Australasian Journal on Ageing最新文献_第3页

Response to the Letter to the Editor: ‘Physical Function Prevails, but Is Cognition Underestimated? Methodological Concerns on the Use of MMSE’ 对致编辑的信的回应：“身体机能占上风，但认知能力被低估了吗？”对MMSE使用方法的关注。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-23 DOI: 10.1111/ajag.70118

Juliedy Waldow Kupske, Júlia de Mattos, Tainara Steffens, Eduarda Blanco-Rambo, Marcelo Bandeira-Guimarães, Mikel L. Sáez de Asteasu, Mikel Izquierdo, Eduardo Lusa Cadore, Caroline Pietta-Dias

引用次数: 0

Factors Associated With Digital Confidence and Use of Technology Among Older Queenslanders 昆士兰老年人对数字信心和技术使用的相关因素。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-15 DOI: 10.1111/ajag.70117

Jeni Warburton, Mehak Oberai, Connor Forbes, Zhiwei Xu, Aaron Bach, Ella Jackman, Sarah Cunningham, Sebastian Binnewies, Shannon Rutherford, Steven Baker

Objective

Digital technology increasingly plays an important role in supporting older adults to live longer and healthier lives. However, research consistently identifies barriers to technology usage for some older adults, particularly as they age. This study draws on data from a survey of older adults (aged 65 years and older) to improve our understanding of the role that confidence with technology plays in older adults' technology acceptance.

Methods

We analysed technology usage and acceptance data from 547 Queensland older adults (53% male, 47% female) gathered as part of a larger survey examining how technology may assist the development of an in-home heat early warning system for older Queenslanders. Respondents fell within five age range groups, 65–69 years (24%), 70–74 years (29%), 75–79 years (28%), 80–84 years (12%) and 85+ (7%).

Results

Respondents from the highest age range groups were more apprehensive about, and were slower to adopt, new technologies. Moreover, overall use of technology also declined with age, implying the need to consider ageing cohorts when considering technology acceptance. When looking at digital confidence, our results highlight that age was the only independent variable that predicted (inversely) digital confidence, and somewhat counterintuitively, frustration with technology. This may suggest that older cohorts avoid using new technology to avoid the risk of frustration.

Conclusions

Results from the survey data add to our knowledge of the patterns of technology usage and acceptance by older adults. Our analysis underscores the need to consider variables such as confidence or frustration with technology when considering whether cutting-edge technologies will benefit older users.

目的：数字技术在支持老年人长寿和健康生活方面发挥着越来越重要的作用。然而，研究一致发现，一些老年人在使用科技产品方面存在障碍，尤其是随着年龄的增长。本研究利用对老年人（65岁及以上）的调查数据，以提高我们对技术信心在老年人技术接受度中所起作用的理解。方法：我们分析了来自547名昆士兰老年人（53%男性，47%女性）的技术使用和接受度数据，这些数据是一项大型调查的一部分，该调查旨在研究技术如何帮助昆士兰老年人家庭热预警系统的发展。受访者分为5个年龄组，65-69岁（24%）、70-74岁（29%）、75-79岁（28%）、80-84岁（12%）和85岁以上（7%）。结果：来自最高年龄段的受访者对新技术更加担忧，并且采用新技术的速度较慢。此外，技术的总体使用也随着年龄的增长而下降，这意味着在考虑接受技术时需要考虑老龄人群。在研究数字自信时，我们的研究结果强调，年龄是唯一的独立变量，可以预测（相反的）数字自信，以及对技术的挫败感。这可能表明老年人避免使用新技术以避免沮丧的风险。结论：调查数据的结果增加了我们对老年人技术使用和接受模式的了解。我们的分析强调，在考虑尖端技术是否会使老年用户受益时，需要考虑诸如对技术的信心或挫败感等变量。

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引用次数: 0

Survey of Early Supported Discharge Programmes for Low-Trauma Hip Fracture Patients in Australian Public Hospitals 澳大利亚公立医院低创伤髋部骨折患者早期支持出院方案调查

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-11 DOI: 10.1111/ajag.70115

Robert Devereux, Justine M. Naylor, Serena Hong, Thuy Anh Bui, Jacqueline Close, Christopher Wall, Jamie Hallen, Danielle Ní Chróinín

Objective

To investigate the prevalence and characteristics of early supported discharge programmes (ESDP) for low-trauma hip fracture (LTHF) patients.

Methods

We distributed a survey exploring hospital and patient demographics, length of stay (LOS), service provision patterns, eligibility criteria and outcome monitoring to 82 public Australian hospitals participating in the Australian and New Zealand Hip Fracture Registry (ANZHFR) (90% national coverage).

Results

Amongst 35 hospitals (response rate 43%), 23 (66%) reported providing Hospital in the Home (HITH) or Rehabilitation in the Home (RITH) programmes, though none were specific to hip fracture. Hospitals offering these programmes had shorter acute length of stay (LOS) compared to those without (9.41 vs. 11.33 days, p = 0.04). The use of HITH/RITH was lower in hospitals where > 30% of patients were from culturally and linguistically diverse (CALD) backgrounds (50% vs. 71%) or where > 25% spoke a language other than English and required a translator (57% vs. 74%). There was variability in ESDP staffing, with physiotherapists (87%), occupational therapists (84%) and nurses (82%) being the most frequently provided. The most common eligibility criterion was living in a geographical area covered by the programme (92%). Outcomes routinely monitored included readmissions (66%), LOS (savings) (61%) and complications (45%).

Conclusions

Early supported discharge programmes are commonly implemented in Australian public hospitals, but programme variability highlights potential inequities in access and service delivery. Standardising programme models and reporting practices, along with incorporating patient and carer-reported outcomes, could enhance the effectiveness of ESDP for LTHF patients.

目的：探讨低创伤性髋部骨折（LTHF）患者早期支持出院方案（ESDP）的患病率和特点。方法：我们对参与澳大利亚和新西兰髋部骨折登记（ANZHFR）（全国覆盖率90%）的82家澳大利亚公立医院进行了一项调查，探讨了医院和患者的人口统计、住院时间（LOS）、服务提供模式、资格标准和结果监测。结果：在35家医院（反应率43%）中，23家（66%）报告提供家庭医院（HITH）或家庭康复（RITH）计划，但没有一家是针对髋部骨折的。与不提供这些方案的医院相比，提供这些方案的医院的急性住院时间（LOS）更短（9.41天vs 11.33天，p = 0.04）。在医院，HITH/RITH的使用率较低，其中> - 30%的患者来自文化和语言多样化（CALD）背景（50%对71%）或> - 25%的患者使用英语以外的语言并需要翻译（57%对74%）。ESDP人员配置存在差异，最常提供的是物理治疗师（87%）、职业治疗师（84%）和护士（82%）。最常见的资格标准是居住在该方案覆盖的地理区域（92%）。常规监测的结果包括再入院（66%）、住院时间(节省时间（61%）和并发症（45%）。结论：澳大利亚公立医院普遍实施早期支持出院方案，但方案的可变性突出了在获取和服务提供方面的潜在不平等。标准化规划模式和报告实践，以及合并患者和医护人员报告的结果，可以提高慢性肾功能衰竭患者ESDP的有效性。

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引用次数: 0

Transitions of Care Among Older People Entering Residential Aged Care Homes 进入安老院舍的长者照顾的转变。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-10 DOI: 10.1111/ajag.70116

Georgina A. Hughes, Maria C. Inacio, Debra Rowett, Catherine Lang, Robert N. Jorissen, Megan Corlis, Janet K. Sluggett

Objective

Improving the quality of care transitions among older people living in residential aged care homes (RACHs) is an area of national and international concern and priority. Pathways for entry to RACHs between the community, hospital and RACH services have not been longitudinally examined in Australia. This study aimed to characterise older people's care transitions preceding permanent RACH entry.

Methods

A retrospective cohort study using linked, cross-sectoral data from the Registry of Senior Australians National Historical Cohort was conducted. Non-Indigenous individuals aged 65–105 years who entered RACHs in two Australian states during 2015–2019 were included. Transitions between community-based care settings, hospitals, temporary RACH services and permanent RACHs were characterised and summarised with descriptive statistics.

Results

In total, 102,821 individuals entered 1058 RACHs. Overall, one in five residents (22%, n = 22,994) directly entered permanent care in a RACH from the community. The most complex entry to care pathway was also the most common pathway, with 27% (n = 28,155) of residents transitioning from hospital to a temporary RACH service before entering a RACH permanently.

Conclusions

This study found older people often undergo multiple and frequently complex transitions between care settings before entering a RACH permanently. These findings highlight the need for new policies to prioritise the safety and high quality of care transitions among this population. Timely and complete information handover is important to optimise continuity of care, and healthcare professionals should be cognisant that older people often transition to new care settings that may not be permanent.

目的：改善居住在养老院（RACHs）的老年人的护理过渡质量是国家和国际关注和优先考虑的领域。在澳大利亚，尚未对社区、医院和区域卫生保健服务机构之间进入区域卫生保健服务的途径进行纵向研究。本研究旨在描述老年人在永久进入RACH之前的护理转变。方法：回顾性队列研究使用来自澳大利亚老年人国家历史队列登记处的相关跨部门数据进行。在2015-2019年期间进入澳大利亚两个州的65-105岁的非土著个人也包括在内。以社区为基础的护理环境、医院、临时RACH服务和永久RACH服务之间的过渡进行了特征描述和描述性统计总结。结果：共有102,821人进入1058个RACHs。总体而言，五分之一的居民（22%,n = 22,994）直接从社区进入RACH的永久护理。最复杂的进入护理途径也是最常见的途径，27% （n = 28,155）的居民在永久进入RACH之前从医院过渡到临时RACH服务。结论：本研究发现，在永久进入RACH之前，老年人经常经历多次且经常复杂的护理环境转换。这些发现强调需要制定新的政策，优先考虑这一人群的安全和高质量的护理过渡。及时和完整的信息交接对于优化护理的连续性非常重要，医疗保健专业人员应该认识到，老年人经常过渡到可能不是永久性的新护理环境。

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引用次数: 0

Effectiveness of Immersive Oral Muscle Training on Pronunciation in Older Adults: A Randomised Trial 沉浸式口腔肌肉训练对老年人发音的有效性：一项随机试验

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-11-28 DOI: 10.1111/ajag.70112

Hyun-Young Moon, Yoon Young Choi, Kyeong-Jin Lee, Kyeong-Hee Lee

Objectives

Pronunciation difficulties in older adults frequently stem from age-related weakening of the oral muscles, necessitating accessible and engaging training approaches. This study aimed to evaluate the effectiveness of oral muscle strengthening exercises using immersive educational content to improve pronunciation in older adults.

Methods

Individuals aged 65 years and older were screened using the Speech Mechanism Screening Test. Those classified as normal were assigned to receive oral muscle strengthening exercises combined with realistic educational content twice per week for 6 weeks. To assess improvements in pronunciation, the following measures were evaluated: Total Percentage of Consonants Correct (PCC), Proportion of Whole-Word Correctness (PWC), Phonological Mean Length of Utterance (PMLU), Proportion of Whole-Word Proximity (PWP) and Percentage of Vowels Correct (PVC). Additionally, phonological error patterns were analysed.

Results

According to repeated-measures ANOVA, the intervention group showed significantly greater improvements than the control group post-intervention in PCC (from 97.87 at baseline to 98.99 post-intervention, p = 0.003), PWC (from 0.91 to 0.96, p < 0.001) and PMLU (from 8.49 to 8.53, p = 0.03). Vowel change errors significantly decreased (from 0.80 to 0.40, p = 0.04).

Conclusions

Oral muscle strengthening exercises that incorporate immersive educational content are effective in improving selected pronunciation outcomes in older adults. These findings therefore suggest that these exercises may serve as feasible interventions for enhancing speech intelligibility in this population.

老年人的发音困难通常源于与年龄相关的口腔肌肉衰弱，因此需要易于接受和参与的训练方法。本研究旨在评估使用沉浸式教育内容的口腔肌肉强化练习对改善老年人发音的有效性。方法采用言语机制筛选测验对65岁及以上老年人进行筛查。正常组接受口腔肌肉强化训练并结合实际教育内容，每周2次，持续6周。为了评估发音的改善，我们评估了以下指标：辅音总正确率（PCC）、全词正确率（PWC）、语音平均发音长度（PMLU）、全词接近度（PWP）和元音正确率（PVC）。此外，还分析了语音错误模式。结果根据重复测量方差分析，干预组干预后PCC（从基线时的97.87提高到干预后的98.99,p = 0.003）、PWC（从0.91提高到0.96,p < 0.001）和PMLU（从8.49提高到8.53,p = 0.03）的改善显著高于对照组。元音变化误差显著降低（从0.80降至0.40,p = 0.04）。结论：结合沉浸式教学内容的口腔肌肉强化练习对改善老年人的特定发音结果是有效的。因此，这些发现表明，这些练习可以作为提高这一人群语音清晰度的可行干预措施。

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引用次数: 0

Cycling Without Age Intervention: Effects on Loneliness, Social Isolation and Life Satisfaction of Older People 无年龄干预骑车对老年人孤独感、社会隔离和生活满意度的影响。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-11-25 DOI: 10.1111/ajag.70111

Sónia Patrícia Vilar Martins, Hélder Fernando Cerqueira Alves, Joana Madalena Tavares Martins Guedes, Maria Helena Sarmento Margarido, Sílvia Freitas

Objectives

Social isolation and loneliness among older people are widespread, with an impact on physical and mental health. Cycling Without Age (CWA) is an international cycling programme developed to minimise social isolation and loneliness in older people. It involves trishaw (electric bicycle) rides in the open air, led by volunteer riders. This study aimed to analyse the effects of CWA intervention on loneliness and social isolation among older people living in Porto, Portugal.

Methods

Older adults (aged 55 years or older) living in the community or a nursing home were included. The intervention comprised at least four bicycle rides, with a duration between 30 and 60 min. A research protocol was applied before and after the intervention, which included the UCLA Loneliness Scale and the Abbreviated Lubben Social Network Scale.

Results

A total of 47 participants (median age = 85 years) completed the intervention. Participants were mostly female (81%), widowed (66%) and living in nursing homes (72%). A statistically significant decrease in loneliness was found after the intervention (Median [IQR]_after = 24.0 [16.0] vs. before = 17.0 [6.0]; p < 0.05).

Discussion

This preliminary work highlights the positive effect the CWA intervention may have on loneliness among older adults, which is consistent with other CWA programme studies. However, future research is required to evaluate whether these effects persist over time.

目标：老年人普遍存在社会孤立和孤独感，对身心健康造成影响。无年龄骑行（CWA）是一项国际骑行计划，旨在最大限度地减少老年人的社会隔离和孤独感。它包括在志愿者的带领下在户外骑三轮车（电动自行车）。本研究旨在分析CWA干预对生活在葡萄牙波尔图的老年人的孤独感和社会孤立的影响。方法：老年人（55岁或以上）生活在社区或养老院。干预包括至少四次骑自行车，持续时间在30到60分钟之间。干预前后分别采用UCLA孤独感量表和简略Lubben社交网络量表。结果：共有47名参与者（中位年龄= 85岁）完成了干预。参与者大多是女性（81%），丧偶（66%）和住在养老院（72%）。干预后孤独感有统计学意义的降低(Median [IQR]_after = 24.0 [16.0] vs. before = 17.0 [6.0]； p讨论：这项初步工作强调了CWA干预可能对老年人孤独感产生的积极影响，这与其他CWA计划研究一致。然而，未来的研究需要评估这些影响是否会持续一段时间。

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引用次数: 0

Epidemiology of Vision and Hearing Impairment in Older Community Dwelling Adults in New Zealand 新西兰老年社区居民视力和听力障碍的流行病学研究。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-11-13 DOI: 10.1111/ajag.70110

Francesc March de Ribot, Hans Ulrich Bergler, Patrick Dawes, Hamish Jamieson

Objective

This study provides an analysis of the epidemiology of vision/hearing impairments among frail older adults in New Zealand.

Methods

Data of older adults assessed using standardised interRAI Home Care and Long-Term Care Facility instruments between 1 January 2019 and 31 December 2020 underwent retrospective analyses of vision and hearing impairment. The use of vision and hearing examinations and aids is reported.

Results

We analysed 48,038 assessments comprising 65% females and a mean age of 82.2 (SD 8.4) years. Considering moderate difficulty or worse disability to have a meaningful impact on individuals, the prevalence was 19% for hearing and 10% for vision impairment. Dual sensory impairment as per the Deafblind Severity Index was present among 7% of our sample. Regular hearing examinations were undertaken by 31% of people living at home, dropping to 21% in care facilities, whereas regular vision testing decreased from 55% to 32% among those living in care facilities. Although 72% of the sample living in an aged residential care facility used visual aids, only 20% used hearing aids.

Conclusions

The majority in this cohort (~80%) reported adequate vision and ability to hear or minimal impairment, and half the cohort experienced dual sensory impairment. Access to hearing and vision assessments was less among those in aged residential care compared with those receiving support at home, and examinations and aids to overcome hearing impairment were less frequently used than aids for visual impairment. Further research is required to understand the reasons behind these observations.

目的：本研究分析了新西兰体弱老年人视力/听力障碍的流行病学。方法：在2019年1月1日至2020年12月31日期间，使用标准化的interRAI家庭护理和长期护理设施仪器评估的老年人数据进行了视力和听力障碍的回顾性分析。报告了视力和听力检查和辅助设备的使用。结果：我们分析了48,038例评估，其中65%为女性，平均年龄为82.2岁（SD 8.4）。考虑到中度困难或更严重的残疾对个人有重大影响，听力障碍的患病率为19%，视力障碍的患病率为10%。根据聋盲严重指数，我们的样本中有7%存在双重感觉障碍。31%的家庭居民定期进行听力检查，在护理机构中这一比例降至21%，而在护理机构中定期进行视力检查的比例则从55%降至32%。尽管居住在老年护理机构的样本中有72%使用助听器，但只有20%使用助听器。结论：该队列中的大多数（约80%）报告视力和听力足够或最小损害，一半队列出现双重感觉障碍。与在家接受支持的老年人相比，老年人接受听力和视力评估的机会较少，并且检查和克服听力障碍的辅助设备的使用频率低于视力障碍辅助设备。需要进一步的研究来了解这些观察结果背后的原因。

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引用次数: 0

Development of a Memory Clinic at an Aboriginal Community-Controlled Health Service: Profile of the First Patients 原住民社区控制的健康服务中记忆诊所的发展：第一批病人的概况。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-11-02 DOI: 10.1111/ajag.70106

Zoë Hyde, Leon Flicker, Richelle Douglas, Sadia Rind, Nadia Rind, Dina LoGiudice, Kate Smith

Objectives

Dementia is the leading cause of burden of disease in older Australians. Older Aboriginal and Torres Strait Islander people experience an increased risk of cognitive impairment and dementia. This article describes the clinical profile of the first patients seen at a memory clinic established in an Aboriginal community-controlled health service (ACCHS) in metropolitan Perth, Western Australia.

Methods

This was an audit of 64 patients attending a memory clinic between March 2020 and February 2023 (inclusive).

Results

The median age of patients was 67.7 years (range 35–95 years; interquartile range [IQR] 13.4 years) and 34 (53%) were female. The majority (94%) were living independently. Thirty-four patients (53%; 95% confidence interval 41%–65%) were diagnosed with cognitive impairment. A further six (9%) were diagnosed with depression without cognitive impairment. The most common diagnoses in cognitively impaired patients were cognitive impairment not dementia (CIND; 27%); mild neurocognitive disorder (21%); dementia due to Alzheimer's disease (15%); Alzheimer's disease dementia, mixed type (9%); and other mixed dementias (9%). Women were slightly more likely than men to have cognitive impairment (56% vs. 52%), although this was not statistically significant (p = 0.74). The number of Aboriginal people seen in the clinic's first 3 years of operation was over 12 times that seen at a nearby hospital-based service during the same period.

Conclusions

A memory clinic located within an ACCHS was well-attended and fulfilled a need not met by mainstream services. The successful model described in this article could be adopted by other Aboriginal health services.

目的：痴呆症是澳大利亚老年人疾病负担的主要原因。年长的土著居民和托雷斯海峡岛民患认知障碍和痴呆症的风险更高。这篇文章描述了第一个病人的临床资料，在记忆诊所建立在一个土著社区控制的卫生服务（ACCHS）在大都市珀斯，西澳大利亚。方法：这是对2020年3月至2023年2月（含）期间在记忆诊所就诊的64名患者的审计。结果：患者年龄中位数为67.7岁（范围35 ~ 95岁，四分位数间距[IQR] 13.4岁），女性34例（53%）。大多数人（94%）独立生活。34例患者（53%；95%可信区间41%-65%）被诊断为认知障碍。另有6人（9%）被诊断为无认知障碍的抑郁症。认知障碍患者中最常见的诊断是认知障碍，而不是痴呆（CIND; 27%）；轻度神经认知障碍（21%）；阿尔茨海默病引起的痴呆（15%）；阿尔茨海默病痴呆，混合型（9%）；以及其他混合性痴呆（9%）。女性比男性有认知障碍的可能性略高（56%对52%），尽管这没有统计学意义（p = 0.74）。诊所开业头三年接待的土著人数是同期附近一家医院接待的土著人数的12倍以上。结论：位于ACCHS内的记忆诊所有良好的服务，满足了主流服务无法满足的需求。本文所述的成功模式可被其他土著卫生服务机构采用。

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引用次数: 0

Reply to Letter to the Editor ‘Comment on: Analgesic and Adjuvant Co-Prescribing in Australian and Finnish Residential Care Homes’ 给编辑的回复“关于澳大利亚和芬兰养老院镇痛和辅助联合处方的评论”

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-10-31 DOI: 10.1111/ajag.70109

Laura A. Dowd, Kaisu H. Pitkälä, Agathe D. Jadczak, Hanna-Maria Roitto, Ulla L. Aalto, Riitta K. T. Saarela, Renuka Visvanathan, Shin J. Liau, Amanda Cross, J. Simon Bell

引用次数: 0

Global, Regional and National Burden of Osteoarthritis, 1990–2021: A Decomposition and Age–Period–Cohort Analysis 全球、地区和国家骨关节炎负担，1990-2021：分解和年龄-时期队列分析

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-10-30 DOI: 10.1111/ajag.70108

Yi Li, Wenhui Li, Baozhu Xu, Huangli Zhang, Yuping Huang, Lizhang Xu

Objectives

Osteoarthritis (OA) is a leading cause of disability worldwide, driven by ageing populations and lifestyle factors, such as obesity and sedentary behaviours. Understanding the global, regional and national trends in OA prevalence is crucial for public health planning and resource allocation.

Methods

This study employed data from the Global Burden of Disease (GBD) 2021 database to examine the prevalence of OA from 1990 to 2021. Age-standardised prevalence rates (ASPR) and decomposition analysis were conducted to identify key drivers, including age structure shift, population growth and epidemiological change. An age–period–cohort (APC) model was applied to assess the influence of demographic shifts on OA prevalence. Stratified analyses were conducted by socio-demographic index (SDI) regions to assess disparities in OA burden.

Results

The global number of OA cases rose from 256 million (95% CI: 227–283 million) in 1990 to 607 million (95% CI: 538–671 million) in 2021, with an ASPR of 6967.29 (95% CI: 6180.70–7686.06) per 100,000 individuals. Population growth contributed 74% of this increase, whereas age structure shift accounted for 16%. High SDI regions reported the highest ASPR, with 7897.27 (95% CI: 7067.13–8689.88) per 100,000, compared with 5605.58 (95% CI: 4967.54–6230.60) in low SDI regions.

Conclusions

The global burden of OA has escalated during the last 30 years, particularly in ageing populations. Although population growth and demographic shifts are major drivers, regional disparities highlight the need for targeted prevention strategies and improved healthcare access in lower SDI regions.

目的：骨关节炎（OA）是全球范围内致残的主要原因，由人口老龄化和生活方式因素（如肥胖和久坐行为）驱动。了解全球、区域和国家OA流行趋势对公共卫生规划和资源分配至关重要。方法：本研究采用全球疾病负担（GBD） 2021数据库的数据，调查1990年至2021年OA的患病率。通过年龄标准化患病率（ASPR）和分解分析，找出年龄结构变化、人口增长和流行病学变化等主要驱动因素。采用年龄-时期-队列（APC）模型评估人口变化对OA患病率的影响。按社会人口指数（SDI）区域进行分层分析，以评估OA负担的差异。结果：全球OA病例数从1990年的2.56亿（95% CI: 2.27 - 2.83亿）上升到2021年的6.07亿（95% CI: 5.38 - 6.71亿），每10万人的ASPR为6967.29 （95% CI: 6180.70-7686.06）。其中人口增长占74%，而年龄结构变化占16%。高SDI地区报告的ASPR最高，为7897.27 (95% CI: 7067.13-8689.88) / 10万，而低SDI地区为5605.58 （95% CI: 4967.54-6230.60）。结论：在过去的30年中，OA的全球负担已经升级，特别是在老龄化人口中。虽然人口增长和人口结构变化是主要驱动因素，但区域差异突出表明，在低SDI地区需要有针对性的预防战略和改善医疗保健服务。

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引用次数: 0