中东和北非的自我伤害和人际暴力:三十年的流行病学分析
Amir Human Hoveidaei1,2, Mohammed Ghafouri2, Maryam Selk-Ghaffari2
1Research Center for War-Affected People, Tehran University of Medical Sciences, Tehran, Iran hoveidaei.a.h@gmail.com.
概括
自我伤害和人际暴力 (SH/IPV) 率在中东和北非 (MENA) 从1990-2021显著增加. 较高的社会人口统计指数与较低的SH/IPV负担相关,表明需要有针对性的公共卫生干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 自伤和人际暴力 (SH/IPV) 是中东和北非 (MENA) 的重大公共卫生挑战.
- 缺乏对MENA地区SH/IPV负担的全面评估.
- 本研究利用全球疾病负担 (GBD) 数据来解决这一差距.
研究的目的:
- 调查从1990年到2021年在MENA地区的SH/IPV的年龄标准化发病率 (ASIR),年龄标准化死亡率 (ASMR) 和年龄标准化残疾调整寿命年率 (DALY) (ASDR) 的趋势.
- 检查社会人口统计指数 (SDI) 与ASDR之间的关联,可归因于MENA地区的SH/IPV.
主要方法:
- 利用的全球疾病负担 (GBD) 研究数据从1990年到2021年.
- 对SH/IPV的ASIR,ASMR和ASDR的评估趋势.
- 使用本地估计的分散图平滑回归来分析SDI和ASDR之间的关系.
主要成果:
- 在MENA地区,SH/IPV比率显著增加:ASIR增长78%,ASMR增长34%,ASDR增长34%.
- 阿富汗报告了最高的ASDR;也门经历了最大的增长 (614%).
- 冲突和恐怖主义在2021年对ASDR做出了重大贡献;较高的SDI与ASDR相反相关.
结论:
- 在MENA地区,SH/IPV的负担不断增加是一个严重的问题.
- 社会政治和经济因素被确定为SH/IPV趋势的关键驱动因素.
- 有针对性的公共卫生战略对于缓解MENA地区的SH/IPV至关重要.
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