Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019

Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019

Abstract Background To estimate the global disease burden of uncorrected refractive error (URE) among adolescents and assess the contributions of various risk factors to disability-adjusted life-years (DALYs) due to URE. Methods Global, regional and country-level DALY numbers and rates due to URE am...

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Autores principales: Zhenlan Yang, Guangming Jin, Zijing Li, Yunru Liao, Xiang Gao, Yichi Zhang, Yuqing Lan
Formato: article
Lenguaje:EN
Publicado: BMC 2021
Materias:
Uncorrected refractive error
Adolescents
Disability-adjusted life years
Socioeconomic
Urbanization
Education
Public aspects of medicine
RA1-1270
Acceso en línea:https://doaj.org/article/d54ef85a9ab240a991305360e3bafadb
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spelling oai:doaj.org-article:d54ef85a9ab240a991305360e3bafadb2021-11-08T10:44:07ZGlobal disease burden of uncorrected refractive error among adolescents from 1990 to 201910.1186/s12889-021-12055-21471-2458https://doaj.org/article/d54ef85a9ab240a991305360e3bafadb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12055-2https://doaj.org/toc/1471-2458Abstract Background To estimate the global disease burden of uncorrected refractive error (URE) among adolescents and assess the contributions of various risk factors to disability-adjusted life-years (DALYs) due to URE. Methods Global, regional and country-level DALY numbers and rates due to URE among adolescents were acquired from the Global Burden of Disease Study 2019 database. Human Development Index (HDI), Socio-Demographic Index (SDI) and other country-level data were obtained from other open databases as potential indicators. Regression analysis was used to evaluate associations between DALY rates among adolescents and potential predictors. Results Global DALYs due to URE among adolescents rose by 8% between 1990 and 2019 but moderately decreased by 4.8% during this period after adjusting for population size. Female adolescents showed higher DALY rates. DALY rates sharply increased from 5 to 9 years of age, then rose more slowly, reaching a plateau before 20 years of age. Country-level DALY rates in 2019 were positively associated with HDI, SDI, and urbanization rates but negatively correlated with primary school dropout rates. Higher disease burden of adolescents visually impaired from URE was associated with lower primary school dropout rates (β = − 0.257, 95% CI − 0.376 to − 0.138, P < 0.001) and higher urbanization rates (β = 0.257, 95% CI 0.067 to 0.256, P = 0.001). Conclusions Higher socioeconomic status, urbanization rates and education levels are associated with a heavier disease burden of URE among adolescents. The findings of this study can provide a reference for policy making on resource allocation for URE prevention and control in teenagers.Zhenlan YangGuangming JinZijing LiYunru LiaoXiang GaoYichi ZhangYuqing LanBMCarticleUncorrected refractive errorAdolescentsDisability-adjusted life yearsSocioeconomicUrbanizationEducationPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Uncorrected refractive error
Adolescents
Disability-adjusted life years
Socioeconomic
Urbanization
Education
Public aspects of medicine
RA1-1270
spellingShingle Uncorrected refractive error
Adolescents
Disability-adjusted life years
Socioeconomic
Urbanization
Education
Public aspects of medicine
RA1-1270
Zhenlan Yang
Guangming Jin
Zijing Li
Yunru Liao
Xiang Gao
Yichi Zhang
Yuqing Lan
Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
description Abstract Background To estimate the global disease burden of uncorrected refractive error (URE) among adolescents and assess the contributions of various risk factors to disability-adjusted life-years (DALYs) due to URE. Methods Global, regional and country-level DALY numbers and rates due to URE among adolescents were acquired from the Global Burden of Disease Study 2019 database. Human Development Index (HDI), Socio-Demographic Index (SDI) and other country-level data were obtained from other open databases as potential indicators. Regression analysis was used to evaluate associations between DALY rates among adolescents and potential predictors. Results Global DALYs due to URE among adolescents rose by 8% between 1990 and 2019 but moderately decreased by 4.8% during this period after adjusting for population size. Female adolescents showed higher DALY rates. DALY rates sharply increased from 5 to 9 years of age, then rose more slowly, reaching a plateau before 20 years of age. Country-level DALY rates in 2019 were positively associated with HDI, SDI, and urbanization rates but negatively correlated with primary school dropout rates. Higher disease burden of adolescents visually impaired from URE was associated with lower primary school dropout rates (β = − 0.257, 95% CI − 0.376 to − 0.138, P < 0.001) and higher urbanization rates (β = 0.257, 95% CI 0.067 to 0.256, P = 0.001). Conclusions Higher socioeconomic status, urbanization rates and education levels are associated with a heavier disease burden of URE among adolescents. The findings of this study can provide a reference for policy making on resource allocation for URE prevention and control in teenagers.
format article
author Zhenlan Yang
Guangming Jin
Zijing Li
Yunru Liao
Xiang Gao
Yichi Zhang
Yuqing Lan
author_facet Zhenlan Yang
Guangming Jin
Zijing Li
Yunru Liao
Xiang Gao
Yichi Zhang
Yuqing Lan
author_sort Zhenlan Yang
title Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
title_short Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
title_full Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
title_fullStr Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
title_full_unstemmed Global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
title_sort global disease burden of uncorrected refractive error among adolescents from 1990 to 2019
publisher BMC
publishDate 2021
url https://doaj.org/article/d54ef85a9ab240a991305360e3bafadb
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AT yunruliao globaldiseaseburdenofuncorrectedrefractiveerroramongadolescentsfrom1990to2019
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