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樊文龙, 陈东宇, 王红心, 杨晓雨, 何玉清. 亚洲5国居民1990 — 2019年特应性皮炎发病 趋势年龄–时期–队列分析[J]. 中国公共卫生, 2023, 39(5): 650-655. DOI: 10.11847/zgggws1138656
引用本文: 樊文龙, 陈东宇, 王红心, 杨晓雨, 何玉清. 亚洲5国居民1990 — 2019年特应性皮炎发病 趋势年龄–时期–队列分析[J]. 中国公共卫生, 2023, 39(5): 650-655. DOI: 10.11847/zgggws1138656
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FAN Wenlong, CHEN Dongyu, WANG Hongxin, . Trends in incidence of atopic dermatitis among residents of five Asian countries, 1990 – 2019: an age-period-cohort analysis[J]. Chinese Journal of Public Health, 2023, 39(5): 650-655. DOI: 10.11847/zgggws1138656
Citation: FAN Wenlong, CHEN Dongyu, WANG Hongxin, . Trends in incidence of atopic dermatitis among residents of five Asian countries, 1990 – 2019: an age-period-cohort analysis[J]. Chinese Journal of Public Health, 2023, 39(5): 650-655. DOI: 10.11847/zgggws1138656
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亚洲5国居民1990 — 2019年特应性皮炎发病 趋势年龄–时期–队列分析

Trends in incidence of atopic dermatitis among residents of five Asian countries, 1990 – 2019: an age-period-cohort analysis

    摘要
  • 摘要:
      目的  了解中国和亚洲4个发达国家居民1990 — 2019年特应性皮炎（AD）的发病趋势及年龄、时期、出生队列对AD发病率的影响，为我国AD的预防控制提供参考依据。
      方法  收集2019年全球疾病负担研究（GBD 2019）数据库中1990 — 2019年中国、日本、韩国、以色列和新加坡亚洲5国居民AD发病率相关数据，采用年估计变化百分比（EAPC）描述AD发病率的变化趋势，并构建年龄 – 时期 – 队列（APC）模型分析AD发病率的年龄、时期、出生队列效应及其对发病率的风险。
      结果  1990 — 2019年中国居民AD年龄标化发病率逐年递增，EAPC值为0.0212%（95%CI = 0.0077%～0.0347%）；而日本、韩国、以色列和新加坡居民AD年龄标化发病率均逐年递减，EAPC值依次为 − 0.0433%（95%CI = − 0.0655%～− 0.0211%）、 − 0.0206%（95%CI = − 0.0380%～− 0.0032%）、 − 0.0073%（95%CI = − 0.0077% ～− 0.0069%）和− 0.0276%（95%CI = − 0.0452%～− 0.0099%）。APC模型分析结果显示，0～4岁和70～94岁居民是亚洲5国AD发病的高危人群；中国居民AD发病风险随时期推移而增加、随出生年份推进而下降，而日本、韩国、以色列和新加坡4个亚洲发达国家居民AD发病风险则随时期推移而下降、随出生年份推进而上升。
      结论  中国居民1990 — 2019年AD的发病率逐年增加，较亚洲其他发达国家AD的防治工作需进一步完善，尤其应重点关注儿童和老年人AD的预防和控制。

     

    Abstract:
      Objective  To examine the trend in the incidence of atopic dermatitis (AD) and the influence of age, period and birth cohort on AD incidence among residents of China and four developed Asian countries from 1990 – 2019, and to provide a reference for the prevention and control of AD in China.
      Methods  The data on the incidence of AD among residents of China and four Asian countries ( Japan, Korea, Israel and Singapore) from 1990 – 2019 were extracted from the Global Burden of Disease Study 2019 (GBD 2019) database. Estimated annual percentage change (EAPC) was used to describe country-specific trend in the incidence of AD and an age-period-cohort (APC) model was constructed to analyze effects of age, period and birth cohort on AD incidence.
      Results  The annual age standardized incidence of AD among residents in China increased from 1990 – 2019 with an EAPC value of 0.0212% (95 confidence interval 95%CI: 0.0077% – 0.0347%). In contrast, the annual age standardized incidence of AD decreased during the 30-year period among the residents of Japan, South Korea, Israel, and Singapore, with the EAPC values of – 0.0433% (95%CI = – 0.0655% – – 0.0211%), – 0.0206% (95%CI: – 0.0380% – – 0.0032%), – 0.0073% (95%CI: – 0.0077% – – 0.0069%), and – 0.0276% (95%CI: – 0.0452% – – 0.0099%), respectively. The results of APC model analysis showed that the residents aged 0 – 4 years and 70 – 94 years were at high risk of AD incidence in China and in the four Asian countries. The risk of AD incidence among the residents in China increased over time but decreased with the year of birth; while, the risk of AD incidence among residents of in the four Asian countries decreased over time but increased with the year of birth.
      Conclusion  The incidence of AD among residents in China has increased year by year from 1990 to 2019, indicating that in comparison with the situation in the four developed Asian countries, the prevention and control of AD need to be promoted among residents in China, especially among the children and the elderly.

     

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