[1990 - 2021年全球儿童和青少年紧张型头痛患病率的时间趋势]
[Temporal trend of the global prevalence rate of tension-type headache in children and adolescents in 1990-2021].
作者信息
Yao Ling-Zi, Jiang De-Nan, Wu Jing, Shen Guang-Dian, Cao Jin, Cheng Si-Qing, Shan Shi-Yi, Luo Ze-Yu, Zhou Jia-Li, Song Pei-Ge
机构信息
School of Public Health, Zhejiang University, Hangzhou 310058, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2024 Oct 15;26(10):1058-1065. doi: 10.7499/j.issn.1008-8830.2406037.
OBJECTIVES
To investigate the prevalence of tension-type headache (TTH) in children and adolescents aged 0-19 years globally in 1990-2021, and to provide a basis for the prevention and treatment of TTH.
METHODS
Based on the Global Burden of Disease Study data, the age-standardized prevalence distribution of TTH and its changing trend were analyzed among the children and adolescents aged 0-19 years, with different sexes, age groups, sociodemographic index (SDI) regions and countries/territories.
RESULTS
The age-standardized prevalence rate (ASPR) of TTH in children and adolescents aged 0-19 globally in 2021 was 17 339.89/100 000, which was increased by 1.73% since 1990. The ASPR in females was slightly higher than that in males (1990: 17 707.65/100 000 vs 16 403.78/100 000; 2021: 17 946.29/100 000 vs 16 763.09/100 000). The ASPR in adolescence was significantly higher than that in school-aged and preschool periods (1990: 27 672.04/100 000 vs 10 134.16/100 000; 2021: 28 239.04/100 000 vs 10 059.39/100 000). Regions with high SDI exhibited a higher ASPR than the other regions, with significant differences in prevalence rates across different countries. From 1990 to 2021, there was a slight increase in global ASPR, with an average annual percentage change (AAPC) of 0.06%. Females experienced a smaller increase than males based on AAPC (0.04% vs 0.07%). There was reduction in ASPR in preschool and school-aged groups, with an AAPC of -0.02%, while there was a significant increase in ASPR in adolescence, with an AAPC of 0.07%. ASPR decreased in regions with low-middle and low levels of SDI, with an AAPC of -0.02% and -0.04%, respectively, while it increased in regions with middle SDI, with an AAPC of 0.24%.
CONCLUSIONS
There is a consistent increase in the ASPR of TTH in children and adolescents aged 0-19 years globally, with significant differences across sexes, age groups, SDI regions and countries/territories.
目的
调查1990 - 2021年全球0至19岁儿童和青少年紧张型头痛（TTH）的患病率，为TTH的防治提供依据。
方法
基于全球疾病负担研究数据，分析0至19岁儿童和青少年中TTH的年龄标准化患病率分布及其变化趋势，涉及不同性别、年龄组、社会人口学指数（SDI）地区以及国家/地区。
结果
2021年全球0至19岁儿童和青少年TTH的年龄标准化患病率（ASPR）为17339.89/10万，自1990年以来上升了1.73%。女性的ASPR略高于男性（1990年：17707.65/10万对16403.78/10万；2021年：17946.29/10万对16763.09/10万）。青少年期的ASPR显著高于学龄期和学龄前（1990年：27672.04/10万对10134.16/10万；2021年：28239.04/10万对10059.39/10万）。高SDI地区的ASPR高于其他地区，不同国家的患病率存在显著差异。1990年至2021年，全球ASPR略有上升，年均百分比变化（AAPC）为0.06%。基于AAPC，女性的增幅小于男性（0.04%对0.07%）。学龄前和学龄期组的ASPR有所下降，AAPC为 - 0.02%，而青少年期的ASPR显著上升，AAPC为0.07%。中低和低SDI水平地区的ASPR下降，AAPC分别为 - 0.02%和 - 0.04%，而中等SDI地区的ASPR上升，AAPC为0.24%。
结论
全球0至19岁儿童和青少年TTH的ASPR持续上升，在性别、年龄组、SDI地区以及国家/地区之间存在显著差异。
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