ArticleBMJ open2022
Disease burden of ageing, sex and regional disparities and health resources allocation: a longitudinal analysis of 31 provinces in Mainland China.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Deciphering AI-chatbots utilization in clinical practice, research and education among Chinese medical students in generative AI era: a cross-sectional study.BMC medical education · 2026Article
- Impact of public hospital restructuring on the admission of elderly residents in Japan: a regional population-based study.BMC health services research · 2026Article
- Global burden and geospatial drivers of sensory impairment with sense organ disease projections to 2050.Communications medicine · 2025Article
- Community well-being service supply to the urban elderly based on preferred sequence demand: a case study in Zhenhai district, Ningbo.BMC public health · 2025Article
- Equity and efficiency of public health resource allocation in China.BMC public health · 2025Article
- Analysis of distribution equilibrium and influencing factors for older adult meal service facilities in mainland China.Frontiers in public health · 2025Article
- Body Mass Index and the Risk of Hypertension-Diabetes Comorbidity in Elderly Population: A Prospective Cohort in China.Global heart · 2025Observational
- The impact of the scale and hierarchical structure of health human resources on the level of medical services-based on China's four major economic regions.International journal for equity in health · 2024Article
- Regional differences in health resource allocation: a longitudinal study in the Chengdu-Chongqing economic circle, China.BMJ open · 2024Article
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8 authors.
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Abstract
objectivesTo measure the disease burden of ageing based on age-related diseases (ARDs), the sex and regional disparities and the impact of health resources allocation on the burden in China.
designA national comparative study based on Global Burden of Diseases Study estimates and China's routine official statistics. SETTING AND
participantsThirty-one provinces of Mainland China were included for analysis in the study. No individuals were involved.
methodsWe first identified the ARDs and calculated the disability-adjusted life years (DALYs) of ARDs in 2016. We assessed the ARD burden disparities by province and sex and calculated the provincial ARD burden-adjusted age. We assessed historical changes between 1990 and 2016. Fixed effects regression models were adopted to evaluate the impact of health expenditures and health workforce indicators on the ARD burden in 2010-2016.
resultsIn 2016, China's total burden of ARDs was 15 703.7 DALYs (95% uncertainty intervals: 12 628.5, 18 406.2) per 100 000 population. Non-communicable diseases accounted for 91.9% of the burden. There were significant regional disparities. The leading five youngest provinces were Beijing, Guangdong, Shanghai, Zhejiang and Fujian, located on the east coast of China with an ARD burden-adjusted age below 40 years. After standardising the age structure, western provinces, including Tibet, Qinghai, Guizhou and Xinjiang, had the highest burden of ARDs. Males were disproportionately affected by ARDs. China's overall age-standardised ARD burden has decreased since 1990, and females and eastern provinces experienced the largest decline. Regression results showed that the urban-rural gap in health workforce density was positively associated with the ARD burdens.
conclusionChronological age alone does not provide a strong enough basis for appropriate ageing resource planning or policymaking. In China, concerted efforts should be made to reduce the ARDs burden and its disparities. Health resources should be deliberately allocated to western provinces facing the greatest health challenges due to future ageing.
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