Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019

Abstract Background As a female-specific health problem, pelvic organ prolapse (POP) causes serious damage to the physical and psychological health of numerous women, which poses a significant challenge to women’s health care worldwide, especially in developing countries. We conducted an in-depth an...

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Main Authors: Yuting Xu, Shudong Xie, Chengyu Zhou, Liping Zhu, Yao Tong, Alvaro Munoz, Yuhang Wu, Xuhong Li
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21271-5
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author Yuting Xu
Shudong Xie
Chengyu Zhou
Liping Zhu
Yao Tong
Alvaro Munoz
Yuhang Wu
Xuhong Li
author_facet Yuting Xu
Shudong Xie
Chengyu Zhou
Liping Zhu
Yao Tong
Alvaro Munoz
Yuhang Wu
Xuhong Li
author_sort Yuting Xu
collection DOAJ
description Abstract Background As a female-specific health problem, pelvic organ prolapse (POP) causes serious damage to the physical and psychological health of numerous women, which poses a significant challenge to women’s health care worldwide, especially in developing countries. We conducted an in-depth analysis of trends in the incidence of POP over the past 30 years globally and in Brazil, Russia, India, China, and South Africa (BRICS countries). Materials and methods Data on the incidence of POP were obtained by location (5 countries), age (15–94 years old), year (1990–2019) from the Global Burden of Disease Study 2019. Age-period-cohort model was used to estimate the net drift, local drift, age effects, period and cohort effects between 1990 and 2019. Results The all-age incidence rate for POP in 2019 increased from 283.28/100,000 (95% UI: 229.97, 340.34) in China to 444.81/100,000 (369.92, 526.15) in Brazil, whereas the age-standardized incidence rate in 2019 was highest in India 400.06/100,000 (325.98, 476.91) and lowest in China 187.74/100,000 (154.21, 224.43). There was an emerging transition of incidences from the young population (15–39 years) to the middle and older population (≥ 40 years) in Brazil and India. The current findings reflect the different age, period, and cohort effects on POP incidence trends at global and BRICS levels. Conclusions The BRICS countries have made different progress in reducing the prevalence of POP. We fully recognize the diversity of internal environments in the BRICS countries and suggest an incremental approach to advancing POP prevention matters based on possible policy-driven human and financial resources in a given setting.
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spelling doaj-art-1b6a497495d04ada989b75cb2d076fe02025-08-20T02:13:20ZengBMCBMC Public Health1471-24582025-02-0125111010.1186/s12889-024-21271-5Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019Yuting Xu0Shudong Xie1Chengyu Zhou2Liping Zhu3Yao Tong4Alvaro Munoz5Yuhang Wu6Xuhong Li7Department of Rehabilitation Medicine, The Third Xiangya Hospital, Central South UniversityTransplantation Center, The Third Xiangya Hospital, Central South UniversityDepartment of Rehabilitation Medicine, The Third Xiangya Hospital, Central South UniversityDepartment of Rehabilitation Medicine, The Third Xiangya Hospital, Central South UniversityDepartment of Rehabilitation Medicine, The Third Xiangya Hospital, Central South UniversityCentro Universitario del Norte, Universidad de GuadalajaraDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Rehabilitation Medicine, The Third Xiangya Hospital, Central South UniversityAbstract Background As a female-specific health problem, pelvic organ prolapse (POP) causes serious damage to the physical and psychological health of numerous women, which poses a significant challenge to women’s health care worldwide, especially in developing countries. We conducted an in-depth analysis of trends in the incidence of POP over the past 30 years globally and in Brazil, Russia, India, China, and South Africa (BRICS countries). Materials and methods Data on the incidence of POP were obtained by location (5 countries), age (15–94 years old), year (1990–2019) from the Global Burden of Disease Study 2019. Age-period-cohort model was used to estimate the net drift, local drift, age effects, period and cohort effects between 1990 and 2019. Results The all-age incidence rate for POP in 2019 increased from 283.28/100,000 (95% UI: 229.97, 340.34) in China to 444.81/100,000 (369.92, 526.15) in Brazil, whereas the age-standardized incidence rate in 2019 was highest in India 400.06/100,000 (325.98, 476.91) and lowest in China 187.74/100,000 (154.21, 224.43). There was an emerging transition of incidences from the young population (15–39 years) to the middle and older population (≥ 40 years) in Brazil and India. The current findings reflect the different age, period, and cohort effects on POP incidence trends at global and BRICS levels. Conclusions The BRICS countries have made different progress in reducing the prevalence of POP. We fully recognize the diversity of internal environments in the BRICS countries and suggest an incremental approach to advancing POP prevention matters based on possible policy-driven human and financial resources in a given setting.https://doi.org/10.1186/s12889-024-21271-5Pelvic organ prolapseIncidenceAge-period-cohortTrend
spellingShingle Yuting Xu
Shudong Xie
Chengyu Zhou
Liping Zhu
Yao Tong
Alvaro Munoz
Yuhang Wu
Xuhong Li
Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
BMC Public Health
Pelvic organ prolapse
Incidence
Age-period-cohort
Trend
title Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
title_full Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
title_fullStr Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
title_full_unstemmed Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
title_short Time trends in the incidence of pelvic organ prolapse across the BRICS: an age-period-cohort analysis for the GBD 2019
title_sort time trends in the incidence of pelvic organ prolapse across the brics an age period cohort analysis for the gbd 2019
topic Pelvic organ prolapse
Incidence
Age-period-cohort
Trend
url https://doi.org/10.1186/s12889-024-21271-5
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