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海南省东方市社区居民疾病谱分析
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作者 宋美璇 陈兴屹 +3 位作者 张春梅 陈兰 郑亮 赵春艳 《同济大学学报(医学版)》 2024年第4期569-578,共10页
目的探讨2021年海南省东方市社区居民的疾病构成及流行病学特征。方法采用横断面研究设计,分析了2021年1月1日—12月31日海南省东方市疾病监测数据库196761例社区居民的病历资料。对该人群进行了年龄标准化后,分析和描述了前十位疾病构... 目的探讨2021年海南省东方市社区居民的疾病构成及流行病学特征。方法采用横断面研究设计,分析了2021年1月1日—12月31日海南省东方市疾病监测数据库196761例社区居民的病历资料。对该人群进行了年龄标准化后,分析和描述了前十位疾病构成。结果196761例社区居民中,男性91621例(占46.56%),女性105140例(占53.43%),男女比为0.87;以≥45岁居民居多,占46.13%(90763/196761)。疾病谱前3位依次是呼吸系统疾病[32.69%(64327/196761)]、循环系统疾病[7.86%(15470/196761)]和消化系统疾病[7.21%(14191/196761)];前10位系统疾病中,男性损伤、中毒和外因的某些其他后果的年龄标准化患病率高于女性(3.11%vs 2.30%),女性泌尿生殖系统疾病的年龄标准化患病率高于男性(3.01%vs 1.20%)。呼吸系统疾病以急性上呼吸道感染(5.17%)、急性支气管炎(1.84%)和慢性支气管炎(1.44%)为主,其在<5岁组的患病率(38.59%)和伤残损失寿命年率(656.01/10万)最高;循环系统疾病以高血压病(1.72%)、脑梗死(0.71%)和慢性缺血性心脏病(0.49%)为主,其在≥60岁组的患病率(17.13%)和伤残损失寿命年率(2175.49/10万)最高;消化系统疾病以胃炎和十二指肠炎(1.10%)、其他非感染性胃肠炎和结肠炎(0.43%)以及龈炎和牙周疾病(0.38%)为主,其在≥60岁组的患病率(6.98%)和伤残损失寿命年率(1710.75/10万)最高。结论2021年海南省东方市社区居民以呼吸系统疾病、循环系统疾病和消化系统疾病为主,且疾病负担主要归因于需要长期管理的疾病。东方市应针对疾病谱特征优化和调配医疗资源,加强高危人群的健康促进和防治工作。 展开更多
关键词 疾病谱 疾病构成 横断面研究 年龄标准化患病率 疾病负担
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Global burden of inflammatory bowel disease 1990-2019:A systematic examination of the disease burden and twenty-year forecast 被引量:1
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作者 Cheng-Jun Li Yi-Kai Wang +2 位作者 Shun-Ming Zhang Mu-Dan Ren Shui-Xiang He 《World Journal of Gastroenterology》 SCIE CAS 2023年第42期5751-5767,共17页
BACKGROUND Inflammatory bowel disease(IBD)is an idiopathic intestinal disease with various levels and trends in different countries and regions.Understanding the current burden and trends of IBD in various geographica... BACKGROUND Inflammatory bowel disease(IBD)is an idiopathic intestinal disease with various levels and trends in different countries and regions.Understanding the current burden and trends of IBD in various geographical locations is essential to establish effective strategies for prevention and treatment.We report the average annual percentage change(AAPC)and estimated annual percentage change(EAPC)in age-standardized rates(ASR)of IBD in different regions based on the Global Burden of Disease(GBD)study from 1990-2019,and the relationships between IBD and the human development index(HDI)and socio-demographic index(SDI).The prevalence trends of IBD were predicted by gender from 2019-2039.AIM To comprehensively investigate IBD data,providing further insights into the management of this chronic disease.METHODS We collected the information on the incidence of IBD from the GBD study from 1990-2019 to calculate the AAPC and EAPC in ASR of IBD in different regions.The relationships between IBD,HDI,and SDI were analyzed.The Nordpred and Bayesian age-period-cohort models were used to predict the prevalence trends of IBD by gender from 2019-2039,and the reliability of the results was validated.RESULTS North America consistently had the highest IBD ASR,while Oceania consistently had the lowest.East Asia had the fastest average annual growth in ASR(2.54%),whereas Central Europe had the fastest decline(1.38%).Countries with a low age-standardized incidence rates in 1990 showed faster growth in IBD while there was no significant correlation in 2019.Additionally,IBD increased faster in countries with a low age-standardized death rates in 1990,whereas the opposite was true in 2019.Analysis of SDI and IBD ASR showed that countries with a high SDI generally had a higher IBD ASR.Finally,the projections showed a declining trend in the incidence of IBD from 2019-2039,but a gradual increase in the number of cases.CONCLUSION As the global population increases and ages,early monitoring and prevention of IBD is important to reduce the dise 展开更多
关键词 Inflammatory bowel disease INCIDENCE Average annual percentage change age-standardized rates prevalence trends Global Burden of Disease
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