西太平洋地区 10-24 岁青少年失明和视力丧失的发病率和负担在 30 年间的变化趋势。

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yunjiao Luo, Qingzhi Wang, Yingxue Wang, Louisa Esi Mackay, Na Yan, Yuhao Wang, Blen Dereje Shiferaw, Yihan Wang, Jingjing Wang, Jie Tang, Ya Liao, Xiaojuan Wang, Wei Wang
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引用次数: 0

摘要

研究背景本研究旨在利用1990年至2019年的全球疾病负担(GBD)数据,了解西太平洋地区(WPR)青少年的视力健康状况:我们利用1990年至2019年的全球疾病负担(GBD)数据对失明和视力丧失情况进行了全面分析,利用连接点回归分析了失明和视力丧失的患病率和负担随时间变化的趋势,并利用年龄-时期-队列(APC)模型从三个维度分析了其对失明和视力丧失的独立影响:1990年至2019年期间,WPR青少年的失明率和视力丧失率呈上升趋势(AAPC:0.56%),而YLD的失明率和视力丧失率略有上升(AAPC:0.11%)。接合点回归显示,2017 年后呈下降趋势(亚太视力中心:-2.45%)。大多数西太平洋国家的患病率和负担呈下降趋势,只有中国显著上升(AAPC患病率:0.57%)。在各分组中,屈光障碍的患病率最高。青少年失明和视力丧失的风险随着年龄的增长而降低,但随着时间的推移和出生日期的推迟而增加。此外,女性的患病率和负担普遍高于男性:结论:在全球青少年失明和视力减退的发病率和负担呈下降趋势的背景下,世界预防青少年失明和视力减退的发病率和负担呈上升趋势,其中中国的上升最为明显。这一发现对西太平洋地区具有重要意义,表明该地区应更加关注青少年的眼健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in the prevalence and burden of blindness and vision loss among adolescents aged 10-24 years in the Western Pacific Region over 30 years.

Background: This study aimed to understand the vision health status of adolescents in the Western Pacific Region (WPR) using Global Burden of Disease (GBD) data from 1990 to 2019.

Methods: We conducted a comprehensive analysis of blindness and vision loss using GBD data from 1990 to 2019, analyzed trends in the prevalence and burden of blindness and vision loss over time using joinpoint regression, and analyzed their independent effects on blindness and vision loss in three dimensions using age-period-cohort (APC) modeling.

Results: The prevalence of blindness and vision loss among adolescents in the WPR showed an increasing trend between 1990 and 2019 (AAPC: 0.56%) and a slight increase in YLD (AAPC: 0.11%). The joinpoint regression showed a decreasing trend after 2017 (AAPC: -2.45%). The prevalence and burden trended downward in most Western Pacific countries, with only China rising significantly (AAPC prevalence: 0.57%). Refractive disorders had the highest prevalence among the subgroups. The risk of blindness and vision loss in adolescents reduced with age but grew later in time and at later birth. In addition, prevalence and burden were generally higher in females than males.

Conclusions: In the context of a declining global trend in the prevalence and burden of blindness and vision loss among adolescents, there is an increasing trend among adolescents in WPR, with the most pronounced rise in China. This finding has important implications for WPR, suggesting that more attention should be given to adolescent eye health in the region.

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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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