影响全球实现2015年至2020年间消除结核病目标的全球进展的卫生系统和环境因素
Haileab Fekadu Wolde1,2,3, Archie Ca Clements4, Kefyalew Addis Alene1,2
1School of Population Health, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
Journal of global health
|January 10, 2025
概括
在2015-2020年间,全球消除结核病 (TB) 的进展有显著差异. 加强卫生系统和解决空气质量等环境因素对于实现世界卫生组织 (WHO) 结核病目标至关重要.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 卫生系统和环境因素对实现世界卫生组织 (WHO) 消除结核病 (TB) 的目标有重大影响.
- 关于进展和促成因素的量化全球数据仍然很少.
研究的目的:
- 测量2015年至2020年之间实现全球终结结核病里程碑的进展情况.
- 确定与结核病发病率和死亡率降低相关的关键卫生系统和环境因素.
主要方法:
- 利用了来自十个在线存储库的数据.
- 采用主要组件分析来衡量卫生系统绩效.
- 应用了雷达图,子图和线性回归来分析进展和预测因素.
主要成果:
- 各国和世卫组织地区的结核病发病率和死亡率下降的显著差异.
- 只有39.3%的国家实现了>20%的结核病发病率降低;16.2%实现了>35%的结核病死亡率降低.
- 卫生系统因素 (融资,服务提供,获得药物,治理) 和环境因素 (温度,空气污染) 显著影响了结核病的减少.
结论:
- 软弱的卫生系统是高负担国家的主要障碍.
- 优先考虑加强卫生系统,特别是在结核病融资和药物获取方面是必不可少的.
- 遵守世卫组织空气质量指南和减少温室气体排放对于减轻环境影响至关重要.
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