哈萨克斯坦和蒙古的结核病负担趋势和差异 (2017-2021):使用GBD指标进行比较分析
Oyunzul Amartsengel1, Malika Idayat2, Alexander Rommel3
1Department of Health Policy, Mongolian National University of Medical Science, Ulaanbaatar, Mongolia.
Frontiers in public health
|May 30, 2025
概括
2017-2021年期间,哈萨克斯坦和蒙古的结核病 (TB) 负担显著下降,生命损失和残疾年数显著减少. 蒙古在减少结核病死亡率和发病率方面仍然面临挑战,需要有针对性的干预措施.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 是中亚的主要传染病,对个人和卫生系统造成重大负担.
- 结核病对全球的发病率和死亡率做出了重大贡献,每年导致超过一百万人的死亡.
- 评估结核病的影响对于了解全球卫生挑战至关重要.
研究的目的:
- 评估蒙古和哈萨克斯坦结核病 (TB) 负担的模式和变化.
- 利用全球疾病负担 (GBD) 框架分析结核病相关死亡率和发病率的趋势.
主要方法:
- 采用了回顾性横截面研究设计.
- 全球疾病负担 (GBD) 框架,利用残疾调整寿命年 (DALY),用于衡量疾病负担.
- 分析了2017年至2021年间蒙古和哈萨克斯坦国家结核病登记数据.
主要成果:
- 哈萨克斯坦从2017年到2021年,失去了生命年数 (YLL) 减少了18.2%,残疾生活年数 (YLD) 减少了36%.
- 在同一时期,蒙古的YLL下降了24.9%,YLD下降了39.4%.
- 这两个国家都显示出结核病总体负担的显著降低,由下降的DALY,YLL和YLD率表明.
结论:
- 结核病控制工作在哈萨克斯坦和蒙古取得了积极成果,疾病负担大幅减少.
- 蒙古在减少与结核病相关的死亡率和发病率方面面临着持续的挑战,特别是在老年男性中,需要有针对性的干预措施.
- 维持结核病控制需要解决医疗保健公平问题,改善获得服务的机会,并了解区域差异.
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