浙江大学学报（医学版）2025，Vol.54Issue(1)：10-20,中插1-中插16,27.DOI:10.3724/zdxbyxb-2024-0540
1990-2021年"一带一路"共建国家40岁及以上人群下肢外周动脉疾病负担及公平性分析
Analysis of burden and equality of lower extremity peripheral artery disease in people aged 40 and above in the Belt and Road partner countries from 1990 to 2021
沈广电 1朱隆珠 2应佳瑶 2单诗怡 2罗泽宇 2蒋德楠 1吴静 2朱越锋3
作者信息
- 1. 浙江大学医学院附属第四医院 国际健康医学研究院"一带一路"国际医学院,浙江 义乌 322000
- 2. 浙江大学医学院公共卫生学院,浙江 杭州 310058
- 3. 浙江大学医学院附属第四医院 国际健康医学研究院"一带一路"国际医学院,浙江 义乌 322000||浙江大学医学院附属邵逸夫医院血管外科,浙江 杭州 310016
- 折叠
摘要
Abstract
Objective:To analyze the disease burden and inequalities of lower extremity peripheral artery disease(LEPAD)among people aged 40 and above in the Belt and Road partner countries from 1990 to 2021.Method:Data were retrieved from the Global Burden of Disease 2021 database.The age-standardized prevalence rates,mortality rates,and the annual rate of years lived with disability(YLDs)of LEPAD were analyzed.Trends were measured using the estimated annual percentage change(EAPC),and the slope index of inequality(SII)and concentration index were used to quantify the absolute and relative inequalities.Results:In 2021,the age-standardized prevalence and mortality rates of LEPAD were 3168.26/105 and 3.09/105,increasing by 4.30%and 19.31%compared to 1990,while YLDs rates decreased by 4.00%.Females had higher age-standardized prevalence and YLDs rates,while males had higher mortality rates.The EAPC for prevalence rates was slightly higher in males(0.22%)than in females(0.17%);while the EAPC of age-standardized mortality rate was 2.02%for females,compared to 1.45%for males.From 1990 to 2021,the age-standardized YLDs rates decreased from 16.23/105 to 15.58/105,with a faster decline in females(-0.12%)than in males(-0.06%).LEPAD prevalence varied across countries,with higher burden in Europe and faster growth in Gulf states.Higher socio-demographic index countries had higher prevalence.Inequity improved,with the SII at 52.90/105 and concentration index at 0.038 in 2021.Gender disparities persisted,with concentration index increased to 0.058 in females and reduced to-0.026 in males.Conclusions:LEPAD prevalence and mortality among people aged 40 and above in the Belt and Road partner countries increased,while YLDs rates decreased from 1990 to 2021.Significant differences among people exist depending on gender and country,highlighting the need for enhanced screening,health education,and shared public health strategies across the Belt and Road partner countries.关键词
下肢外周动脉疾病/全球疾病负担/"一带一路"共建国家/中老年人群/公平性分析Key words
Lower extremity peripheral artery disease/Global burden of disease/Belt and Road partner countries/Middle-aged and elderly people/Fairness analysis分类
医药卫生引用本文复制引用
沈广电,朱隆珠,应佳瑶,单诗怡,罗泽宇,蒋德楠,吴静,朱越锋..1990-2021年"一带一路"共建国家40岁及以上人群下肢外周动脉疾病负担及公平性分析[J].浙江大学学报（医学版）,2025,54(1):10-20,中插1-中插16,27.
