Burden of disease in older adults in Mexico, 1990-2022: time trends and challenges for the health system.

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000901

Christian Razo, Rafael Lozano, Luis M Gutiérrez-Robledo

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引用次数: 0

Abstract

Background: Aging, urbanization, and lifestyle changes have fueled the non-communicable diseases (NCDs) epidemic.

Objective: Assess mortality, disability, risk factors and life expectancy in people aged ≥60 years (LE-60) in Mexico from 1990-2022 using estimates from the Global Burden of Diseases, Injuries and Risk factors study.

Material and methods: Health loss/gain in terms of disability-adjusted life years, risk factors, LE-60 and healthy life expectancy (HALE-60) by sex and state were analyzed.

Results: NCDs and metabolic risk factors were the main contributors of health loss, noting a high prevalence of non-lethal conditions related to functional decline (vision and hearing), oral conditions, and chronic pain (back pain and osteoarthritis). All-cause mortality and disability rates decreased among men and women while LE-60 and HALE-60 increased from 1990-2022, with state-level variations. States with greater development and healthcare had higher LE-60 and HALE-60.

Conclusions: LE-60 increases were not accompanied by reductions in disability due to functional decline, highlighting the need for healthcare strategies to enhance healthy aging.

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1990-2022 年墨西哥老年人的疾病负担：时间趋势和卫生系统面临的挑战。

背景：老龄化、城市化和生活方式的改变加剧了非传染性疾病的流行：老龄化、城市化和生活方式的改变助长了非传染性疾病（NCDs）的流行：利用全球疾病、伤害和风险因素负担研究的估计数据，评估 1990-2022 年墨西哥≥60 岁人群（LE-60）的死亡率、残疾率、风险因素和预期寿命。材料与方法：分析按性别和州分列的残疾调整寿命年数、风险因素、LE-60 和健康预期寿命（HALE-60）方面的健康损失/收益：结果：非传染性疾病和代谢风险因素是造成健康损失的主要原因，与功能衰退（视力和听力）、口腔疾病和慢性疼痛（背痛和骨关节炎）相关的非致命性疾病发病率较高。1990-2022 年间，男性和女性的全因死亡率和残疾率均有所下降，而 LE-60 和 HALE-60 则有所上升，但各州之间存在差异。发展和医疗水平较高的州，LE-60 和 HALE-60 较高：结论：LE-60 的增加并没有伴随着功能衰退导致的残疾的减少，这突出表明需要采取医疗保健策略来促进健康老龄化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.