ArticleInternational journal of public health2026
Population aging and divergent burden trajectories of fall-related spinal cord injury: a cross national analysis.
Article in International journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To examine how population aging influences the burden of fall-related spinal cord injury (SCI) across countries at different demographic stages. Methods: Using GBD 2023 data, we analyzed age-standardized incidence, prevalence, and years lived with disability (YLD) rates of fall-related SCI in India, China, the United States, and Japan. Trends and drivers were assessed using EAPC, joinpoint regression, age-period-cohort models, and demographic decomposition. Results: China showed a significant increase in incidence (AAPC = 1.62%, 95% CI: 0.89-2.36) with a rise-peak-decline-rebound pattern. The United States maintained stable incidence but achieved a marked reduction in YLD burden (AAPC = -2.58%, 95% CI: -3.13 to -2.03). India and Japan exhibited lower burdens and sustained improvements; India's YLD rate declined by 1.58% annually (95% CI: -1.93 to -1.22). APC analysis identified an age-progressive risk pattern in China but age-regressive patterns in the United States and India. Population aging was the main driver of increased prevalence in China (39.53%). Conclusion: Fall-related SCI burden varies across demographic stages. Population aging is a key determinant in aging societies, highlighting the need for stage-specific prevention and care strategies.
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