缺乏的负担 缺乏的负担
Zhifei Wu1, Yu Liu1, Wenjuan Wang2
1Department of Pediatrics, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Archives of medical science : AMS
|December 9, 2024
概括
1990年至2019年间,全球缺乏率有所下降,但东亚和南亚国家如菲律宾,巴基斯坦和尼泊尔的缺乏率有所增加. 针对性干预对于这些地区来说至关重要,以解决缺问题.
科学领域:
- 全球健康 全球健康
- 营养流行病学 营养流行病学
- 公共卫生 公共卫生
背景情况:
- 缺乏仍然是一个重大的全球健康问题,但缺乏全面的全球负担评估.
- 了解缺乏的地理差异对于有效的公共卫生战略至关重要.
研究的目的:
- 从1990年到2019年量化缺乏的全球负担.
- 分析缺乏发生率和因残疾而调整的寿命年 (DALYs) 的地理差异.
主要方法:
- 利用了全球疾病,伤害和风险因素负担研究2019的方法.
- 计算出发病率和DALY率的估计年百分比变化 (EAPC).
- 分析了根据社会人口指数 (SDI) 地区,特定国家,性别和年龄组的数据.
主要成果:
- 从1990年到2019年,缺乏的全球年龄标准化发病率 (ASI) 和DALY率下降 (EAPC分别为-0.44和-1.35).
- 低和低中等SDI的地区呈现出更高的ASI和DALY率.
- 东亚地区的ASI增幅最大,菲律宾,巴基斯坦和尼泊尔的国家增幅最大.
结论:
- 尽管全球水平下降,但缺乏负担在区域和国家范围内显著增加,特别是在东亚和南亚部分地区.
- 菲律宾,巴基斯坦和尼泊尔迫切需要有针对性的公共卫生干预措施,以应对日益严重的缺乏症.
- 缺乏症不成比例地影响女性和20-24岁年龄组的峰值,为特定的干预策略提供信息.
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