Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study

BackgroundIdiopathic epilepsy is a major global health burden that causes premature death and disability. Previous studies have systematically analyzed trends in the burden of idiopathic epilepsy. However, analyses of the impact of social factors, health campaigns and policies on the burden of idiop...

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Main Authors: Xuewen Rong, Dongting Yu, Wei Zhao, Jingyu Xiao, Du Feng, Gengfeng Chen, Zemeng Cao, Liming Shu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1598497/full
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author Xuewen Rong
Dongting Yu
Wei Zhao
Jingyu Xiao
Du Feng
Gengfeng Chen
Zemeng Cao
Liming Shu
author_facet Xuewen Rong
Dongting Yu
Wei Zhao
Jingyu Xiao
Du Feng
Gengfeng Chen
Zemeng Cao
Liming Shu
author_sort Xuewen Rong
collection DOAJ
description BackgroundIdiopathic epilepsy is a major global health burden that causes premature death and disability. Previous studies have systematically analyzed trends in the burden of idiopathic epilepsy. However, analyses of the impact of social factors, health campaigns and policies on the burden of idiopathic epilepsy are lacking. This study aims to fill that gap.MethodsWe used data from the 2021 Global Burden of Disease (GBD) and calculated the estimated annual percentage changes (EAPC) to assess trends. Decomposition analysis breaks down changes in the burden of idiopathic epilepsy into three factors. Correlation analysis measures the association between the EAPC and social development. Inequality analysis illustrates the disparity in the burden of idiopathic epilepsy among countries. Generalized difference-in-differences (GDID) and synthetic difference-in-differences (SDID) analyses are used to quantify the impact of health campaigns or policies on the burden of idiopathic epilepsy.ResultsWith respect to incidence, aging had a negative impact. The correlation between the sociodemographic index (SDI) and EAPC had a rho value of −0.18. The slope index of inequality for the mortality burden decreased from 1.97 to 1.62. After the policy shock, the age-standardized rate (ASR) of years lived with disability (YLD) in the Caribbean increased significantly to 4.59 (95% CI: 0.96 to 8.22), while the all-age YLD rate in the U.S. increased (5.18, 95% CI: 0.66 to 9.70) for both sexes.ConclusionThis study explores the impact of social factors and health campaigns on the burden of idiopathic epilepsy. We emphasize the need for targeted prevention and treatment strategies to effectively address the burden of idiopathic epilepsy.
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spelling doaj-art-500e4a255ac846e083cc75cdfec31d6e2025-08-20T02:01:49ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.15984971598497Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences studyXuewen Rong0Dongting Yu1Wei Zhao2Jingyu Xiao3Du Feng4Gengfeng Chen5Zemeng Cao6Liming Shu7Nanshan School, Guangzhou Medical University, Guangzhou, ChinaNanshan School, Guangzhou Medical University, Guangzhou, ChinaSchool of Pediatrics, Guangzhou Medical University, Guangzhou, ChinaNanshan School, Guangzhou Medical University, Guangzhou, ChinaNanshan School, Guangzhou Medical University, Guangzhou, ChinaNanshan School, Guangzhou Medical University, Guangzhou, ChinaNanshan School, Guangzhou Medical University, Guangzhou, ChinaDepartment of Neurology, Institute of Neuroscience, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaBackgroundIdiopathic epilepsy is a major global health burden that causes premature death and disability. Previous studies have systematically analyzed trends in the burden of idiopathic epilepsy. However, analyses of the impact of social factors, health campaigns and policies on the burden of idiopathic epilepsy are lacking. This study aims to fill that gap.MethodsWe used data from the 2021 Global Burden of Disease (GBD) and calculated the estimated annual percentage changes (EAPC) to assess trends. Decomposition analysis breaks down changes in the burden of idiopathic epilepsy into three factors. Correlation analysis measures the association between the EAPC and social development. Inequality analysis illustrates the disparity in the burden of idiopathic epilepsy among countries. Generalized difference-in-differences (GDID) and synthetic difference-in-differences (SDID) analyses are used to quantify the impact of health campaigns or policies on the burden of idiopathic epilepsy.ResultsWith respect to incidence, aging had a negative impact. The correlation between the sociodemographic index (SDI) and EAPC had a rho value of −0.18. The slope index of inequality for the mortality burden decreased from 1.97 to 1.62. After the policy shock, the age-standardized rate (ASR) of years lived with disability (YLD) in the Caribbean increased significantly to 4.59 (95% CI: 0.96 to 8.22), while the all-age YLD rate in the U.S. increased (5.18, 95% CI: 0.66 to 9.70) for both sexes.ConclusionThis study explores the impact of social factors and health campaigns on the burden of idiopathic epilepsy. We emphasize the need for targeted prevention and treatment strategies to effectively address the burden of idiopathic epilepsy.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1598497/fullidiopathic epilepsydisability-adjusted life yearsgeneralized difference-in-differencessynthetic difference-in-differencesinequalityglobal burden of disease
spellingShingle Xuewen Rong
Dongting Yu
Wei Zhao
Jingyu Xiao
Du Feng
Gengfeng Chen
Zemeng Cao
Liming Shu
Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
Frontiers in Public Health
idiopathic epilepsy
disability-adjusted life years
generalized difference-in-differences
synthetic difference-in-differences
inequality
global burden of disease
title Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
title_full Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
title_fullStr Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
title_full_unstemmed Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
title_short Impact of social factors and health campaigns on the burden of idiopathic epilepsy: an inequality, decomposition, generalized and synthetic difference-in-differences study
title_sort impact of social factors and health campaigns on the burden of idiopathic epilepsy an inequality decomposition generalized and synthetic difference in differences study
topic idiopathic epilepsy
disability-adjusted life years
generalized difference-in-differences
synthetic difference-in-differences
inequality
global burden of disease
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1598497/full
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