Li Lingfeng, Li Yuhao, Chen Yongming, Hou Huiming, Wang Jianye, Liu Ming, Wang Xin, Wang Shengfeng
Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Department of Urology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Beijing, China.
J Health Popul Nutr. 2025 Jul 3;44(1):231. doi: 10.1186/s41043-025-00950-y.
Urinary tract infections (UTI) and interstitial nephritis (IN) are significant global health concerns, leaving a heavy burden to the healthcare system. UTI is one of the most common infections worldwide and IN is characterized by acute and chronic renal damage. This study aims to quantify the lifetime risk of developing and dying from UTI and IN across 204 countries from 1990 to 2021, utilizing data from the Global Burden of Disease 2021. We employed advanced statistical models, including the adjusted for multiple primaries method, Joinpoint trend analysis, and Autoregressive Integrated Moving Average (ARIMA) models, to assess temporal trends and forecast future risks. Results revealed a global lifetime risk of developing UTI and IN at 93.70% in 2021, with higher risks in females (96.05%) compared to males (77.27%). The global lifetime risk of dying from UTI and IN at 0.50%. High Socio-demographic Index (SDI) regions exhibited higher developing risks, while low-SDI regions showed significant upward trends. Gender disparities were evident, with females consistently experiencing higher risks. The ARIMA model projected a persistent upward trend in UTI and IN risks over the next 3 decades, emphasizing the need for targeted public health interventions. These findings highlight the importance of addressing UTI and IN through improved healthcare infrastructure, early screening, and preventive measures, particularly in high-risk populations and regions.
尿路感染(UTI)和间质性肾炎(IN)是全球重大的健康问题,给医疗系统带来了沉重负担。UTI是全球最常见的感染之一,而IN的特征是急性和慢性肾损伤。本研究旨在利用2021年全球疾病负担的数据,量化1990年至2021年期间204个国家发生UTI和IN以及死于UTI和IN的终生风险。我们采用了先进的统计模型,包括多原发调整法、Joinpoint趋势分析和自回归积分移动平均(ARIMA)模型,来评估时间趋势并预测未来风险。结果显示,2021年全球发生UTI和IN的终生风险为93.70%,女性(96.05%)的风险高于男性(77.27%)。全球死于UTI和IN的终生风险为0.50%。高社会人口指数(SDI)地区的发病风险较高,而低SDI地区则呈现出显著的上升趋势。性别差异明显,女性的风险一直较高。ARIMA模型预测,在未来30年里,UTI和IN的风险将持续上升,这凸显了针对性公共卫生干预措施的必要性。这些发现强调了通过改善医疗基础设施、早期筛查和预防措施来应对UTI和IN的重要性,特别是在高风险人群和地区。