Psychiatry research · 2026
Depressive disorders burden attributable to childhood sexual abuse in China and India from 1990 to 2023 and prediction for 2040: Analysis of data from the global burden of disease study 2023.
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Yang Qian, Wu MeiChan, Wang Xingxin, Qin Xiaoying, Tang Yuanyuan, Yu Jie, Gao Li-Na, Li Ming
Аннотация
AIM: This study endeavors to explore the temporal alterations in the disability-adjusted life years (DALYs) of depressive disorders (DD) attributable to childhood sexual abuse (CSA) in China and India, and to predict the future trends of DALYs from 2024 to 2040.
METHODS: Using the Global Burden of Disease (GBD) Study 2023, we evaluated the impact of CSA on DD, scrutinizing DALYs per 100,000 population. Our analysis incorporated age, sex, and temporal trends in age-standardized rates (ASR), and an age-period-cohort (APC) analysis was conducted to differentiate the effects of age, period, and cohort on the observed temporal trends. BAPC analysis was employed to forecast the DALYs rates and numbers for different sexes from 2024 to 2040.
RESULTS: The number of DALYs for DD attributable to CSA increased by 50.7% in China and by 122% in India from 1990 to 2023. Notable gender disparities emerged, with females demonstrating higher ASR of DALYs in both countries. The highest burden was observed in the 40-44 age group for both sexes in India, and for males in China, while females in China peaked at 35-39 age group. The ASR of DALYs attributable to CSA is projected to increase moderately for both sexes in China, while it will increase sharply in India, especially among females.
CONCLUSIONS: CSA-attributable DD burden remains stable in China but rises significantly in India. Targeted interventions for ages 40-44 and full-cycle strategies covering children/adolescents and adult survivors are essential. Our study will help the government formulate more targeted and effective preventive and intervention strategies for CSA-attributable DD.
METHODS: Using the Global Burden of Disease (GBD) Study 2023, we evaluated the impact of CSA on DD, scrutinizing DALYs per 100,000 population. Our analysis incorporated age, sex, and temporal trends in age-standardized rates (ASR), and an age-period-cohort (APC) analysis was conducted to differentiate the effects of age, period, and cohort on the observed temporal trends. BAPC analysis was employed to forecast the DALYs rates and numbers for different sexes from 2024 to 2040.
RESULTS: The number of DALYs for DD attributable to CSA increased by 50.7% in China and by 122% in India from 1990 to 2023. Notable gender disparities emerged, with females demonstrating higher ASR of DALYs in both countries. The highest burden was observed in the 40-44 age group for both sexes in India, and for males in China, while females in China peaked at 35-39 age group. The ASR of DALYs attributable to CSA is projected to increase moderately for both sexes in China, while it will increase sharply in India, especially among females.
CONCLUSIONS: CSA-attributable DD burden remains stable in China but rises significantly in India. Targeted interventions for ages 40-44 and full-cycle strategies covering children/adolescents and adult survivors are essential. Our study will help the government formulate more targeted and effective preventive and intervention strategies for CSA-attributable DD.