Socioeconomic and demographic disparities in the impact of digestive diseases in the middle East and North Africa (MENA) region.

IF 4.5 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health Pub Date : 2025-03-27 DOI:10.1186/s12939-025-02448-9

Omar Al Ta'ani, Yazan Al-Ajlouni, Chloe Lahoud, Sharifeh Almasaid, Yahya Alhalalmeh, Zaid Oweis, Pojsakorn Danpanichkul, Ali Baidoun, Saqr Alsakarneh, Dushyant Singh Dahiya, Basile Njei

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引用次数: 0

Abstract

Introduction: Digestive diseases (DD) pose a significant global health burden, with the Middle East and North Africa (MENA) region providing a unique landscape to study the impact of socioeconomic disparities on DD incidence and outcomes. This study examines the burden of DD in the MENA region, focusing on socioeconomic influences.

Methods: We utilized data from the Global Burden of Disease (GBD) dataset from 1990 to 2021, analyzing trends in incidence, mortality, and disability-adjusted life years (DALYs) for DD. Percentage changes and estimated annual percentage changes (EAPCs) were calculated for age-standardized rates, and correlations were assessed between disease metrics and socio-demographic indices, including the Socio-demographic Index (SDI), Human Development Index (HDI), and Gender Inequality Index (GII).

Results: Between 1990 and 2021, the total incidence of DD rose by 129.8%, from 19.7 million to 45.4 million cases. Age-standardized mortality and DALY rates decreased by 48.3% and 44.7%, respectively. Strong correlations were observed between age-standardized incidence rates (ASIR) and SDI (r = 0.90), HDI (r = 0.88), and GII (r = - 0.86). EAPCs for incidence, deaths, and DALYs were 0.79, -2.29, and - 1.88, respectively.

Conclusion: Despite a reduction in mortality and DALY rates, the persistently high incidence rates of DD in the MENA region underscores ongoing public health challenges. Socioeconomic factors strongly influence disease burden, highlighting the need for targeted interventions to address disparities and improve digestive disease outcomes across the region.

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来源期刊

International Journal for Equity in Health Medicine-Health Policy

CiteScore

7.80

自引率

4.20%

发文量

162

审稿时长

28 weeks

期刊介绍： International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.