全球 15-44 岁年轻女性宫颈癌负担分析。

IF 3.7 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH European Journal of Public Health Pub Date : 2024-08-01 DOI:10.1093/eurpub/ckae084
Min Zhang, Jiayi Chen, Meimei Cui, Jingjing Jia, Ming Zhao, Dan Zhou, Liling Zhu, Limei Luo
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引用次数: 0

摘要

背景:了解宫颈癌(CC)给 15-44 岁年轻女性带来的负担对于制定有效的预防策略至关重要:利用《2019 年全球疾病负担研究》,我们估算了 1990 年至 2019 年期间年轻女性因宫颈癌导致的发病率、残疾调整生命年(DALYs)、丧失生命年(YLLs)和残疾生活年(YLDs)。此外,我们还利用这一时期的估计年度百分比变化(EAPC)对时间趋势进行了评估。我们进行了分解分析,以评估人口增长、人口年龄结构和流行病学变化这三个组成部分的绝对贡献:从全球来看,2019 年全球共有 187 609.22 例 CC 发病病例,导致 2621 917.39 DALYs 丧生。从 1990 年到 2019 年,年龄标准化发病率呈下降趋势,只有年龄标准化 YLDs 发病率(EAPC = 0.02;95% CI:-0.02 至 0.05)呈稳定趋势。在社会人口指数(SDI)五分位数的中高水平,年龄标准化发病率(ASIR)和年龄标准化 YLDs 率的增幅最大。人口增长和年龄结构变化与CC病例的大幅变化有关,尤其是在南亚和东亚:从绝对数字来看,全球年轻女性的 CC 负担持续增加。由于人口增长和年龄结构的变化与CC病例的大幅变化有关,各国政府将面临日益增长的CC治疗和支持服务需求,尤其是在南亚和东亚。
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Analysis of the global burden of cervical cancer in young women aged 15-44 years old.

Background: Understanding the burden of cervical cancer (CC) in young women aged 15-44 years old are essential for formulating effective preventive strategies.

Methods: Utilizing the Global Burden of Disease 2019 Study, we estimated incidence, disability-adjusted life-years (DALYs), years of life lost (YLLs) and years lived with disability (YLDs) due to CC among young women from 1990 to 2019. Additionally, we evaluated the temporal trends using estimated annual percentage changes (EAPCs) during this period. We conducted a decomposition analysis to assess the absolute contributions of three components: population growth, population age structure and epidemiologic changes.

Results: Globally, there were 187 609.22 incident cases of CC worldwide, resulting in 2621 917.39 DALYs in 2019. From1990 to 2019, the age-standardized rates were decline, only the age-standardized YLDs rate (EAPC = 0.02; 95% CI: -0.02 to 0.05) showed a stable trend. The largest increase in age-standardized incidence rate (ASIR) and age-standardized YLDs rate observed in the high-middle social demographic index (SDI) quintiles. Population growth and age structure changes were associated with substantial changes in cases of CC, especially in South Asia and East Asia.

Conclusions: Globally, the burden of CC in young women continues to increase, as measured by the absolute number. As populations are growing and age structure changes were associated with substantial changes in cases of CC, governments will face increasing demand for treatment, and support services for CC, especially in South Asia and East Asia.

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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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