Global burden of diseases attributable to childhood sexual abuse and bullying: findings from 1990 to 2019 and predictions to 2035.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI:10.1007/s00127-025-02863-x

Peng Xiong, Yuhan Chen, Min Liu, Zhigang Han, Yaozhong Liu

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引用次数: 0

Abstract

Purpose: Childhood sexual abuse (CSA) and bullying are serious public health concerns that influence child, adolescent, and adult health. This study aims to provide updated estimate of age- and sex- specific deaths and disability-adjusted life years (DALYs) associated with CSA and bullying from 1990 to 2019 at the global, regional, and national levels, and to forecast the global burden of disease attributed to it from 2020 to 2035.

Methods: We used the data for the number of deaths, DALYs, age-standardized rate (per 100,000 population), percentage change, and population attributable fraction (PAF) from the Global Burden of Disease Study 2019 (GBD 2019) to assess the disease burden attributable to CSA and bullying. We further applied an autoregressive integrated moving average (ARIMA) model to predict the disease burden for the period 2020 to 2035.

Results: In 2019, CSA and bullying accounted for 0.02% and 0.28% of global all-cause deaths and DALYs, respectively. The highest deaths rates were observed in men aged 45-49, and women aged 50-54. The highest DALYs rates were observed in men aged 20-24 and women aged 15-19. The highest age-standardized deaths and DALYs rates were observed in the Eastern Europe region (1.222 [95% UI 0.161, 3.013]) and in High-Income North America region (176.613 [95% UI 79.02, 312.064]) per 100,000 people respectively. El Salvador (1.523 [95% UI 0.209, 3.589]) and Greenland (298.014 [95% UI 138.745, 518.086]) per 100,000 people had the highest age-standardized- deaths and DALYs rates, respectively. The highest age-standardized rates of CSA and bullying related deaths and DALYs were observed in high-socio-demographic Index (SDI) quintile. The age-standardized deaths rate attributable to CSA and bullying is projected to decrease in both sexes between 2019 and 2035, whereas the age-standardized DALYs rate is projected to decrease in male and increase in female between 2019 and 2035.

Conclusions: CSA and bullying contributed to the global disease burden. Action is needed to develop effective policies. Our study provides policymakers with up-to-date and comprehensive information.

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儿童性虐待和欺凌导致的全球疾病负担：1990年至2019年的调查结果和2035年的预测。

目的：儿童期性虐待（CSA）和欺凌是影响儿童、青少年和成人健康的严重公共卫生问题。本研究旨在提供1990年至2019年全球、区域和国家层面与CSA和欺凌相关的年龄和性别特定死亡和残疾调整生命年（DALYs）的最新估计，并预测2020年至2035年与CSA和欺凌相关的全球疾病负担。方法：我们使用来自2019年全球疾病负担研究（GBD 2019）的死亡人数、DALYs、年龄标准化率（每10万人）、百分比变化和人口归因分数（PAF）的数据来评估CSA和欺凌导致的疾病负担。我们进一步应用自回归综合移动平均（ARIMA）模型预测2020 - 2035年期间的疾病负担。结果：2019年，CSA和欺凌分别占全球全因死亡人数和DALYs的0.02%和0.28%。死亡率最高的是45-49岁的男性和50-54岁的女性。在20-24岁的男性和15-19岁的女性中，DALYs率最高。东欧地区和高收入北美地区的年龄标准化死亡率分别为每10万人1.222例（95% UI 0.161, 3.013）和每10万人176.613例（95% UI 79.02, 312.064）。萨尔瓦多（1.523 [95% UI 0.209, 3.589]）和格陵兰（298.014 [95% UI 138.745, 518.086]）每10万人的年龄标准化死亡率和伤残调整生命年比率分别最高。在高社会人口指数（SDI）五分位数中，观察到CSA和欺凌相关死亡和DALYs的年龄标准化率最高。预计2019年至2035年期间，性别中因暴力侵害和欺凌导致的年龄标准化死亡率将下降，而2019年至2035年期间，男性的年龄标准化伤残调整年死亡率将下降，女性的年龄标准化伤残调整年死亡率将上升。结论：CSA和欺凌加剧了全球疾病负担。需要采取行动制定有效的政策。我们的研究为决策者提供了最新和全面的信息。

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

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.