关于儿童疾病负担的政策相关信息缺口:系统性审查
Igor Rudan1, Joy Lawn, Simon Cousens
1Department of Community Health Sciences, University of Edinburgh Medical School, Edinburgh, UK.
Lancet (London, England)
|June 14, 2005
概括
关于儿童死亡率和发病率的可靠数据对于全球卫生政策至关重要. 然而,研究在低收入国家很少,研究趋势正在下降,阻碍了有效的儿童健康战略.
科学领域:
- 全球健康 全球健康
- 儿童健康研究 儿童健康研究
- 流行病学 流行病学
背景情况:
- 准确的儿童死亡率和发病率数据对于有效的国家和国际卫生政策至关重要.
- 本系统性审查审查了儿童健康信息的出版趋势和地理分布.
- 该研究还评估了数据可用性与贫困之间的联系.
研究的目的:
- 调查关于儿童健康的出版物的地理分布和时间趋势.
- 评估可靠的儿童健康数据的可用性与贫困之间的联系.
- 识别儿童疾病负担研究中的差距.
主要方法:
- 系统审查自1980年以来发表的研究,重点关注儿童发病率和死亡率的主要原因.
- 使用纳入标准来选择提供儿童疾病负担公正估计的研究.
- 考虑了截至2001年1月1日的数据.
主要成果:
- 在超过17,000篇论文中,只有308篇提供了对儿童疾病负担的公正估计.
- 地理分布显示了经过充分研究的小群体,在其他地方存在很大的信息差距.
- 没有从世界上许多最贫穷的国家找到可靠的数据,这些国家对儿童死亡有很大贡献.
结论:
- 在较不发达国家,对儿童疾病负担的基于人口的研究很少.
- 新研究的下降趋势表明研究投资减少.
- 迫切需要指导方针和国际研究政策,以确保儿童健康研究的全球公平和覆盖.
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