摘要
目的 基于全球疾病负担(GBD)2021数据库,分析1990—2021年全球育龄女性经前期综合征(PMS)的疾病负担趋势及区域差异,为优化生殖健康资源配置提供依据。方法 提取GBD 2021数据库中204个国家和地区的PMS患病率、发病率及伤残调整寿命年(DALYs)数据,结合社会人口学指数(SDI),采用年均百分比变化(AAPC)评估疾病负担的时间趋势和空间分布特征。结果 2021年全球育龄女性PMS患病率、发病率和DALYs分别为45 666.32/10万、11 935.05/10万和381.11/10万。1990—2021年,患病率(AAPC=0.05%)与DALYs(AAPC=0.05%)呈轻微上升趋势,发病率(AAPC=-0.06%)小幅下降。低SDI地区患病率、DALYs增速较高,高SDI地区中高收入北美洲增速最快。结论 PMS疾病负担在全球范围内呈现分布不均匀的特点,并且受社会发展水平等多种因素的影响。未来需结合多学科干预策略,并纳入前瞻性数据完善预测模型,以支持全球女性生殖健康政策的制定。
Objective Based on the Global Burden of Disease(GBD)2021 database,to analyze the dynamic trends and regional differences in the burden of disease of premenstrual syndrome(PMS)among women of childbearing age globally from 1990 to 2021,and to provide an evidence-based basis for optimizing the allocation of reproductive health resources.Methods Data on the prevalence,incidence and disability-adjusted life years(DALYs)of PMS in 204 countries and regions in the GBD 2021 database were extracted and combined with sociodemographic indices(SDI)to assess the temporal trends and spatial distribution characteristics of the burden of disease using the annual average percentage change(AAPC).Results The global prevalence,incidence and DALYs of PMS in women of reproductive age in 2021 were 45666.32/100000,11935.05/100000 and 381.11/100000,respectively.From 1990 to 2021,the prevalence(AAPC=0.05%)and DALYs(AAPC-0.05%)showed a slight upward trend and a slight decrease in prevalence(AAPC--0.06%).Prevalence and DALYs increased at a higher rate in low SDI regions,and the fastest rate of increase was seen in high-income North America in high-SDI regions.ConclusionThe PMS disease burden is unevenly distributed globally and is influenced by a variety of factors,including the level of social development.In the future,it is necessary to combine multidisciplinary intervention strategies and incorporate prospective data to improve prediction models to support the development of global female reproductive health policies.
作者
刘军平
蔡艳
李家英
鲁成
张晓丹
LIU Junping;CAI Yan;LI Jiaying;LU Cheng;ZHANG Xiaodan(Department of Traditional Medicine,Seventh People's Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200137,P.R.China;Department of Cardiovascular Medicine,Seventh People's Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200137,P.R.China)
出处
《中国循证医学杂志》
北大核心
2025年第11期1290-1295,共6页
Chinese Journal of Evidence-based Medicine
基金
领先人才项目(编号:PWRI2023-10)
七院名中医项目(编号:MZY2024-03)
中医高级师承人才培养项目(编号:PDZY-2023-0815)
浦东新区“中央财政支持中医药传承创新发展示范试点项目”(编号:YC-2023-0119)
浦东新区重点学科(编号:PWZxk2025-11)。
关键词
经前期综合征
全球疾病负担
社会人口学指数
Premenstrual syndrome
Global burden of disease
Sociodemographic indices
