Global, regional, and national trends and burden of hypertensive disorders in pregnancy among women of childbearing age from 1990 to 2021.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-05-09 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1533843
Zhongyun Tang, Chao Ma, Jin Liu, Chongdong Liu
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引用次数: 0

Abstract

Background: Hypertensive disorders of pregnancy (HDP) are a significant cause of maternal and perinatal morbidity and mortality worldwide. This study aims to use the Global Burden of Disease 2021 database to analyze the prevalence trends and disease burden of HDP across the globe from 2019 to 2021.

Methods: We analyzed four key metrics related to HDP (prevalence, incidence, mortality, and DALYs) using data from the GBD Database. Trends were assessed using the estimated annual percentage change (EAPC) and changes in disease burden.

Results: In 2021, global HDP prevalence cases, incidence cases, mortality cases, and DALYs were 3.51 million, 18.00 million, 37.58 million, and 2.44 million, respectively, with percentage changes of 14%, 15%, -29%, and -29% over the study period. Prevalence and incidence rates increased (EAPCs: -0.7 and -0.67), while mortality and DALYs rates decreased (EAPCs: -2.29 and -2.28). Low Socio-demographic Index (SDI) regions had the highest HDP burden, accounting for about half of the global total. The 25-29 age group had the highest incidence cases.

Conclusion: Over the past 32 years, HDP prevalence cases and incidence cases have risen globally, but death cases and DALYs cases have significantly decreased, particularly in low SDI regions and the 25-29 age group. The global HDP burden is higher in regions with lower SDI. Our findings highlight regional and age-related disparities in HDP, providing a basis for targeted interventions and prevention strategies.

1990年至2021年育龄妇女妊娠期高血压疾病的全球、区域和国家趋势和负担。
背景:妊娠期高血压疾病(HDP)是全世界孕产妇和围产期发病率和死亡率的重要原因。本研究旨在利用全球疾病负担2021数据库,分析2019 - 2021年全球HDP的流行趋势和疾病负担。方法:我们使用GBD数据库的数据分析了与HDP相关的四个关键指标(患病率、发病率、死亡率和DALYs)。使用估计的年百分比变化(EAPC)和疾病负担的变化来评估趋势。结果:2021年,全球HDP患病率、发病率、死亡率和DALYs分别为351万、1800万、3758万和244万,研究期间的百分比变化分别为14%、15%、-29%和-29%。患病率和发病率增加(EAPCs: -0.7和-0.67),而死亡率和DALYs率下降(EAPCs: -2.29和-2.28)。低社会人口指数(SDI)地区的HDP负担最高,约占全球总数的一半。25-29岁年龄组发病率最高。结论:在过去的32年中,HDP的患病率和发病率在全球范围内有所上升,但死亡病例和DALYs病例显著下降,特别是在低SDI地区和25-29岁年龄组。全球HDP负担在SDI较低的地区较高。我们的研究结果突出了HDP的地区和年龄相关差异,为有针对性的干预和预防策略提供了基础。
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
CiteScore
3.70
自引率
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13 weeks
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