Diseases, Injuries, and Risk Factors in Child and Adolescent Health, 1990 to 2017: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
GBD 2017 Child and Adolescent Health Collaborators, Reiner Robert C, Olsen Helen Elizabeth, Ikeda Chad Thomas, Echko Michelle M, Ballestreros Katherine E, Manguerra Helen, Martopullo Ira, Millear Anoushka, Shields Chloe, Smith Alison, Strub Bryan, Abebe Molla, Abebe Zegeye, Adhena Beyene Meressa, Adhikari Tara Ballav, Akibu Mohammed, Al-Raddadi Rajaa M, Alvis-Guzman Nelson, Antonio Carl Abelardo T, Aremu Olatunde, Asgedom Solomon Weldegebreal, Asseffa Netsanet Abera, Avila-Burgos Leticia, Barac Aleksandra, Bärnighausen Till W, Bassat Quique, Bensenor Isabela M, Bhutta Zulfiqar A, Bijani Ali, Bililign Nigus, Cahuana-Hurtado Lucero, Malta Deborah Carvalho, Chang Jung-Chen, Charlson Fiona J, Dharmaratne Samath Dhamminda, Doku David Teye, Edessa Dumessa, El-Khatib Ziad, Erskine Holly E, Ferrari Alize J, Fullman Nancy, Gupta Rahul, Hassen Hamid Yimam, Hay Simon I, Ilesanmi Olayinka Stephen, Jacobsen Kathryn H, Kahsay Amaha, Kasaeian Amir, Kassa Tesfaye Dessale, Kebede Seifu, Khader Yousef Saleh, Khan Ejaz Ahmad, Khan Mohammed Nuruzzaman, Khang Young-Ho, Khubchandani Jagdish, Kinfu Yohannes, Kochhar Sonali, Kokubo Yoshihiro, Koyanagi Ai, Defo Barthelemy Kuate, Lal Dharmesh Kumar, Kumsa Fekede Asefa, Larson Heidi J, Leung Janni, Mamun Abdullah A, Mehata Suresh, Melku Mulugeta, Mendoza Walter, Mezgebe Haftay Berhane, Miller Ted R, Moges Nurilign Abebe, Mohammed Shafiu, Mokdad Ali H, Monasta Lorenzo, Neupane Subas, Nguyen Huong Lan Thi, Ningrum Dina Nur Anggraini, Nirayo Yirga Legesse, Nong Vuong Minh, Ogbo Felix Akpojene, Olagunju Andrew T, Olusanya Bolajoko Olubukunola, Olusanya Jacob Olusegun, Patton George C, Pereira David M, Pourmalek Farshad, Qorbani Mostafa, Rafay Anwar, Rai Rajesh Kumar, Ram Usha, Ranabhat Chhabi Lal, Renzaho Andre M N, Rezai Mohammad Sadegh, Ronfani Luca, Roth Gregory A, Safiri Saeid, Sartorius Benn, Scott James G, Shackelford Katya Anne, Sliwa Karen, Sreeramareddy Chandrashekhar, Sufiyan Mu'awiyyah Bable, Terkawi Abdullah Sulieman, Topor-Madry Roman, Tran Bach Xuan, Ukwaja Kingsley Nnanna, Uthman Olalekan A, Vollset Stein Emil, Weldegwergs Kidu Gidey, Werdecker Andrea, Whiteford Harvey A, Wijeratne Tissa, Yonemoto Naohiro, Yotebieng Marcel, Zuhlke Liesl J, Kyu Hmwe Hmwe, Naghavi Mohsen, Vos Theo, Murray Christopher J L, Kassebaum Nicholas J
Аннотация
OBJECTIVE: To estimate mortality and morbidity in children and adolescents from 1990 to 2017 by age and sex in 195 countries and territories.
DESIGN, SETTING, AND PARTICIPANTS: This study examined levels, trends, and spatiotemporal patterns of cause-specific mortality and nonfatal health outcomes using standardized approaches to data processing and statistical analysis. It also describes epidemiologic transitions by evaluating historical associations between disease indicators and the Socio-Demographic Index (SDI), a composite indicator of income, educational attainment, and fertility. Data collected from 1990 to 2017 on children and adolescents from birth through 19 years of age in 195 countries and territories were assessed. Data analysis occurred from January 2018 to August 2018.
EXPOSURES: Being under the age of 20 years between 1990 and 2017.
MAIN OUTCOMES AND MEASURES: Death and disability. All-cause and cause-specific deaths, disability-adjusted life years, years of life lost, and years of life lived with disability.
RESULTS: Child and adolescent deaths decreased 51.7% from 13.77 million (95% uncertainty interval [UI], 13.60-13.93 million) in 1990 to 6.64 million (95% UI, 6.44-6.87 million) in 2017, but in 2017, aggregate disability increased 4.7% to a total of 145 million (95% UI, 107-190 million) years lived with disability globally. Progress was uneven, and inequity increased, with low-SDI and low-middle-SDI locations experiencing 82.2% (95% UI, 81.6%-82.9%) of deaths, up from 70.9% (95% UI, 70.4%-71.4%) in 1990. The leading disaggregated causes of disability-adjusted life years in 2017 in the low-SDI quintile were neonatal disorders, lower respiratory infections, diarrhea, malaria, and congenital birth defects, whereas neonatal disorders, congenital birth defects, headache, dermatitis, and anxiety were highest-ranked in the high-SDI quintile.
CONCLUSIONS AND RELEVANCE: Mortality reductions over this 27-year period mean that children are more likely than ever to reach their 20th birthdays. The concomitant expansion of nonfatal health loss and epidemiological transition in children and adolescents, especially in low-SDI and middle-SDI countries, has the potential to increase already overburdened health systems, will affect the human capital potential of societies, and may influence the trajectory of socioeconomic development. Continued monitoring of child and adolescent health loss is crucial to sustain the progress of the past 27 years.