表1  1990及2023年中国下背痛的患病、发病、伤残调整生命年情况及1990—2023年变化趋势

项目

性别

绝对计数(万例/万人年)(95%UI

 

年龄标准化率(/10万)(95%UI

 

AAPC%)(95%UI

1990

2023

 

1990

2023

 

AAPC

P

患病

总体

6863.63
(5981.68, 7745.74)

9532.40
(8362.51, 10777.88)

 

6636.60
(5778.62,7462.02)

4929.78
(4304.39,5494.10)

 

-0.90
(-0.95,-0.84)

0.001

男性

2662.01
(2313.53, 3019.47)

3754.48
(3266.37, 4233.78)

 

5007.32
(4392.70,5623.80)

3991.71
(3485.97,4444.85)

 

-0.69
(-0.74,-0.64)

0.001

女性

4201.62
(3663.13, 4732.70)

5777.92
(4984.86, 6516.50)

 

8246.61
(7136.33,9281.41)

5857.13
(5102.95,6576.59)

 

-1.03
(-1.09,-0.97)

0.001

发病

总体

2998.91
(2633.59, 3341.89)

4138.36
(3641.72, 4652.04)

 

2859.73
(2532.11,3187.09)

2164.80
(1926.65,2383.57)

 

-0.84
(-0.89,-0.79)

0.001

男性

1197.97
(1050.00, 1339.16)

1647.89
(1442.55, 1858.63)

 

2225.22
(1956.98,2491.25)

1772.18
(1570.07,1961.50)

 

-0.69
(-0.74,-0.64)

0.001

女性

1800.94
(1585.96, 2008.68)

2490.47
(2189.55, 2805.13)

 

3495.05
(3087.94,3888.27)

2555.41
(2278.44,2817.75)

 

-0.94
(-0.99,-0.89)

0.001

伤残调整生命年

总体

773.24
(543.86, 1047.70)

1063.59
(752.04, 1471.57)

 

740.83
(525.01,1010.60)

551.92
(388.90,750.82)

 

-0.89
(-0.95,-0.83)

0.001

男性

302.65
(212.15, 412.79)

422.85
(296.36, 583.39)

 

563.52
(397.47,769.53)

450.10
(314.92,611.07)

 

-0.68
(-0.74,-0.62)

0.001

女性

470.60
(331.71, 640.08)

640.74
(454.53, 882.80)

 

917.48
(650.90,1250.58)

653.03
(462.34,886.10)

 

-1.02
(-1.09,-0.96)

0.001

注:AAPC,average annual percentage change,年度平均变化百分比。