a serious public health problem in the general population in China, especially in its central and western regions, with an overall increasing trend in the last three decades. This is possibly related to changes of people's lifestyles and work patterns due to improvements in societal well-being and technology. Raising awareness of risk factors for neck pain in the general population and establishing effective preventive and treatment strategies could help reduce the future burden of neck disorders.
背景
在中国，颈部疼痛已非常普遍，极大地影响了个人、家庭和整个社会。本研究旨在报告中国一般人群中颈部疼痛的患病率、发病率和伤残损失健康生命年（YLDs）的发生率和趋势。
方法
我们使用 2019 年全球疾病、伤害和危险因素研究（GBD 2019）的数据，估计了中国 33 个省/直辖市/自治区的颈部疼痛点患病率、年发病率和 YLDs 的数量以及年龄标准化率，这些数据按年龄、性别和社会人口指数（SDI）进行分层，时间范围为 1990 年至 2019 年。然后，我们将这些估计值与其他 20 国集团（G20）国家进行了比较。
结果
2019 年有 680 万×10 名患有颈部疼痛的患者，比 1990 年的 379 万×10 名有所增加。同样，全国年龄标准化点患病率从 1990 年的 3.53%略有上升至 2019 年的 3.57%。YLDs 增加了 78.08%，从 1990 年的 3814×10 名增加到 2019 年的 6792×10 名。1990 年至 2019 年，年龄标准化 YLDs 率从 352.84 上升至 358.10，上升了 1.50%。2019 年女性颈部疼痛的点患病率高于男性。这些估计值均高于全球平均水平，并且 1990 年至 2019 年期间，G20 国家的增长率更高。我们普遍观察到颈部疼痛的年龄标准化 YLDs 率与 SDI 之间存在正相关关系，这表明在较高的社会人口指数下，负担更高。
结论
颈部疼痛是中国一般人群中的一个严重公共卫生问题，特别是在中部和西部地区，在过去三十年中总体呈上升趋势。这可能与社会福利和技术进步导致人们生活方式和工作模式的改变有关。提高一般人群对颈部疼痛危险因素的认识，并制定有效的预防和治疗策略，可能有助于减轻未来颈部疾病的负担。
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