年龄依赖性多因素疾病的人群频率评估

L. Atramentova, O. Utevska
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摘要

的目标。描述了计算年龄和性别相关多因素疾病人群发病率的方法。方法。为了进行分析,我们使用了哈尔科夫地区2016年精神病院的统计资料。人口频率的计算是根据人口研究中使用的方法进行的。结果。在医学遗传学中,群体频率主要用于预测目的,以评估群体的遗传负荷或计算遗传疾病的概率。多因素疾病人群频率的评估因不同的发病年龄、不同的生存期、不同的男性和女性遗传易感性阈值而复杂化。流行率,通常用来代替群体频率,不是基因库特征,对遗传分析和风险评估没有用处。根据所提出的方法计算的情感性障碍的人群频率(0.184%)比患病率(0.138%)高1.33倍,也就是说,当使用患病率时,三分之一的病例被证明是丢失的,这扭曲了推导出的遗传指标。结论。为了正确评价人口频率,必须分别估计两种性别的特定年龄发病率,然后计算累积频率。关键词:多因素疾病;患病率;发病率;
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Evaluation of population frequency for age-dependent multifactorial disorders
Aim. Description of the method to calculate the population incidence of age- and sex-dependent multifactorial diseases. Methods. For the analysis, we used statistical material of psychiatric hospitals in the Kharkiv region for 2016. Calculation of the population frequency was carrying out according to the methodology used in demographic studies. Results. In medical genetics, population frequency is mainly used for prognostic purposes to assess the genetic load of a population or to calculate the probability to inherit a disease. Evaluation of the population frequency of multifactorial disease is complicated by varying age of onset, differential survival, different thresholds of hereditary predisposition for men and women. Prevalence, which is often used instead population frequency, is not a gene pool characteristic and is not useful for genetic analysis and risk assessment. The population frequency, calculated for affective disorders by the proposed method (0.184%), is 1.33 times higher than the prevalence rate (0.138%), that is, a third of cases when using the prevalence turns out to be lost that distorts the derived genetic indicators. Conclusions. For the correct evaluation of the population frequency, the age-specific incidence for two sexes separately must be estimated, followed by the calculation of the cumulative frequencies. Keywords: multifactorial diseases, prevalence, morbidity, population frequency.
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