Study on the burden of digestive diseases among Chinese residents in the 21st century

Shijun Gong; Yuyu Zhang; Yaqiong Wang; Xianhu Yang; Baolian Cheng; Ziyi Song; Xingrong Liu

doi:10.3389/fpubh.2023.1314122

Study on the burden of digestive diseases among Chinese residents in the 21st century

Front Public Health. 2024 Jan 10:11:1314122. doi: 10.3389/fpubh.2023.1314122. eCollection 2023.

Authors

Shijun Gong^#¹, Yuyu Zhang^#¹, Yaqiong Wang¹, Xianhu Yang¹, Baolian Cheng¹, Ziyi Song², Xingrong Liu¹

Affiliations

¹ School of Public Health, Lanzhou University, Lanzhou, Gansu, China.
² Guangzhou National Laboratory, Guangzhou, Guangdong, China.

^# Contributed equally.

Abstract

Background: The global burden of digestive diseases has increased in recent years. The study aims to comprehend the trend of incidence and death rates related to digestive diseases in China from 2000 to 2020.

Methods: The study collected data on digestive diseases and their causes, such as incidence rates, death rates, Years of Life Lost, Years Lived with Disability, Disability-Adjusted Life Years and estimated annual percentage change from the 2019 Global Burden of Disease website and the Chinese Health and Wellness Statistical Yearbook spanning. And we employed the age-period-cohort model to analyze the influence of age, period, and birth cohort on the trend of death rates associated with digestive diseases.

Results: In contrast to the global burden of digestive disease, China experienced increases in the age-standardized incidence for inflammatory bowel disease, gallbladder and biliary diseases, as well as appendicitis from 2000 to 2019. The corresponding estimated annual percentage change for these diseases were 2.06, 1.74, and 0.99. Females showed a significantly higher incidence of digestive diseases, while males experienced a higher death rate. Moreover, individuals in the age groups under 5 years and over 60 years exhibited higher death rates than those in other age groups.

Conclusion: The findings underscore the ongoing importance of digestive diseases as a substantial public health issue in China. Reducing the disease burden of IBD in China necessitates healthcare systems to enhance their infrastructure and personnel readiness, ensuring an equitable, affordable, and accessible distribution of care for IBD patients. To reduce the occurrence and mortality rates of digestive diseases in China, the government should promote the adoption of early screening policies for individuals under the 5 year and those above the 60 year. These policies should be accompanied by customized preventive measures.

Keywords: APC model; ASR; DALY; EAPC; digestive diseases.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

China / epidemiology
Cost of Illness
East Asian People
Female
Gastrointestinal Diseases* / epidemiology
Humans
Inflammatory Bowel Diseases* / epidemiology
Male

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was supported by the Social Science Planning Major Project of Gansu Province (grant number 20ZD017), and Lanzhou University “Belt and Road Initiative” Special Fund.