2021年GBD视角:COVID-19对腹死亡率和病因趋势的影响,1990-2021年
Shaowei Sang1, Yuanhui Qiu2, Chen Liu3
1Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Frontiers in cellular and infection microbiology
|December 5, 2025
概括
在COVID-19期间,腹疾病死亡人数在全球范围内有所下降,70岁以上的成年人出现了加快的减少. 需要有针对性的战略来解决儿科和老年病患的负担,并实现公平的控制.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 腹疾病是全球主要的死亡原因之一,特别是在5岁以下的儿童中.
- COVID-19 疫情影响了医疗保健和干预措施,需要了解不断变化的腹疾病负担.
- 评估流行病期间的趋势对于制定有效的流行病后控制战略至关重要.
研究的目的:
- 从1990年到2021年,分析全球腹相关死亡和年龄标准化死亡率 (ASDR) 的趋势.
- 评估COVID-19大流行对腹疾病死亡率的影响.
- 识别高风险人群,地理热点和主要病原体.
主要方法:
- 利用2021年全球疾病负担研究对204个国家 (1990-2021) 的数据.
- 计算估计的年度百分比变化 (EAPC),以评估时间趋势.
- 按年龄,性别,社会人口指数 (SDI) 和13种主要腹病原体进行分层分析.
主要成果:
- 全球腹死亡人数从2019年的126万下降到2021年的117万,在疫情期间减少的速度更快.
- 70岁以上的成年人成为风险最高的群体,超过了5岁以下的儿童.
- 罗塔病毒和诺罗病毒是主要的病原体,SDI和地区有很大的差异;东亚在大流行期间出现了越来越多的ASDR.
结论:
- 在COVID-19期间加速降低死亡率突出显示了儿科和老年腹的双重负担.
- 扩大疫苗接种,适应SDI的WASH干预措施和加强监测是必不可少的.
- 应对不断变化的流行病情景是实现公平控制腹疾病的关键.
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