1990-2019年期间与环境风险因素相关的全球哮喘负担模式:2019年全球疾病负担研究的年龄段队列分析。

IF 5.3 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES
Siying Zhang, Zongshi Gao, Lihong Wu, Yumei Zhong, Hui Gao, Fang-Biao Tao, Xiulong Wu
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引用次数: 0

摘要

背景:尚未对特定环境风险因素导致的哮喘负担变化进行评估:尚未对特定环境风险因素导致的哮喘负担变化进行评估:我们旨在探讨不同社会人口指数(SDI)地区吸烟和职业性哮喘诱因对哮喘负担的年龄、时期和队列影响,以及地区和性别差异:从2019年全球疾病负担研究中提取了风险因素特异性哮喘死亡人数和残疾调整生命年(DALYs)比率,并通过标准死因组合模型和DisMod-MR 2.1建模工具进行了估算。进行了年龄-时期-队列分析,以分解年龄、时期和队列对哮喘负担的影响:结果:1990-2019年间,与吸烟和职业性哮喘相关的哮喘死亡率和残疾调整寿命年数下降了45%以上。2019 年,非洲、南亚和东南亚的哮喘负担高于其他地区。男性的哮喘负担高于女性。在几乎所有年龄组中,中低SDI地区与吸烟相关的哮喘负担最高,低SDI地区与职业哮喘相关的哮喘负担最高。随着年龄的增长,上述地区的 "V "形趋势呈反向变化。在与吸烟相关的哮喘死亡和残疾调整寿命年数比率方面,高 SDI 地区的时期比率(RR)改善最为显著,分别从 1.67(1.61, 1.74)降至 0.34(0.33, 0.36)和 1.61(1.57, 1.66)降至 0.59(0.57, 0.61),吸烟相关哮喘负担的队列效应也是如此。在职业性哮喘相关的哮喘死亡和残疾调整寿命年率方面,高 SDI 和中高 SDI 地区的时期和队列 RR 下降幅度最大。低SDI地区在吸烟和职业哮喘相关哮喘负担的期间和队列RRR方面的进展最小:结论:与吸烟和职业哮喘相关的哮喘负担急剧下降,但存在地区和性别差异。低 SDI 地区的决策者应加强烟草控制,并优先考虑工作场所保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global patterns of asthma burden related to environmental risk factors during 1990-2019: an age-period-cohort analysis for global burden of disease study 2019.

Background: Change in asthma burden attributed to specific environmental risk factor has not been evaluated.

Objective: We aimed to explore the age, period, and cohort effects on asthma burden attributable to smoking and occupational asthmagens in different socio-demographic index (SDI) regions and the region and sex disparities.

Methods: Risk factor-specific asthma deaths and disability-adjusted life years (DALYs) rates were extracted from Global Burden of Disease study 2019, estimated by standard Combined Cause of Death Model and DisMod-MR 2.1 modeling tool. Age-period-cohort analysis was conducted to decompose age, period, and cohort effects on asthma burden.

Results: Smoking- and occupational asthmagens-related asthma deaths and DALYs rates dropped by > 45% during 1990-2019. In 2019, Africa, South and Southeast Asia had higher asthma burden than other regions. Male had higher asthma burden than female. Among nearly all age groups, low-middle SDI region had the highest smoking-related asthma burden, and low SDI region had the highest occupational asthmagens-related asthma burden. Inverse "V" shaped trend was observed in the above regions with increasing age. For smoking-related asthma deaths and DALYs rates, the most significant improvement of period rate ratio (RR) occurred in high SDI region, decreased from 1.67 (1.61, 1.74) to 0.34 (0.33, 0.36) and 1.61 (1.57, 1.66) to 0.59 (0.57, 0.61), respectively, as well as the cohort effect on smoking-related asthma burden. For occupational asthmagens-related asthma deaths and DALYs rates, the most sharply decrease of period and cohort RR appeared in the high and high-middle SDI regions. Low SDI region showed least progress in period and cohort RR of smoking- and occupational asthmagens-linked asthma burden.

Conclusion: Smoking- and occupational asthmagens-related asthma burden sharply decreases, but region and sex disparities exist. Policy makers from low SDI region should reinforce tobacco control and prioritize workplace protection.

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来源期刊
Environmental Health
Environmental Health 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
10.10
自引率
1.70%
发文量
115
审稿时长
3.0 months
期刊介绍: Environmental Health publishes manuscripts on all aspects of environmental and occupational medicine and related studies in toxicology and epidemiology. Environmental Health is aimed at scientists and practitioners in all areas of environmental science where human health and well-being are involved, either directly or indirectly. Environmental Health is a public health journal serving the public health community and scientists working on matters of public health interest and importance pertaining to the environment.
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