ArticleMilitary Medical Research2025
National and subnational burden and causes of anemia in China from 1990 to 2023: findings from the Global Burden of Disease Study 2023.
Article in Military Medical Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Impact of Climate Warming on All-Causes Mortality in China: The Role of Non-Optimal Temperature Exposure and Multi-Scenario Projections to 2050.GeoHealth · 2026Article
- National and subnational burden of mental disorders in China, 1990-2023: a systematic analysis of the Global Burden of Disease Study 2023.The Lancet regional health. Western Pacific · 2026Article
- Endometriosis-Associated Infertility in China: Epidemiological Trends, Future Projection, and Real-World Clinical Insights.International journal of women's health · 2026Article
- Underweight Status is Associated with Prevalent Anemia in Postmenopausal Women with Osteoporotic Vertebral Compression Fractures: A Cross-Sectional Study.Clinical interventions in aging · 2026Article
- Non-Fatal Health Outcomes of Dietary Iron Deficiency Anemia in Eastern Sub-saharan Africa, From 1990 to 2023.Sage open pediatricsArticle
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Abstract
backgroundAnemia is a major global health problem. There were 89% of all anemia-related disabilities in developing countries. We aim to analyze the burden of anemia and its underlying causes in China from 1990 to 2023.
methodsUtilizing the data of the 2023 Global Burden of Disease (GBD 2023) study, this study analyzed the burden of anemia in China between 1990 and 2023. Then we analyzed the number and rate of anemia attributed to 16 underlying causes for all genders and ages. Drivers of change in prevalence and years lived with disability (YLD) numbers due to anemia were explored by decomposition analysis. And locally weighted regression was used to estimate the relationship between socio-demographic index (SDI) and age-standardized prevalence rate (ASPR) and age-standardized YLD rate due to anemia.
resultsFrom 1990 to 2023, the ASPR and age-standardized YLD rate showed a downward trend among all anemia types (P < 0.05), and the ASPR and age-standardized YLD rate of anemia in females were higher than those in males. The highest number and rate of prevalence were found in mild anemia, and the highest number and rate of YLD were found in moderate anemia. As age increased, the prevalence and YLD rate of anemia increased, with a significant increase in females aged 20-54, in particular of moderate anemia. In 2023, the highest ASPR and age-standardized YLD rate among all anemia types were in the Northwestern regions. Compared to 1990, 31 provinces, Hong Kong, and Macao exhibited declines in both the ASPR and the age-standardized YLD rate for anemia. In China, most of the prevalent cases and YLD were attributable to dietary iron deficiency in 2023. The total prevalence of anemia decreased by 46.14% [95% uncertainty interval (UI) 27.54-61.02], of which age-specific rate, population growth, and population aging accounted for -77.32%, 21.33%, and 9.84%, respectively. A negative association between SDI and the ASPR and age-standardized YLD rate of anemia was shown in China.
conclusionsFrom 1990 to 2023, the burden of anemia in China has decreased but remained heavy among women of childbearing age, the elderly, and in the Northwestern region. Tailored prevention and control strategies should be strengthened to reduce the burden of anemia in high-risk areas.
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