Gender differences in the burden of near vision loss in China: An analysis based on GBD 2021 data.
10.11817/j.issn.1672-7347.2025.240710
- Author:
Yu LIU
1
,
2
;
Liping ZHU
3
;
Yanhui LIN
4
;
Yanbing WANG
5
;
Kun XIONG
6
;
Xuhong LI
3
;
Wenguang YAN
3
,
7
Author Information
1. Department of Ophthalmology, Third Xiangya Hospital, Central South University, Changsha
2. 962651976@qq.com.
3. Department of Rehabilitation Medicine, Third Xiangya Hospital, Central South University, Changsha
4. Health Management Medicine Center, Third Xiangya Hospital, Central South University, Changsha
5. Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha
6. Xiangya School of Medicine, Central South University, Changsha 410013, China.
7. 2402632247@qq.com.
- Publication Type:Journal Article
- Keywords:
China;
Global Burden of Disease database;
autoregressive integrated moving average model;
gender differences;
near vision loss
- MeSH:
Humans;
China/epidemiology*;
Male;
Female;
Prevalence;
Middle Aged;
Disability-Adjusted Life Years;
Adult;
Global Burden of Disease;
Adolescent;
Quality-Adjusted Life Years;
Aged;
Sex Factors;
Child;
Young Adult;
Child, Preschool;
Cost of Illness;
Infant;
Aged, 80 and over;
Vision Disorders/epidemiology*
- From:
Journal of Central South University(Medical Sciences)
2025;50(6):1030-1041
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:Near vision loss (NVL) is one of the leading causes of visual impairment worldwide, exerting a profound impact on individual quality of life and socio-economic development. This study aims to analyze the burden of NVL in China by sex and age groups from 1990 to 2021 and to project trends over the next 15 years.
METHODS:Using data from the Global Burden of Disease (GBD) 2021 database, we conducted descriptive analyses of NVL prevalence in China, calculated age-standardized prevalence rates (ASPR) and age-standardized disability-adjusted life years rates (ASDR) to compare burden differences between sexes and age groups, and applied an autoregressive integrated moving average (ARIMA) model to predict NVL trends for the next 15 years. The model selection was based on best-fit criteria to ensure reliable projections.
RESULTS:From 1990 to 2021, China's ASPR of NVL rose from 10 096.24/100 000 to 15 624.54/100 000, and ASDR increased from 101.75/100 000 to 158.75/100 000. In 2021, ASPR (16 551.70/100 000) and ASDR (167.69/100 000) were higher among females than males (14 686.21/100 000 and 149.76/100 000, respectively). China ranked highest globally in both NVL cases and disability-adjusted life years (DALYs), with female burden significantly exceeding male burden. Projections indicated this trend and sex gap will persist until 2036. Compared with 1990, the prevalence cases and DALYs increased by 239.20% and 238.82%, respectively in 2021, with the highest burden among females and the 55-59 age group. The ARIMA model predicted continued increases in prevalence and DALYs by 2036, with females maintaining a higher burden than males.
CONCLUSIONS:This study reveals a marked increase in the NVL burden in China and predicts continued growth in the coming years. Public health policies should prioritize NVL prevention and control, with special attention to women and middle-aged populations to mitigate long-term societal and health impacts.
