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科学领域:

  • 流行病学
  • 公共卫生
  • 传染性疾病

背景情况:

  • 病毒性肝炎对全球健康构成重大挑战.
  • 疫苗和治疗的最新进展需要更新负担评估.
  • 了解疾病负担对于有效的全球干预战略至关重要.

研究的目的:

  • 估计全球病毒性肝炎的发病率和死亡率.
  • 从1990年到2013年分析病毒性肝炎,肝硬化和肝癌的趋势.
  • 用最新的疾病负担数据为公共卫生战略提供信息.

主要方法:

  • 利用全球疾病负担研究 (GBD) 的数据.
  • 通过自然史和死亡原因组合模型估计的死亡率.
  • 使用失去了生命年 (YLLs) 和残疾生活年 (YLDs) 计算的残疾调整寿命年 (DALYs).

主要成果:

  • 在1990年至2013年期间,全球病毒性肝炎死亡人数从0.89人增加到145万人.
  • 在同一时期,总DALY从3170万增加到4250万.
  • 病毒性肝炎在2013年升至全球第七大死亡原因.

结论:

  • 病毒性肝炎是全球死亡和残疾的主要原因.
  • 不同于大多数传染病,
  • 有效的干预措施是可能的,因为有疫苗和治疗方法.