Analysis on burden and variation trends of anxiety disorders in China from 1990-2019

Abstract

Abstract: Objective To estimate the disease burden and variation trend of anxiety disorders from 1990 to 2019 in China,provide an evidence for scientific prevention and control of anxiety disorders. Methods The data of anxiety disorders in Chinese population were extracted from the database of the Global Burden of Disease Study 2019（GBD2019）. The disease burden of anxiety disorders in China from 1990 to 2019 was described by incident case number and incidence rate,prevalent case number and prevalence rate,disability-adjusted life year（DALYS） and DALYS rate. The Joinpoint regression model was introduced to calculate the annual change（APC） and the average annual change（AAPC） to assess temporal trend of anxiety disorders burden from 1990 to 2019 in China. Results In 2019,the number of incident and prevalent cases,as well as DALYs in China were 7 285 600 persons,47 842 200 persons,and 3 216 000 person-years,respectively,with a 9.27%,14.76% and 13.08% rise,respectively,relative to that in 2009. The incidence,prevalence and DALY rates were 512.23/100 000,3 363.60/100 000 and 321.60/100 000,respectively,with a 9.06%,4.49% and 5.89% decline,respectively,relative to that in 2009. The incidence,prevalence and DALYs rates among females were higher than each of those for males,and the disease burden was higher in ≥70 years old group than in the other age groups. From 1990 to 2019,the standardized incidence（AAPC=-0.19%,P<0.01）,standardized prevalence（AAPC= -0.31%,P<0.01） and standardized DALYs（AAPC=-0.29%,P<0.05） of anxiety disorders showed a decreasing trend in China. Conclusions The overall disease burden of anxiety disorders decrease from 1990 to 2019 in China,with gender and age differences. However,in recent years,there has been a rebound. The burden of anxiety disorders may continue to increase under the influence of the accelerating pace of life and aging. In the future,it is necessary to strengthen intervention in key populations such as women,children,adolescents,and the elderly to reduce the harm of anxiety disorders to population health.

Key words: Anxiety disorders, Burden of disease, Joinpoint regression analysis, Variation tendency

CLC Number:

R195

WANG Zhi-yong, FAN Zhuan-zhuan, YANG Hua-feng, XU Fei, CHENG Yun-feng, WANG Mei-lan. Analysis on burden and variation trends of anxiety disorders in China from 1990-2019. [J]OCCUPATION AND HEALTH, 2023, 39(9): 1165-1170.

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