Burden of noncommunicable diseases among children and adolescents aged 10-24 years in China, 1990-2019: A population-based study

Jing Zhang; Chenyan Shi; Zhen Liang; Chenye Jin; Lei Wang; Ying Zhong; Yongze Li

doi:10.1016/j.xcrm.2023.101331

Burden of noncommunicable diseases among children and adolescents aged 10-24 years in China, 1990-2019: A population-based study

Cell Rep Med. 2023 Dec 19;4(12):101331. doi: 10.1016/j.xcrm.2023.101331.

Authors

Jing Zhang¹, Chenyan Shi¹, Zhen Liang², Chenye Jin³, Lei Wang⁴, Ying Zhong⁵, Yongze Li⁶

Affiliations

¹ School of Public Health, Shenzhen University Medical School, Shenzhen, China.
² School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen, China.
³ Department of Rheumatology and Immunology, The First Hospital of China Medical University, Shenyang, China.
⁴ International Cancer Center, Shenzhen University Medical School, Shenzhen, China.
⁵ Department of Pediatric, Shenzhen United Family Hospital, Shenzhen, China.
⁶ Department of Endocrinology and Metabolism, Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Disease, The First Hospital of China Medical University, Shenyang, China. Electronic address: yzli87@cmu.edu.cn.

Abstract

China has hundreds of millions of children and adolescents aged 10-24 years, accounting for one-sixth of their total counterparts worldwide. We perform this study to clarify the priority of noncommunicable disease (NCD) control among youth in China via the Global Burden of Diseases Study 2019. The highest disability-adjusted life years (DALYs) from NCDs among youth in China remain in mental disorders, while the most increasing incidence is from diabetes and kidney diseases during 1990-2019. Bullying victimization and high BMI are the top risk factors for DALYs from mental disorders and diabetes mellitus, respectively. The most substantial gender differences are found for alcohol use disorders among the 20-24 age subgroup, which is also the top risk factor for neoplasm DALYs. Targeted interventions for NCDs among youth in China should focus on high body mass, alcohol usage, and bullying victimization, providing crucial information for resource-limited settings across the world.

Keywords: China; adolescents; alcohol usage; bullying victimization; diabetes mellitus; disability-adujusted life years; global burden of diseases; high body mass; mental disorders; non-communicable diseases.

Publication types

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

MeSH terms

Adolescent
Alcoholism*
Child
China / epidemiology
Global Health
Humans
Noncommunicable Diseases* / epidemiology
Noncommunicable Diseases* / therapy
Quality-Adjusted Life Years