2011-2021 年年龄相关疾病(高血压病和 2 型糖尿病)流行病学特征分析:联邦、地区和区域一级

U. Saginbaev, V. V. Lyutsko, T. Akhmedov, S. Rukavishnikova
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摘要

对于不同年龄段的人来说,与年龄相关的疾病(AAD)仍然是一个亟待解决的问题。在刚刚结束的 COVID-19 大流行的背景下,衰老过程正在加速。从临床角度看,AAD 的早期表现与加速衰老相对应。从不同年龄组的角度研究 AAD 的流行病学特征似乎非常有意义。本研究的目的是在联邦、地区和区域各级调查 AAD 的流行病学特征(以高血压疾病和 2 型糖尿病为例)。材料和方法。材料是俄罗斯卫生部 2011-2021 年的统计资料。对发病率、趋势、发病率增减率、工作年龄以上人群发病率与成年人口发病率之比(特定年龄发病率指数,ASII)进行了评估。观察单位:高血压疾病;II 型糖尿病。结果与讨论2011-2021 年间,联邦(俄罗斯联邦)、地区(西北联邦区)和州(圣彼得堡)各级的发病率均呈上升趋势。然而,就发病率和 ASII 的增加率而言,所考虑的病名具有特殊性:高血压疾病的 ASII 增加,相反,2 型糖尿病的 VID 减少(AAD 的 "年轻化")。
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Analysis of epidemiological characteristics of age-associated diseases (hypertensive diseases and type 2 diabetes) in 2011–2021: federal, district and regional level
Age-associated diseases (AAD) remain an urgent issue for individuals of different age groups. In the context of the recently completed COVID-19 pandemic, there is an acceleration of aging processes. From a clinical point of view, the early manifestation of AAD corresponds to accelerated aging. The study of AAD epidemiological characteristics in the aspect of different age groups seems very relevant. Aim of the study was to investigate the epidemiological characteristics of AAD (on the example of hypertensive diseases and type 2 diabetes mellitus) at the federal, district and regional levels. Material and methods. The materials were the statistical collections of the Ministry of Health of Russia for 2011–2021. An assessment of the incidence rate, trend, rate of increase/decrease in incidence, the ratio of the incidence rate among people over working age to the incidence rate of the adult population (age-specific incidence index, ASII) was carried out. Units of observation: hypertensive diseases; type II diabetes mellitus. Results and discussion. In 2011–2021, an unfavorable upward trend in morbidity was observed at the federal (Russian Federation), district (the North-West Federal District) and regional (Saint-Petersburg) level. However, in terms of the rate of increase in morbidity and ASII, specific features were found for the considered nosologies: hypertensive diseases were characterized by an increase in ASII, and for type 2 diabetes, on the contrary, a decrease in VID (“rejuvenation” of AAD).
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