Fungal Skin Disease Incidence, Prevalence and Disability-Adjusted Life Years in Four Asian Countries (1990-2019).

IF 4.1 2区医学 Q1 DERMATOLOGY

Mycoses Pub Date : 2025-02-01 DOI:10.1111/myc.70004

Yuan Xihua, Qin Xiaofeng, Tang Lulu, Kong Zhiyu, Deng Min, Wu Yi

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引用次数: 0

Abstract

Background: Fungal skin diseases are a significant burden in Asia, with varying trends from 1990 to 2019, highlighting the need for targeted interventions.

Objective: To investigate long-term trends in the incidence, prevalence and disability-adjusted life-year rates for fungal skin diseases in China, India, Japan and Singapore from 1990 to 2019.

Patients/methods: Data were obtained from the 2019 Global Burden of Disease Study. Independent age, period and cohort effects were calculated using age-period-cohort analysis.

Results: Age-standardised incidence, prevalence and disability-adjusted life-year rates of fungal skin diseases in China, India, Japan and Singapore decreased from 1990 to 2019. India has the highest standardised incidence, prevalence and disability-adjusted life-year rates. The crude incidence, prevalence and disability-adjusted life-year rates showed an increasing trend in China, Japan and Singapore, and a decreasing trend in India. The age-period-cohort analysis found that the age effect increased in China, Japan and Singapore at ages 45-94 years, and India showed higher risk coefficients at ages 5-20 and 45-94 years. The period effect increased in the four countries, with more pronounced increases in Japan and Singapore. The cohort effect showed a monotonic decline with birth cohort in the four countries, with a slightly slower decline in India.

Conclusion: Fungal skin diseases pose a serious burden in Asian countries. We recommend raising awareness and providing specialised interventions for fungal skin diseases, especially for high-risk groups, such as middle-aged and older adults aged ≤ 45 years and young Indians aged ≤ 20 years.

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亚洲四个国家真菌性皮肤病发病率、患病率和残疾调整生命年（1990-2019）

背景：真菌性皮肤病是亚洲的一个重大负担，从1990年到2019年的趋势各不相同，这突出了有针对性干预措施的必要性。目的：调查1990 - 2019年中国、印度、日本和新加坡真菌性皮肤病的发病率、患病率和伤残调整生命年率的长期趋势。患者/方法：数据来自2019年全球疾病负担研究。使用年龄-时期-队列分析计算独立的年龄、时期和队列效应。结果：1990年至2019年，中国、印度、日本和新加坡真菌性皮肤病的年龄标准化发病率、患病率和伤残调整生命年率均有所下降。印度的标准化发病率、流行率和残疾调整生命年率最高。中国、日本和新加坡的粗发病率、患病率和伤残调整生命年率呈上升趋势，印度呈下降趋势。年龄期队列分析发现，年龄效应在中国、日本和新加坡在45-94岁时增加，印度在5-20岁和45-94岁时风险系数更高。这四个国家的时期效应都有所增加，其中日本和新加坡的增长更为明显。队列效应在四个国家的出生队列中呈单调下降趋势，印度的下降速度略慢。结论：真菌性皮肤病在亚洲国家造成了严重的负担。我们建议提高对真菌性皮肤病的认识并提供专门的干预措施，特别是对高风险群体，如年龄≤45岁的中老年成年人和年龄≤20岁的印度青年。

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

Mycoses 医学-皮肤病学

CiteScore

10.00

自引率

8.20%

发文量

143

审稿时长

6-12 weeks

期刊介绍： The journal Mycoses provides an international forum for original papers in English on the pathogenesis, diagnosis, therapy, prophylaxis, and epidemiology of fungal infectious diseases in humans as well as on the biology of pathogenic fungi. Medical mycology as part of medical microbiology is advancing rapidly. Effective therapeutic strategies are already available in chemotherapy and are being further developed. Their application requires reliable laboratory diagnostic techniques, which, in turn, result from mycological basic research. Opportunistic mycoses vary greatly in their clinical and pathological symptoms, because the underlying disease of a patient at risk decisively determines their symptomatology and progress. The journal Mycoses is therefore of interest to scientists in fundamental mycological research, mycological laboratory diagnosticians and clinicians interested in fungal infections.