谦卑在科学传播中至关重要:从联合国关于儿童死亡率估计的最新报告中可以吸取教训
Daniel D Reidpath1,2, Brian Wahl3,4, Nina Schwalbe5,4,6
1Institute for Global Health and Development, Queen Margaret University, Edinburgh, Scotland, UK. dreidpath@qmu.ac.uk.
Global health research and policy
|November 7, 2025
概括
全球儿童死亡率已降至每年不到500万例,这是一个重要的里程碑. 然而,联合国的预测依赖于有限的数据,可能无法完全捕捉大流行影响或疫苗接种率下降.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 联合国报告说,全球儿童死亡率的历史性下降,在2022年,五岁以下的死亡人数下降到500万以下.
- 这一公告虽然是积极的,但对儿童存活率呈现了一个可能过于简单的画面.
研究的目的:
- 批判性地评估联合国儿童死亡率预测背后的方法和数据限制.
- 突出报告里程碑中的不确定性和潜在的不准确性.
主要方法:
- 对联合国预测方法的分析,重点是依赖模拟估计与实证数据.
- 评估模型对最近的全球事件,如COVID-19流行病的能力.
- 预测数据与相关指标比较,例如疫苗接种率.
主要成果:
- 联合国2022年儿童死亡率估计仅基于5%的实际国家数据,其余部分是建模的.
- 投影模型没有充分解决COVID-19大流行引起的时间不连续性.
- 这些估计似乎与观察到的疫苗接种率下降趋势不一致.
结论:
- 在传达围绕全球卫生统计数据的不确定性时,需要更大的透明度和谦逊.
- 强有力的经验基础的估计对于有效的全球卫生政策和干预措施至关重要.
- 联合国应该优先考虑清晰的,基于证据的沟通,同时承认方法的局限性.
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