Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019
Background: Efforts to quantify the burden of maternal disorders at the national and provincial levels are valuable for resource allocation and for development and adoption of public health policies. Methods: Following the methods of the Global Burden of Diseases, Injuries, and Risk Factors Study 20...
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doaj-4f9439e39b1d40518e0dfeaf0b0e60362021-04-28T06:09:53ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652021-06-0111100141Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019Liyuan Han0Jingjing Liu1Peng Yin2Ting Cai3Maigeng Zhou4Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang, PR China; Department of Global Health, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang, PR ChinaDepartment of Health Policy, Health Management College, Harbin Medical University, Harbin, Heilongjiang Province, PR China; Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang Province, PR ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27# Nanwei Rd, Xicheng District, 100050 Beijing, PR ChinaHwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang, PR China; Department of Global Health, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang, PR China; Correspondence author at: Department of Global Health, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang, PR China.National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27# Nanwei Rd, Xicheng District, 100050 Beijing, PR China; Correspondence author.Background: Efforts to quantify the burden of maternal disorders at the national and provincial levels are valuable for resource allocation and for development and adoption of public health policies. Methods: Following the methods of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, the prevalence of maternal disorders and the resulting disability-adjusted life years (DALYs), years lived with disability(YLD), deaths, and years of life lost (YLL) at the national and provincial levels in China were examined for the 1990–2019 period. Estimated annual percentage changes (EAPCs) were calculated to estimate the trends of age-standardized rate (ASR) of prevalence, DALYs, death, and YLD due to maternal disorders and its main subcategories from 1990 to 2019. Findings: In 2019, China had an estimated 0.85 million cases of maternal disorders (95% uncertainty interval: 0.65–1.08 million), with a 73% decline in absolute numbers from 1990 to 2019. The ASR of prevalence, DALYs and death for overall maternal disorders showed decreasing trends in China from 1990 to 2019 with the EAPCs being −3.25(95% confidence interval [CI] = −3.86 to −2.64), −8.07 (95% CI= −9.14 to −6.98), and −7.04 (95% CI= −7.99 to −6.07), respectively. The most pronounced decreases in trends in ASR of prevalence, DALYs and death were observed for maternal hemorrhage. Shandong, Hong Kong, Macao showed no significant trends in ASR of prevalence. Notably, the trends in ASR of prevalence due to maternal hypertensive disorders had been stable in China and most provinces. The trends in ASR of DALYs and death decreased the most in Jiangxi province. Interpretation: The disease burden of prevalence, DALYs and death for overall maternal disorders decreased significantly in China from 1990 to 2019, however, the trends in ASR of prevalence due to maternal hypertensive disorders had been stable in China and most provinces. Funding: The study is supported by grants from the Innovative Talent Support Plan of the Medical and Health Technology Project in Zhejiang Province (2021422878), Ningbo Science and Technology Project (202002N3152), Ningbo Health Branding Subject Fund (PPXK2018–02), Sanming Project of Medicine in Shen-zhen (SZSM201803080).http://www.sciencedirect.com/science/article/pii/S266660652100050XMaternal disordersDisability adjusted life yearsYears lived with disabilityYears of life lost |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Liyuan Han Jingjing Liu Peng Yin Ting Cai Maigeng Zhou |
spellingShingle |
Liyuan Han Jingjing Liu Peng Yin Ting Cai Maigeng Zhou Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 The Lancet Regional Health. Western Pacific Maternal disorders Disability adjusted life years Years lived with disability Years of life lost |
author_facet |
Liyuan Han Jingjing Liu Peng Yin Ting Cai Maigeng Zhou |
author_sort |
Liyuan Han |
title |
Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 |
title_short |
Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 |
title_full |
Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 |
title_fullStr |
Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 |
title_full_unstemmed |
Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019 |
title_sort |
burden of maternal disorders in china from 1990 to 2019: analysis of the global burden of disease study 2019 |
publisher |
Elsevier |
series |
The Lancet Regional Health. Western Pacific |
issn |
2666-6065 |
publishDate |
2021-06-01 |
description |
Background: Efforts to quantify the burden of maternal disorders at the national and provincial levels are valuable for resource allocation and for development and adoption of public health policies. Methods: Following the methods of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, the prevalence of maternal disorders and the resulting disability-adjusted life years (DALYs), years lived with disability(YLD), deaths, and years of life lost (YLL) at the national and provincial levels in China were examined for the 1990–2019 period. Estimated annual percentage changes (EAPCs) were calculated to estimate the trends of age-standardized rate (ASR) of prevalence, DALYs, death, and YLD due to maternal disorders and its main subcategories from 1990 to 2019. Findings: In 2019, China had an estimated 0.85 million cases of maternal disorders (95% uncertainty interval: 0.65–1.08 million), with a 73% decline in absolute numbers from 1990 to 2019. The ASR of prevalence, DALYs and death for overall maternal disorders showed decreasing trends in China from 1990 to 2019 with the EAPCs being −3.25(95% confidence interval [CI] = −3.86 to −2.64), −8.07 (95% CI= −9.14 to −6.98), and −7.04 (95% CI= −7.99 to −6.07), respectively. The most pronounced decreases in trends in ASR of prevalence, DALYs and death were observed for maternal hemorrhage. Shandong, Hong Kong, Macao showed no significant trends in ASR of prevalence. Notably, the trends in ASR of prevalence due to maternal hypertensive disorders had been stable in China and most provinces. The trends in ASR of DALYs and death decreased the most in Jiangxi province. Interpretation: The disease burden of prevalence, DALYs and death for overall maternal disorders decreased significantly in China from 1990 to 2019, however, the trends in ASR of prevalence due to maternal hypertensive disorders had been stable in China and most provinces. Funding: The study is supported by grants from the Innovative Talent Support Plan of the Medical and Health Technology Project in Zhejiang Province (2021422878), Ningbo Science and Technology Project (202002N3152), Ningbo Health Branding Subject Fund (PPXK2018–02), Sanming Project of Medicine in Shen-zhen (SZSM201803080). |
topic |
Maternal disorders Disability adjusted life years Years lived with disability Years of life lost |
url |
http://www.sciencedirect.com/science/article/pii/S266660652100050X |
work_keys_str_mv |
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