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Volume 42 Issue 6
Jun.  2026
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2026  >  42(6): 589-596
Liang JY,Xi MM,Tang N,et al.Analysis of the characteristics and changing trends of burn disease burden in the Chinese population based on the GBD 2021 database[J].Chin J Burns Wounds,2026,42(6):589-596.DOI: 10.3760/cma.j.cn501225-20251208-00512.
Citation: Liang JY,Xi MM,Tang N,et al.Analysis of the characteristics and changing trends of burn disease burden in the Chinese population based on the GBD 2021 database[J].Chin J Burns Wounds,2026,42(6):589-596.DOI: 10.3760/cma.j.cn501225-20251208-00512.
shu

Analysis of the characteristics and changing trends of burn disease burden in the Chinese population based on the GBD 2021 database

doi: 10.3760/cma.j.cn501225-20251208-00512
  • 1.

    School of Public Health, Harbin Medical University, Harbin 150081, China

  • 2.

    Department of Burns, Tongren Hospital of Wuhan UniversityWuhan Third Hospital, Wuhan 430060, China

  • 3.

    Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin 150081, China

  • 4.

    School of Population Health, University of New South Wales, Sydney 2052, Australia

  • 5.

    National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100053, China

Funds:

Scientific Research Project of Preventive Medicine Association of Hubei Province 2025SWGKY547

Medical Scientific Research Project of Wuhan Municipal Health Commission WX23Z61

More Information
    Abstract
  •   Objective  To analyze the characteristics and changing trends of burn disease burden in the Chinese population based on the Global Burden of Disease (GBD) 2021 database.  Methods  This study was a secondary study based on public databases. Data related to burns caused by "fire, heat, and hot substances" in 22 provinces, 5 autonomous regions, 4 municipalities, Hong Kong Special Administrative Region, and Macao Special Administrative Region of China except for the Taiwan region of China from 1990 to 2021 were extracted from the GBD 2021 database. Stratified analyses were conducted by gender, age bracket, and provincial-level administrative region. Disability-adjusted life year (DALY) rate, years of life lost (YLL) rate, years lived with disability (YLD) rate, and their age-standardized rates were used to evaluate the burn disease burden. The changing trends of burn disease burden among populations across different genders, age brackets and provincial-level administrative regions in China from 1990 to 2021 were compared. The burn disease burden among populations across different genders, age brackets and provincial-level administrative regions in China in 2021 was evaluated.  Results  From 1990 to 2021, the burn disease burden in the Chinese population decreased overall. The overall age-standardized DALY rate (95% UI) of burns in the Chinese population decreased from 135.6 (109.8-158.4)×10-5 in 1990 to 33.6 (27.0-41.8)×10-5 in 2021, with a decline of 75.2%. The age-standardized YLL rate and age-standardized YLD rate of burns also decreased, with declines of 81.4% and 54.5%, respectively. Compared with that in 1990, the age-standardized DALY rates of burns in all provincial-level administrative regions decreased in 2021, but the magnitudes of decline varied. In 25 provincial-level administrative regions, the decline in age-standardized DALY rate of burns was more pronounced in women than in men, whereas the opposite pattern was observed in 8 provincial-level administrative regions. The burn DALY rate decreased relatively rapidly in young children aged 1 to <2 years, while it decreased relatively slowly in the oldest-old population aged ≥80 years. In 2021, differences in burn disease burden were observed among populations across different genders, age brackets and provincial-level administrative regions in China. In all age brackets, burn DALY rates in men were higher than those in women. Among age brackets, the burn DALY rate (95% UI) was the highest in the ≥80 years age bracket, at 147.3 (114.5-176.3)×10-5. In 2021, the top 3 provincial-level administrative regions with relatively high age-standardized DALY rates of burns, in descending order, were Yunnan Province, Guizhou Province, and Shanghai, with values of 45.4 (37.2-58.7)×10-5, 43.8 (34.3-55.4)×10-5, and 43.3 (29.6-62.2)×10-5, respectively.  Conclusions  From 1990 to 2021, the burn disease burden in China showed an overall downward trend. However, men, young children, the oldest-old population, and population in provincial-level administrative regions with high burn disease burden, such as Yunnan Province and Guizhou Province, should still be regarded as key targets for burn prevention and control.

     

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