自伤和人际暴力由于高温的全球疾病负担研究2019:一个30年的评估
1Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China.
Environmental research
|December 11, 2023
概括
从1990年到2019年,与自伤和暴力有关的高温导致的全球死亡和DALY增加了. 尽管如此,年龄标准化率下降,特别是在低收入地区,这表明了与热量相关的健康负担的复杂趋势.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 气候变化影响 气候变化影响
背景情况:
- 对与高温相关的自我伤害和人际暴力的全球负担的理解有限.
- 人们越来越担心气候变化和全球变暖对健康的影响.
研究的目的:
- 系统地评估从1990年到2019年的高温造成的自我伤害和人际暴力的全球和区域负担.
- 分析不同气候区和社会人口因素的趋势.
主要方法:
- 利用了来自2019年全球疾病负担研究 (GBD) 的数据,用于死亡,残疾调整寿命年 (DALYs) 和年龄标准化率 (ASMR,ASDR).
- 分析了按年龄,性别,气候区,社会人口指数 (SDI) 和医疗保健获取和质量指数 (HAQ) 的负担.
- 使用Joinpoint模型计算了1990-2019年的年平均百分比变化 (AAPC).
主要成果:
- 全球死亡和DALY从1990年的20002和1107216增加到2019年的26459和1382487分别.
- 年龄标准化死亡率和DALY率呈现下降趋势 (-13.36%和-12.66%).
- 在低/低中等SDI地区,特别是热带/亚热带地区观察到高和下降的ASMR;SDI和HAQ与ASMR负相关.
结论:
- 由于高温导致的自我伤害和人际暴力的全球负担在率方面有所下降,但在过去30年中绝对数量上升.
- 由于气候变化,热应激仍然是全球自我伤害和人际暴力的重要风险因素.
- 不平等存在,低收入地区面临更高的负担,尽管利率下降.
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