孕产妇和新生儿疾病的全球负担和不平等:基于2019年全球疾病负担研究的数据
1Clinical Medical College & Affiliated Hospital of Chengdu University, Chengdu, Sichuan, 610081, China.
QJM : monthly journal of the Association of Physicians
|September 29, 2023
概括
孕产妇和新生儿疾病导致全球显著的健康损失,持续的社会经济不平等. 尽管减少了,但负担仍然很高,这表明需要有针对性的卫生政策来解决差异.
科学领域:
- 全球健康 全球健康
- 卫生政策 卫生政策
- 流行病学 流行病学
背景情况:
- 孕产妇和新生儿疾病是全球主要的健康负担,特别影响生命早期阶段.
- 健康不平等可能会加剧这些疾病的影响.
研究的目的:
- 分析母亲和新生儿疾病的社会经济相关不平等.
- 为改善解决这些不平等问题的卫生政策提供证据.
主要方法:
- 基于人口的横截面研究,利用2019年全球疾病负担数据.
- 对发生率,患病率,死亡率和根据残疾调整的寿命年 (DALYs) 的年龄标准化率 (ASRs) 的分析,从1990-2019年.
- 应用度曲线和指数来评估社会经济不平等.
主要成果:
- 发生率,流行率,死亡和DALYs的孕产妇疾病ASR显著减少,并在1990-2019年期间保持有利于贫困人口.
- 新生儿疾病ASRs的发病率,死亡率和DALYs也仍然有利于穷人.
- 新生儿疾病发病率的社会经济公平正显示出平衡的迹象.
结论:
- 全球对孕产妇和新生儿疾病的负担仍然很大.
- 在这些疾病中,社会经济不平等在1990年至2019年期间基本保持稳定 (有利于穷人).
- 有证据表明,持续存在的差异需要在卫生政策中引起注意.
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