{"title":"亚洲视力损伤负担的趋势和预测：2021 年全球疾病负担研究的结果。","authors":"Shengsong Xu, Jianqi Chen, Xiao Wang, Xiaohua Zhuo, Yanbin Wang, Jinyi Xu, Chuqi Xiang, Mingxin Lu, Jingfeng Mu, Xiao Yang","doi":"10.1016/j.apjo.2025.100196","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the trends in the burden of visual impairment across Asia from 1990 to 2021 and to project the burden through 2040.</p><p><strong>Methods: </strong>This population-based study used data from the latest Global Burden of Disease 2021 study. Prevalence and years lived with disability (YLDs) were the main outcomes. The trends were analyzed by calculating the average annual percentage change (AAPC) using joinpoint regression analysis. The projection was performed by Bayesian age-period-cohort modeling.</p><p><strong>Results: </strong>The prevalence of visual impairment in Asia increased from 1990 to 2021, with AAPCs of 0.77 (95 % confidence interval [CI], 0.44-1.11), while YLD rates decreased with AAPCs of - 0.21 (95 % CI, - 0.38 to - 0.03). Near vision loss was the main contributor to visual impairment in Asia. Notably, the prevalence in the working-age population (20-54 years) increased significantly from 1990 to 2021 (AAPC = 2.11 [95 % CI, 1.70-2.53]), which was accord with the YLDs (AAPC = 1.07 [95 % CI, 0.83-1.32]), whereas for children and adolescents (< 20 years) and the elderly (≥ 55 years) it has decreased. According to the projection, the burden was predicted to significantly increase across all Asian sub-regions, especially in East Asia and South Asia.</p><p><strong>Conclusion: </strong>The burden of visual impairment in Asia has been substantially increasing from 1990 to 2021. This trend is anticipated to persist significantly soon, especially in East Asia and South Asia, underlining the urgent need for concentrated attention and robust policy support for these regions.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100196"},"PeriodicalIF":3.7000,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trends and projections of the burden of visual impairment in Asia: Findings from the Global Burden of Disease Study 2021.\",\"authors\":\"Shengsong Xu, Jianqi Chen, Xiao Wang, Xiaohua Zhuo, Yanbin Wang, Jinyi Xu, Chuqi Xiang, Mingxin Lu, Jingfeng Mu, Xiao Yang\",\"doi\":\"10.1016/j.apjo.2025.100196\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aims to examine the trends in the burden of visual impairment across Asia from 1990 to 2021 and to project the burden through 2040.</p><p><strong>Methods: </strong>This population-based study used data from the latest Global Burden of Disease 2021 study. Prevalence and years lived with disability (YLDs) were the main outcomes. The trends were analyzed by calculating the average annual percentage change (AAPC) using joinpoint regression analysis. The projection was performed by Bayesian age-period-cohort modeling.</p><p><strong>Results: </strong>The prevalence of visual impairment in Asia increased from 1990 to 2021, with AAPCs of 0.77 (95 % confidence interval [CI], 0.44-1.11), while YLD rates decreased with AAPCs of - 0.21 (95 % CI, - 0.38 to - 0.03). Near vision loss was the main contributor to visual impairment in Asia. Notably, the prevalence in the working-age population (20-54 years) increased significantly from 1990 to 2021 (AAPC = 2.11 [95 % CI, 1.70-2.53]), which was accord with the YLDs (AAPC = 1.07 [95 % CI, 0.83-1.32]), whereas for children and adolescents (< 20 years) and the elderly (≥ 55 years) it has decreased. According to the projection, the burden was predicted to significantly increase across all Asian sub-regions, especially in East Asia and South Asia.</p><p><strong>Conclusion: </strong>The burden of visual impairment in Asia has been substantially increasing from 1990 to 2021. This trend is anticipated to persist significantly soon, especially in East Asia and South Asia, underlining the urgent need for concentrated attention and robust policy support for these regions.</p>\",\"PeriodicalId\":8594,\"journal\":{\"name\":\"Asia-Pacific Journal of Ophthalmology\",\"volume\":\" \",\"pages\":\"100196\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-04-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asia-Pacific Journal of Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.apjo.2025.100196\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia-Pacific Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.apjo.2025.100196","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Trends and projections of the burden of visual impairment in Asia: Findings from the Global Burden of Disease Study 2021.
Purpose: This study aims to examine the trends in the burden of visual impairment across Asia from 1990 to 2021 and to project the burden through 2040.
Methods: This population-based study used data from the latest Global Burden of Disease 2021 study. Prevalence and years lived with disability (YLDs) were the main outcomes. The trends were analyzed by calculating the average annual percentage change (AAPC) using joinpoint regression analysis. The projection was performed by Bayesian age-period-cohort modeling.
Results: The prevalence of visual impairment in Asia increased from 1990 to 2021, with AAPCs of 0.77 (95 % confidence interval [CI], 0.44-1.11), while YLD rates decreased with AAPCs of - 0.21 (95 % CI, - 0.38 to - 0.03). Near vision loss was the main contributor to visual impairment in Asia. Notably, the prevalence in the working-age population (20-54 years) increased significantly from 1990 to 2021 (AAPC = 2.11 [95 % CI, 1.70-2.53]), which was accord with the YLDs (AAPC = 1.07 [95 % CI, 0.83-1.32]), whereas for children and adolescents (< 20 years) and the elderly (≥ 55 years) it has decreased. According to the projection, the burden was predicted to significantly increase across all Asian sub-regions, especially in East Asia and South Asia.
Conclusion: The burden of visual impairment in Asia has been substantially increasing from 1990 to 2021. This trend is anticipated to persist significantly soon, especially in East Asia and South Asia, underlining the urgent need for concentrated attention and robust policy support for these regions.
期刊介绍：
The Asia-Pacific Journal of Ophthalmology, a bimonthly, peer-reviewed online scientific publication, is an official publication of the Asia-Pacific Academy of Ophthalmology (APAO), a supranational organization which is committed to research, training, learning, publication and knowledge and skill transfers in ophthalmology and visual sciences. The Asia-Pacific Journal of Ophthalmology welcomes review articles on currently hot topics, original, previously unpublished manuscripts describing clinical investigations, clinical observations and clinically relevant laboratory investigations, as well as .perspectives containing personal viewpoints on topics with broad interests. Editorials are published by invitation only. Case reports are generally not considered. The Asia-Pacific Journal of Ophthalmology covers 16 subspecialties and is freely circulated among individual members of the APAO’s member societies, which amounts to a potential readership of over 50,000.
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