妊活年齢の女性の病気の持続的負担と健康格差 配偶者暴力による病気の持続的負担と健康格差,1990-2021年
Yingda Song1,2,3, Juan Wang4, Jiaxuan Wang5
1Cardiac Center Department, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China.
Frontiers in psychiatry
|September 5, 2025
まとめ
妊娠可能な年齢の女性における親密なパートナーによる暴力 (IPV) の負担は1990年以降,世界的に減少しましたが,COVID-19の流行は,特にうつ病の増加を引き起こしました. IPV,特にHIV/AIDSに関連した健康格差は悪化しています.
科学分野:
- 世界保健
- 流行病学について
- 公衆衛生
背景:
- 親密なパートナーによる暴力 (IPV) は,世界的に大きな公衆衛生問題であり,出産年齢の女性 (WBCA) に不釣り合いな影響を及ぼしています.
- COVID-19 パンデミックは,IPVの世界的な負担を強めた.
- IPV負担の長期的傾向と不平等を理解することは,標的型介入にとって極めて重要です.
研究 の 目的:
- 1990年から2021年までのWBCAにおけるIPVの世界的な負担と健康格差を評価する.
- IPVによる死亡率と障害調整寿命 (DALYs) の傾向を分析する.
- IPVに関連した健康格差の変化を時間とともに調べる.
主な方法:
- 死亡率,DALY,ASMR,ASDRに関する2021年のグローバル・バード・オブ・ディジーズ (GBD) のデータを活用した.
- タイムトレンドを分析し,転換点を特定するためにジョインポイント回帰を使用しました.
- 健康格差を評価するために計算された不平等の斜率指数 (SII) と濃度指数.
主要な成果:
- 2021年,IPVはWBCAの中で44,661人の死亡と535万人のDALYを引き起こしました.
- IPVに起因するASDRはわずかな減少を示したが,うつ病により2019年に上昇し始めた.
- 健康上の不平等は,特に低・中所得国 (LMICs) とIPVに関連するHIV/AIDSにおいて悪化した.
結論:
- IPVの全体的な負担は1990年以降減少しているが,COVID-19の流行は,特に精神的健康への影響が懸念される増加をもたらした.
- 特にLMICでは健康格差が大きく悪化しています.
- 予防可能なIPVの負担に対処し,健康への影響を軽減するために,世界的な努力が必要です.
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