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从1990年到2019年,在气候变化中的高温造成的非传染性疾病负担:全球分析
Jin-Dan Zhang1, Xiao-Fen Cheng1, Shu-Hui Min1
1School of Health Management, Southern Medical University, Guangzhou, 510515, China.
BMC public health
|September 11, 2024
概括
全球高温越来越多地与非传染性疾病 (NCD) 相关,南亚和北非的负担很大. 弱势群体,包括男性和老年人,面临更高的风险,需要有针对性的预防策略.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 气候变化影响 气候变化影响
背景情况:
- 全球气候变化提高了环境温度,造成了严重的健康风险.
- 非传染性疾病 (NCD) 越来越令人担忧,它们与高温的联系需要进行系统的调查.
- 了解归因于热量的非传染性疾病负担的时空模式对于公共卫生至关重要.
研究的目的:
- 分析因环境温度高而导致的NCDs的全球负担.
- 确定脆弱的地理区域和人口.
- 描述这种健康负担的详细时空模式.
主要方法:
- 从全球疾病负担 (GBD) 研究 (2019) 中利用了1990-2019年期间的数据.
- 分析了时间和空间模式,按地区,性别和社会人口指数 (SDI) 分层.
- 采用年龄周期队列 (APC) 模型来评估年龄,时期和队列对非传染性疾病死亡率的影响.
主要成果:
- 2019年,全球约有15万例死亡和340万残疾调整寿命年 (DALYs) 归因于高温相关的非传染性疾病.
- 这种负担集中在南亚和北非/中东地区,男性患病率更高.
- 从1990年到2019年,全球负担的显著上升趋势被观察到 (ASMR的EAPC: 3.66,ASDR: 3.68),心血管疾病是主要的贡献者.
结论:
- 与高温相关的非传染性疾病的全球负担正在增加.
- 男人,老年人,欠发达地区和热带气候被确定为特别脆弱的地区.
- 加强监测和有针对性的预防措施对于高风险地区和人群至关重要.
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