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年轻人死亡的全球模式:对人口健康数据的系统分析
George C Patton1, Carolyn Coffey, Susan M Sawyer
1Centre for Adolescent Health and Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia. george.patton@rch.org.au
Lancet (London, England)
|September 15, 2009
概括
在全球范围内,交通事故,暴力和自杀等伤害导致超过40%的10-24岁年轻人死亡. 目前针对艾滋病毒/艾滋病和产妇死亡率的青少年健康政策不足以应对这种伤害负担.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 青春期和年轻成年期是健康状况发生重大变化的时期.
- 在这些生命阶段的全球死亡率模式尚未得到广泛研究.
- 这项研究分析了全球早期青少年和年轻成年人死亡率的趋势.
研究的目的:
- 调查10-24岁年龄段个体的全球死亡率和死亡模式.
- 确定不同地区,不同收入水平和不同年龄段的性别死亡的主要原因.
- 通过突出关键的死亡率驱动因素,为青少年健康政策提供信息.
主要方法:
- 利用了2004年全球疾病负担研究和2006年世界卫生报告的死亡率估计数据.
- 对人类免疫缺陷病毒/获得免疫缺陷综合征 (HIV/AIDS),战争和自然灾害的调整后的死亡数据.
- 分析了10-14岁,15-19岁和20-24岁年龄组的死亡率,根据世卫组织地区,收入状况和病因,使用生命登记,样本登记,口头尸检和疾病监测数据.
主要成果:
- 2004年,在10-24岁年龄组发生了260万例死亡,主要发生在低收入和中等收入国家 (97%).
- 死亡率从早期青春期到年轻成年期显著增加,区域和性别特定的差异.
- 死亡的主要原因包括交通事故 (14%的男性死亡),暴力 (12%的男性死亡),自杀 (6%的死亡),孕产妇 (15%的女性死亡),艾滋病毒/艾滋病和结核病.
结论:
- 目前全球青少年健康优先事项,重点关注艾滋病毒/艾滋病和产妇死亡率,是不够的.
- 在这个年龄组中,五分之二以上的死亡是由于故意和无意的伤害造成的.
- 青少年健康政策必须扩大其范围,以有效预防受伤死亡率.
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