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Trends in the incidence and DALYs of schizophrenia at the global, regional and national levels: results from the Global Burden of Disease Study 2017

Epidemiology and psychiatric sciences, 2020-01, Vol.29, p.e91-e91, Article e91 [Peer Reviewed Journal]

Copyright Cambridge University Press 2020 ;The Author(s) 2020 2020 The Author(s) ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S2045796019000891 ;PMID: 31928566

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  • Title:
    Trends in the incidence and DALYs of schizophrenia at the global, regional and national levels: results from the Global Burden of Disease Study 2017
  • Author: He, Hairong ; Liu, Qingqing ; Li, Ning ; Guo, Liyang ; Gao, Fengjie ; Bai, Ling ; Gao, Fan ; Lyu, Jun
  • Subjects: Adolescent ; Adult ; Age ; Age Distribution ; Aging ; Disabled Persons - statistics & numerical data ; Disease ; Female ; Females ; Global Burden of Disease - trends ; Global Health - trends ; Humans ; Incidence ; Male ; Males ; Mental disorders ; Mortality ; Original ; Population ; Quality-Adjusted Life Years ; Resource allocation ; Risk Factors ; Schizophrenia ; Schizophrenia - epidemiology ; Schizophrenic Psychology ; Sex Distribution ; Trends ; Young Adult
  • Is Part Of: Epidemiology and psychiatric sciences, 2020-01, Vol.29, p.e91-e91, Article e91
  • Description: Schizophrenia is a serious health problem worldwide. This systematic analysis aims to quantify the burden of schizophrenia at the global, regional and national levels using the Global Burden of Disease Study 2017 (GBD 2017). We collected detailed information on the number of incidence cases, disability-adjusted life years (DALYs) and age-standardised incidence rate (ASIR) and age-standardised rate of DALYs (ASDR) during 1990-2017 from GBD 2017. The estimated annual percentage changes (EAPCs) in the ASIR and in the ASDR were calculated to quantify the temporal trends in the ASIR and ASDR of schizophrenia. Globally there were 1.13 million (95% uncertainty interval [UI] = 1.00 to 1.28) incident schizophrenia cases and 12.66 million (95% UI = 9.48 to 15.56) DALYs due to schizophrenia in 2017. The global ASIR decreased slightly from 1990 to 2017 (EAPC = -0.124, 95% UI = -0.114 to -0.135), while the ASDR was stable. The number of incident cases, DALYs, ASIR and ASDR were higher for males than for females. The incident rate and DALYs rate were highest among those aged 20-29 and 30-54 years, respectively. ASIR and ASDR were highest in East Asia in 2017, at 19.66 (95% UI = 17.72 to 22.00) and 205.23 (95% UI = 153.13 to 253.34), respectively. In 2017, the ASIR was highest in countries with a high-moderate sociodemographic index (SDI) and the ASDR was highest in high-SDI countries. We also found that the EAPC in ASDR was negatively correlated with the ASDR in 1990 (P = 0.001, ρ = -0.23). The global burden of schizophrenia remains large and continues to increase, thereby increasing the burden on health-care systems. The reported findings should be useful for resource allocation and health services planning for the increasing numbers of patients with schizophrenia in ageing societies.
  • Publisher: England: Cambridge University Press
  • Language: English;Italian
  • Identifier: ISSN: 2045-7960
    EISSN: 2045-7979
    DOI: 10.1017/S2045796019000891
    PMID: 31928566
  • Source: ProQuest One Psychology
    Open Access: DOAJ Directory of Open Access Journals
    Open Access: PubMed Central
    Journals@Ovid Open Access Journal Collection Rolling
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
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