2000年至2015年非洲儿童成长不良情况的绘制
Aaron Osgood-Zimmerman1, Anoushka I Millear1, Rebecca W Stubbs1
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington 98121, USA.
Nature
|March 2, 2018
概括
儿童发育不良,包括发育迟缓和体重不足,在非洲有所改善,但区域差异仍然很大. 目前的进展可能无法实现2030年营养不良目标,强调需要有针对性的干预措施.
科学领域:
- 全球健康
- 儿童营养
- 公共卫生流行病学
背景情况:
- 儿童发育不良 (衰老,减肥,体重不足) 与不良健康结果和死亡率有关.
- 在2000年至2015年期间,大多数非洲国家都观察到儿童成长的改善.
- 非洲的儿童成长趋势和水平仍然存在很大区域差异.
研究的目的:
- 分析非洲各地儿童成长失败的趋势.
- 预计到2025年实现母亲,婴儿和幼儿营养目标以及2030年实现营养不良的可持续发展目标.
- 突出地理空间估计对公共卫生干预的有用性.
主要方法:
- 使用地理空间建模来估计儿童成长失败 (衰老,消耗,体重不足) 在地方层面.
- 分析了2000年至2015年的趋势.
- 根据目前的改善速度预测未来的进展.
主要成果:
- 虽然许多非洲地区在实现2025年营养目标方面取得了进展,但萨赫勒地区的高增长率可能会持续下去.
- 在目前的速度下, 非洲大陆预计将无法实现2030年可持续发展目标,
- 发现了增长失败水平和趋势的显著区域差异.
结论:
- 地理空间估计对于建立基线和指导有针对性的公共卫生干预至关重要.
- 为了加快进步,需要解决差距,并专注于需要帮助的人群.
- 为了在2030年之前实现大陆和全球营养不良减少的目标,需要采取紧急,量身定制的战略.
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