全球贫困人口的疾病负担
D R Gwatkin1, M Guillot, P Heuveline
1International Health Policy Program and The World Bank, Washington, DC 20433, USA.
Lancet (London, England)
|September 2, 1999
概括
全球卫生估计往往忽略了穷人. 这项研究表明,虽然减少传染病对最贫穷的人群有益,但非传染病的减少可能会扩大贫富健康差距.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 全球疾病负担的估计往往不准确地反映出世界上最贫困人口的状况.
- 非传染性疾病在老龄化人口中越来越重要,而传染性疾病仍然是穷人的主要担忧.
研究的目的:
- 估计全球人口中最贫穷的20%的疾病负担,与最富有的20%相比.
- 在不同的疾病下降情景下,预测这些群体的死亡率和预期寿命的变化.
主要方法:
- 利用一项著名的全球疾病负担研究的方法来估计1990年的死亡和残疾调整寿命年 (DALYs).
- 根据各种传染性和非传染性疾病下降的各种假设,2020年最贫穷和最富有的20%的预计死亡率下降.
主要成果:
- 1990年,传染病在最贫困20%的人群中占死亡和残疾的59%,而在最富裕20%的人群中,非传染病占85%.
- 减少传染病将显著增加最贫困人口的预期寿命,缩小健康差距.
- 然而,非传染性疾病的更快下降将不成比例地使最富有的人受益,可能会扩大健康差距.
结论:
- 目前的全球平均疾病负担估计不足以了解世界穷人的健康挑战.
- 这些发现凸显了考虑到社会经济差异的有针对性的卫生干预措施的必要性.
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