概括
儿童成长障碍 (CGF) 影响全球数以百万计的儿童,并对他们的认知和经济产生重大影响. 这项研究绘制了105个国家的CGF流行情况,确定了指导当地干预和资源分配的高需求区域.
科学领域:
- 全球健康
- 营养流行病学
- 地理空间分析
背景情况:
- 儿童营养不良,特别是儿童生长不良 (CGF),包括发育迟缓,衰减和体重不足,是全球主要的健康问题,与严重的长期发展和经济后果有关.
- 现有的地方CGF数据通常仅限于第一级行政部门,阻碍了地方范围内的有针对性的公共卫生干预.
- 世界卫生组织为减少CGF设定了雄心勃勃的目标,
研究的目的:
- 提供2000年至2017年CGF指标的首次高空间分辨率映射估计 (衰退,浪费,体重不足).
- 在105个低收入和中等收入国家 (LMICs) 评估CGF的流行和趋势.
- 确定CGF的地理差异,并强调负担最大的地区,以告知本地公共卫生战略.
主要方法:
- 使用地理空间绘图技术以高空间分辨率估计CGF指标.
- 105个LMIC的政策相关的行政层次 (第一和第二层) 和国家层面的综合数据.
- 分析了2000年至2017年的CGF患病率和趋势,并与世卫组织的生长参考标准进行比较.
主要成果:
- 尽管在研究期间CGF的流行总体下降,但许多LMIC仍然远离WHO的全球营养目标.
- 在CGF流行和进展方面,各国之间和国内均存在显著差异.
- 高分辨率地图确切地显示了高发病率的特定地区,即使在显示CGF总体减少的国家内也是如此.
结论:
- 对CGF的地理空间估计对于了解局部负担和规划有效的,适应当地干预措施至关重要.
- 这些发现强调需要有针对性的资源分配,以解决持续高需求的人群,并减少CGF对健康的影响.
- 这些地图对于政策制定者来说是一个至关重要的工具, 能有效地引导努力实现全球营养目标.
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