与哥伦比亚武装冲突相关的过度儿童死亡率,1998-2019年
Caitlin A Moe1,2,3,4, Andrés Villaveces5, Pablo Montoya2,6
1Department of Epidemiology, University of Washington, Seattle.
JAMA network open
|April 26, 2024
概括
哥伦比亚的武装冲突在1998年至2019年期间显著增加了儿童和婴儿死亡率. 这项研究强调了冲突对年轻人的毁灭性影响,敦促采取政策行动.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 冲突研究 冲突研究
背景情况:
- 武装冲突通过基础设施损坏,资源转移,流离失所和社会经济不安全造成了显著的疾病和死亡率.
- 自20世纪40年代以来,哥伦比亚经历了一场独特的长期和地理动态的武装冲突.
研究的目的:
- 估计与1998年至2019年哥伦比亚武装冲突暴露相关的婴儿和儿童死亡率的比例.
- 量化冲突导致的5岁以下儿童和婴儿死亡风险过高.
主要方法:
- 一项生态队列研究分析了1998年至2019年期间来自哥伦比亚所有1122个城市的数据.
- 武装冲突暴露被定义为由哥伦比亚国家历史记忆中心报告的冲突相关事件的发生.
- 婴儿和儿童死亡率数据是从哥伦比亚国家生命统计数据中获得的,与市政出生有关.
主要成果:
- 城市接触武装冲突与5岁以下儿童死亡风险增加52% (RR,1.52) 和婴儿死亡风险增加61% (RR,1.61) 相关.
- 这意味着每年每1000个新生儿就有3.7个多余的婴儿死亡和3.0个多余的婴儿死亡.
- 人口可归因风险很大,在研究期间,31.7%的儿童死亡和35.3%的婴儿死亡与武装冲突有关.
结论:
- 哥伦比亚武装冲突的城市暴露与过多的儿童和婴儿死亡有关.
- 政策制定者和卫生专业人员必须认识到武装冲突对儿童健康构成的重大威胁.
- 鉴于越来越多的儿童生活在活跃的冲突地区,这些发现至关重要.
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