Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study.
Global Burden of Disease Child and Adolescent Health Collaboration, Kassebaum Nicholas, Kyu Hmwe Hmwe, Zoeckler Leo, Olsen Helen Elizabeth, Thomas Katie, Pinho Christine, Bhutta Zulfiqar A, Dandona Lalit, Ferrari Alize, Ghiwot Tsegaye Tewelde, Hay Simon I, Kinfu Yohannes, Liang Xiaofeng, Lopez Alan, Malta Deborah Carvalho, Mokdad Ali H, Naghavi Mohsen, Patton George C, Salomon Joshua, Sartorius Benn, Topor-Madry Roman, Vollset Stein Emil, Werdecker Andrea, Whiteford Harvey A, Abate Kalkidan Hasen, Abbas Kaja, Damtew Solomon Abrha, Ahmed Muktar Beshir, Akseer Nadia, Al-Raddadi Rajaa, Alemayohu Mulubirhan Assefa, Altirkawi Khalid, Abajobir Amanuel Alemu, Amare Azmeraw T, Antonio Carl A T, Arnlov Johan, Artaman Al, Asayesh Hamid, Avokpaho Euripide Frinel G Arthur, Awasthi Ashish, Ayala Quintanilla Beatriz Paulina, Bacha Umar, Betsu Balem Demtsu, Barac Aleksandra, Bärnighausen Till Winfried, Baye Estifanos, Bedi Neeraj, Bensenor Isabela M, Berhane Adugnaw, Bernabe Eduardo, Bernal Oscar Alberto, Beyene Addisu Shunu, Biadgilign Sibhatu, Bikbov Boris, Boyce Cheryl Anne, Brazinova Alexandra, Hailu Gessessew Bugssa, Carter Austin, Castañeda-Orjuela Carlos A, Catalá-López Ferrán, Charlson Fiona J, Chitheer Abdulaal A, Choi Jee-Young Jasmine, Ciobanu Liliana G, Crump John, Dandona Rakhi, Dellavalle Robert P, Deribew Amare, deVeber Gabrielle, Dicker Daniel, Ding Eric L, Dubey Manisha, Endries Amanuel Yesuf, Erskine Holly E, Faraon Emerito Jose Aquino, Faro Andre, Farzadfar Farshad, Fernandes Joao C, Fijabi Daniel Obadare, Fitzmaurice Christina, Fleming Thomas D, Flor Luisa Sorio, Foreman Kyle J, Franklin Richard C, Fraser Maya S, Frostad Joseph J, Fullman Nancy, Gebregergs Gebremedhin Berhe, Gebru Alemseged Aregay, Geleijnse Johanna M, Gibney Katherine B, Gidey Yihdego Mahari, Ginawi Ibrahim Abdelmageem Mohamed, Gishu Melkamu Dedefo, Gizachew Tessema Assefa, Glaser Elizabeth, Gold Audra L, Goldberg Ellen, Gona Philimon, Goto Atsushi, Gugnani Harish Chander, Jiang Guohong, Gupta Rajeev, Tesfay Fisaha Haile, Hankey Graeme J, Havmoeller Rasmus, Hijar Martha, Horino Masako, Hosgood H Dean, Hu Guoqing, Jacobsen Kathryn H, Jakovljevic Mihajlo B, Jayaraman Sudha P, Jha Vivekanand, Jibat Tariku, Johnson Catherine O, Jonas Jost, Kasaeian Amir, Kawakami Norito, Keiyoro Peter N, Khalil Ibrahim, Khang Young-Ho, Khubchandani Jagdish, Ahmad Kiadaliri Aliasghar A, Kieling Christian, Kim Daniel, Kissoon Niranjan, Knibbs Luke D, Koyanagi Ai, Krohn Kristopher J, Kuate Defo Barthelemy, Kucuk Bicer Burcu, Kulikoff Rachel, Kumar G Anil, Lal Dharmesh Kumar, Lam Hilton Y, Larson Heidi J, Larsson Anders, Laryea Dennis Odai, Leung Janni, Lim Stephen S, Lo Loon-Tzian, Lo Warren D, Looker Katharine J, Lotufo Paulo A, Magdy Abd El Razek Hassan, Malekzadeh Reza, Markos Shifti Desalegn, Mazidi Mohsen, Meaney Peter A, Meles Kidanu Gebremariam, Memiah Peter, Mendoza Walter, Abera Mengistie Mubarek, Mengistu Gebremichael Welday, Mensah George A, Miller Ted R, Mock Charles, Mohammadi Alireza, Mohammed Shafiu, Monasta Lorenzo, Mueller Ulrich, Nagata Chie, Naheed Aliya, Nguyen Grant, Nguyen Quyen Le, Nsoesie Elaine, Oh In-Hwan, Okoro Anselm, Olusanya Jacob Olusegun, Olusanya Bolajoko O, Ortiz Alberto, Paudel Deepak, Pereira David M, Perico Norberto, Petzold Max, Phillips Michael Robert, Polanczyk Guilherme V, Pourmalek Farshad, Qorbani Mostafa, Rafay Anwar, Rahimi-Movaghar Vafa, Rahman Mahfuzar, Rai Rajesh Kumar, Ram Usha, Rankin Zane, Remuzzi Giuseppe, Renzaho Andre M N, Roba Hirbo Shore, Rojas-Rueda David, Ronfani Luca, Sagar Rajesh, Sanabria Juan Ramon, Kedir Mohammed Muktar Sano, Santos Itamar S, Satpathy Maheswar, Sawhney Monika, Schöttker Ben, Schwebel David C, Scott James G, Sepanlou Sadaf G, Shaheen Amira, Shaikh Masood Ali, She June, Shiri Rahman, Shiue Ivy, Sigfusdottir Inga Dora, Singh Jasvinder, Silpakit Naris, Smith Alison, Sreeramareddy Chandrashekhar, Stanaway Jeffrey D, Stein Dan J, Steiner Caitlyn, Sufiyan Muawiyyah Babale, Swaminathan Soumya, Tabarés-Seisdedos Rafael, Tabb Karen M, Tadese Fentaw, Tavakkoli Mohammad, Taye Bineyam, Teeple Stephanie, Tegegne Teketo Kassaw, Temam Shifa Girma, Terkawi Abdullah Sulieman, Thomas Bernadette, Thomson Alan J, Tobe-Gai Ruoyan, Tonelli Marcello, Tran Bach Xuan, Troeger Christopher, Ukwaja Kingsley N, Uthman Olalekan, Vasankari Tommi, Venketasubramanian Narayanaswamy, Vlassov Vasiliy Victorovich, Weiderpass Elisabete, Weintraub Robert, Gebrehiwot Solomon Weldemariam, Westerman Ronny, Williams Hywel C, Wolfe Charles D A, Woodbrook Rachel, Yano Yuichiro, Yonemoto Naohiro, Yoon Seok-Jun, Younis Mustafa Z, Yu Chuanhua, Zaki Maysaa El Sayed, Zegeye Elias Asfaw, Zuhlke Liesl Joanna, Murray Christopher J L, Vos Theo
СтатьяПеревод в очереди
Аннотация
IMPORTANCE
Comprehensive and timely monitoring of disease burden in all age groups, including children and adolescents, is essential for improving population health.
OBJECTIVE
To quantify and describe levels and trends of mortality and nonfatal health outcomes among children and adolescents from 1990 to 2015 to provide a framework for policy discussion.
EVIDENCE REVIEW: Cause-specific mortality and nonfatal health outcomes were analyzed for 195 countries and territories by age group, sex, and year from 1990 to 2015 using standardized approaches for data processing and statistical modeling, with subsequent analysis of the findings to describe levels and trends across geography and time among children and adolescents 19 years or younger. A composite indicator of income, education, and fertility was developed (Socio-demographic Index [SDI]) for each geographic unit and year, which evaluates the historical association between SDI and health loss.
FINDINGS: Global child and adolescent mortality decreased from 14.18 million (95% uncertainty interval [UI], 14.09 million to 14.28 million) deaths in 1990 to 7.26 million (95% UI, 7.14 million to 7.39 million) deaths in 2015, but progress has been unevenly distributed. Countries with a lower SDI had a larger proportion of mortality burden (75%) in 2015 than was the case in 1990 (61%). Most deaths in 2015 occurred in South Asia and sub-Saharan Africa. Global trends were driven by reductions in mortality owing to infectious, nutritional, and neonatal disorders, which in the aggregate led to a relative increase in the importance of noncommunicable diseases and injuries in explaining global disease burden. The absolute burden of disability in children and adolescents increased 4.3% (95% UI, 3.1%-5.6%) from 1990 to 2015, with much of the increase owing to population growth and improved survival for children and adolescents to older ages. Other than infectious conditions, many top causes of disability are associated with long-term sequelae of conditions present at birth (eg, neonatal disorders, congenital birth defects, and hemoglobinopathies) and complications of a variety of infections and nutritional deficiencies. Anemia, developmental intellectual disability, hearing loss, epilepsy, and vision loss are important contributors to childhood disability that can arise from multiple causes. Maternal and reproductive health remains a key cause of disease burden in adolescent females, especially in lower-SDI countries. In low-SDI countries, mortality is the primary driver of health loss for children and adolescents, whereas disability predominates in higher-SDI locations; the specific pattern of epidemiological transition varies across diseases and injuries.
CONCLUSIONS AND RELEVANCE: Consistent international attention and investment have led to sustained improvements in causes of health loss among children and adolescents in many countries, although progress has been uneven. The persistence of infectious diseases in some countries, coupled with ongoing epidemiologic transition to injuries and noncommunicable diseases, require all countries to carefully evaluate and implement appropriate strategies to maximize the health of their children and adolescents and for the international community to carefully consider which elements of child and adolescent health should be monitored.
Для цитирования: Global Burden of Disease Child and Adolescent Health Collaboration, Kassebaum Nicholas, Kyu Hmwe Hmwe, Zoeckler Leo, Olsen Helen Elizabeth, Thomas Katie, Pinho Christine, Bhutta Zulfiqar A, Dandona Lalit, Ferrari Alize, Ghiwot Tsegaye Tewelde, Hay Simon I, Kinfu Yohannes, Liang Xiaofeng, Lopez Alan, Malta Deborah Carvalho, Mokdad Ali H, Naghavi Mohsen, Patton George C, Salomon Joshua, Sartorius Benn, Topor-Madry Roman, Vollset Stein Emil, Werdecker Andrea, Whiteford Harvey A, Abate Kalkidan Hasen, Abbas Kaja, Damtew Solomon Abrha, Ahmed Muktar Beshir, Akseer Nadia, Al-Raddadi Rajaa, Alemayohu Mulubirhan Assefa, Altirkawi Khalid, Abajobir Amanuel Alemu, Amare Azmeraw T, Antonio Carl A T, Arnlov Johan, Artaman Al, Asayesh Hamid, Avokpaho Euripide Frinel G Arthur, Awasthi Ashish, Ayala Quintanilla Beatriz Paulina, Bacha Umar, Betsu Balem Demtsu, Barac Aleksandra, Bärnighausen Till Winfried, Baye Estifanos, Bedi Neeraj, Bensenor Isabela M, Berhane Adugnaw, Bernabe Eduardo, Bernal Oscar Alberto, Beyene Addisu Shunu, Biadgilign Sibhatu, Bikbov Boris, Boyce Cheryl Anne, Brazinova Alexandra, Hailu Gessessew Bugssa, Carter Austin, Castañeda-Orjuela Carlos A, Catalá-López Ferrán, Charlson Fiona J, Chitheer Abdulaal A, Choi Jee-Young Jasmine, Ciobanu Liliana G, Crump John, Dandona Rakhi, Dellavalle Robert P, Deribew Amare, deVeber Gabrielle, Dicker Daniel, Ding Eric L, Dubey Manisha, Endries Amanuel Yesuf, Erskine Holly E, Faraon Emerito Jose Aquino, Faro Andre, Farzadfar Farshad, Fernandes Joao C, Fijabi Daniel Obadare, Fitzmaurice Christina, Fleming Thomas D, Flor Luisa Sorio, Foreman Kyle J, Franklin Richard C, Fraser Maya S, Frostad Joseph J, Fullman Nancy, Gebregergs Gebremedhin Berhe, Gebru Alemseged Aregay, Geleijnse Johanna M, Gibney Katherine B, Gidey Yihdego Mahari, Ginawi Ibrahim Abdelmageem Mohamed, Gishu Melkamu Dedefo, Gizachew Tessema Assefa, Glaser Elizabeth, Gold Audra L, Goldberg Ellen, Gona Philimon, Goto Atsushi, Gugnani Harish Chander, Jiang Guohong, Gupta Rajeev, Tesfay Fisaha Haile, Hankey Graeme J, Havmoeller Rasmus, Hijar Martha, Horino Masako, Hosgood H Dean, Hu Guoqing, Jacobsen Kathryn H, Jakovljevic Mihajlo B, Jayaraman Sudha P, Jha Vivekanand, Jibat Tariku, Johnson Catherine O, Jonas Jost, Kasaeian Amir, Kawakami Norito, Keiyoro Peter N, Khalil Ibrahim, Khang Young-Ho, Khubchandani Jagdish, Ahmad Kiadaliri Aliasghar A, Kieling Christian, Kim Daniel, Kissoon Niranjan, Knibbs Luke D, Koyanagi Ai, Krohn Kristopher J, Kuate Defo Barthelemy, Kucuk Bicer Burcu, Kulikoff Rachel, Kumar G Anil, Lal Dharmesh Kumar, Lam Hilton Y, Larson Heidi J, Larsson Anders, Laryea Dennis Odai, Leung Janni, Lim Stephen S, Lo Loon-Tzian, Lo Warren D, Looker Katharine J, Lotufo Paulo A, Magdy Abd El Razek Hassan, Malekzadeh Reza, Markos Shifti Desalegn, Mazidi Mohsen, Meaney Peter A, Meles Kidanu Gebremariam, Memiah Peter, Mendoza Walter, Abera Mengistie Mubarek, Mengistu Gebremichael Welday, Mensah George A, Miller Ted R, Mock Charles, Mohammadi Alireza, Mohammed Shafiu, Monasta Lorenzo, Mueller Ulrich, Nagata Chie, Naheed Aliya, Nguyen Grant, Nguyen Quyen Le, Nsoesie Elaine, Oh In-Hwan, Okoro Anselm, Olusanya Jacob Olusegun, Olusanya Bolajoko O, Ortiz Alberto, Paudel Deepak, Pereira David M, Perico Norberto, Petzold Max, Phillips Michael Robert, Polanczyk Guilherme V, Pourmalek Farshad, Qorbani Mostafa, Rafay Anwar, Rahimi-Movaghar Vafa, Rahman Mahfuzar, Rai Rajesh Kumar, Ram Usha, Rankin Zane, Remuzzi Giuseppe, Renzaho Andre M N, Roba Hirbo Shore, Rojas-Rueda David, Ronfani Luca, Sagar Rajesh, Sanabria Juan Ramon, Kedir Mohammed Muktar Sano, Santos Itamar S, Satpathy Maheswar, Sawhney Monika, Schöttker Ben, Schwebel David C, Scott James G, Sepanlou Sadaf G, Shaheen Amira, Shaikh Masood Ali, She June, Shiri Rahman, Shiue Ivy, Sigfusdottir Inga Dora, Singh Jasvinder, Silpakit Naris, Smith Alison, Sreeramareddy Chandrashekhar, Stanaway Jeffrey D, Stein Dan J, Steiner Caitlyn, Sufiyan Muawiyyah Babale, Swaminathan Soumya, Tabarés-Seisdedos Rafael, Tabb Karen M, Tadese Fentaw, Tavakkoli Mohammad, Taye Bineyam, Teeple Stephanie, Tegegne Teketo Kassaw, Temam Shifa Girma, Terkawi Abdullah Sulieman, Thomas Bernadette, Thomson Alan J, Tobe-Gai Ruoyan, Tonelli Marcello, Tran Bach Xuan, Troeger Christopher, Ukwaja Kingsley N, Uthman Olalekan, Vasankari Tommi, Venketasubramanian Narayanaswamy, Vlassov Vasiliy Victorovich, Weiderpass Elisabete, Weintraub Robert, Gebrehiwot Solomon Weldemariam, Westerman Ronny, Williams Hywel C, Wolfe Charles D A, Woodbrook Rachel, Yano Yuichiro, Yonemoto Naohiro, Yoon Seok-Jun, Younis Mustafa Z, Yu Chuanhua, Zaki Maysaa El Sayed, Zegeye Elias Asfaw, Zuhlke Liesl Joanna, Murray Christopher J L, Vos Theo. Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study.. JAMA pediatrics. 2017. DOI: 10.1001/jamapediatrics.2017.0250.
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