巴西儿童慢性病死亡率 - 一个时间趋势分析
Arnauld Kaufman1, André L Barreira2, Marcelo G P Land3
1Pediatric Nephrology Service, Childcare and Pediatrics Institute Martagão Gesteira and Clinical Medicine Graduate Medical Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
PLOS global public health
|January 24, 2024
概括
巴西的慢性病死亡率在1岁以下的婴儿中增加,与人类发展指数呈正相关. 在年龄较大的儿童 (5-19岁) 中,死亡率下降,显示出与HDI的反向关系.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 是一个日益严重的全球健康问题,特别是在像巴西这样的低收入和中等收入国家缺乏研究.
- 定义CKD涉及脏异常或膜过率 (GFR) 低于60毫升/分钟/1.73平方米超过3个月.
研究的目的:
- 为了确定巴西0-19岁的儿科CKD患者 (CKDMR) 的特定原因死亡率.
- 分析人类发展指数 (HDI) 对巴西及其地区儿科CKDMR的影响.
主要方法:
- 使用了来自DATASUS (1996-2017) 的数据,用于8,838例儿科CKD死亡.
- 用于平均年均百分比变化 (AAPC) 的就业联点回归和用于HDI相关性分析的ARIMA模型.
主要成果:
- 观察到婴儿 (<1岁) 的AAPC显著增加,5-19岁儿童的AAPC显著减少.
- 在婴儿 (<1岁) 中发现CKDMR和HDI之间的正相关性.
- 在5-19岁儿童中确定了CKDMR和HDI之间的负相关性.
结论:
- 在巴西,儿童慢性瘤死亡率趋势因年龄组而异.
- 社会经济发展 (HDI) 和儿科慢性病死亡率之间的关系是复杂的,并且取决于年龄.
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