首页|期刊导航|临床口腔医学杂志|1990~2021年全球、区域和国家层面唇口癌负担的变化趋势:全球疾病负担研究报告2021

1990~2021年全球、区域和国家层面唇口癌负担的变化趋势:全球疾病负担研究报告2021OA

The global,regional,and national patterns of change in the burden of lip and oral cavity cancer,1990~2021:Results from the Global Burden of Disease Study 2021

中文摘要英文摘要

目的:系统分析全球唇口癌(lip and oral cavity cancer,LOCC)的死亡风险现状及变化趋势.方法:依托2021 年全球疾病负担(Global Burden of Disease,GBD)研究数据,提取 1990~2021 年全球 204 个国家和地区LOCC发病率、死亡率、伤残调整寿命年(disability-adjusted life years,DALYs),以及按性别划分的年龄标准化发病率(age-standardized incidence rate,ASIR),年龄标准化死亡率(age-standardized mortality rate,ASMR),年龄标准化DALYs率(age-standardized DALYs rate,ASDR).采用GBD标准人口分布法、线性回归、双轴分析、分解分析及社会人口学指数(socio-demographic index,SDI)前沿模型,开展多维度统计分析.结果:1990~2021 年全球LOCC发病率呈现显著区域异质性;性别差异在高龄人群中尤为明显,东亚地区年龄因素对女性发病率影响显著.高SDI国家(如澳大利亚、日本)发病率、死亡率及DALYs均呈下降趋势;低-中等SDI地区负担持续上升,高龄人群疾病负担增长显著.人口增长、老龄化及流行病学变化对不同性别、地区的疾病负担贡献存在差异.结论:唇口癌仍然是一个主要的公共卫生问题,其负担受性别、年龄、区域及社会发展水平等多重因素影响.制定针对性干预措施与个性化公共卫生策略,是缩小社会人口学差异、减轻全球LOCC负担的关键.

Objective:To systematically analyze the current status and changing trends of death risk from global lip and oral cavity cancer(LOCC),so as to provide scientific reference for formulating precise prevention and control strategies.Methods:Based on data from the Global Burden of Disease(GBD)Study 2021,core indicators including LOCC incidence,mortality,disability-adjusted life years(DALYs),and gender-stratified age-standardized incidence rate(ASIR),age-standard-ized mortality rate(ASMR),age-standardized DALYs rate(ASDR)were extracted from 204 countries and territories worldwide spanning 1990~2021.Multidimensional statistical analyses were conducted using methods such as the GBD standard popula-tion distribution method,linear regression,biaxial analysis,decomposition analysis,and the socio-demographic index(SDI)-incorporated frontier model.Results:From 1990 to 2021,global LOCC incidence showed significant regional heterogeneity,gender differences were particularly prominent among older populations,and age factors had a significant impact on female in-cidence in East Asia.High-SDI countries(e.g.,Australia,Japan)exhibited decreasing trends in incidence,mortality,and DALYs,while the burden continued to rise in low-and middle-SDI regions,with a marked increase in disease burden among older populations.Population growth,aging,and epidemiological changes contributed differently to the disease burden across genders and regions.Conclusion:LOCC remains a major public health issue,and its burden is influenced by multiple factors including gender,age,region,and social development level.Formulating targeted interventions and personalized public health strategies is crucial for narrowing sociodemographic disparities and reducing the global LOCC burden.

王尘帅;邬江秋晨;周磊磊;李殿奇

天门市第一人民医院口腔科 湖北 天门 431700三峡大学基础医学院 湖北 宜昌 443002华中科技大学同济医学院附属同济医院口腔医学中心 湖北 武汉 430030||华中科技大学同济医学院口腔医学院 湖北 武汉 430030华中科技大学同济医学院附属同济医院口腔医学中心 湖北 武汉 430030||华中科技大学同济医学院口腔医学院 湖北 武汉 430030

医药卫生

唇口癌全球疾病负担口腔健康差异公共卫生干预措施

Lip and oral cavity cancerGlobal Burden of DiseaseOral health disparitiesPublic health interventions

《临床口腔医学杂志》 2026 (2)

99-103,5

10.3969/j.issn.1003-1634.2026.02.009

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