Diseases, Injuries, and Risk Factors in Child and Adolescent Health, 1990 to 2017: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study.

Autor:	Reiner RC Jr; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Olsen HE; Institute for Health Metrics and Evaluation, Seattle, Washington., Ikeda CT; Institute for Health Metrics and Evaluation, Seattle, Washington., Echko MM; Institute for Health Metrics and Evaluation, Seattle, Washington., Ballestreros KE; Institute for Health Metrics and Evaluation, Seattle, Washington., Manguerra H; Institute for Health Metrics and Evaluation, Seattle, Washington., Martopullo I; Institute for Health Metrics and Evaluation, Seattle, Washington., Millear A; Institute for Health Metrics and Evaluation, Seattle, Washington., Shields C; Institute for Health Metrics and Evaluation, Seattle, Washington., Smith A; Institute for Health Metrics and Evaluation, Seattle, Washington., Strub B; Institute for Health Metrics and Evaluation, Seattle, Washington., Abebe M; Department of Clinical Chemistry, University of Gondar, Gondar, Ethiopia., Abebe Z; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia., Adhena BM; School of Public Health, Mekelle University, Tigray, Ethiopia., Adhikari TB; Nepal Health Research Environment, Center for Social Science and Public Health Research Nepal, Lalitpur, Nepal.; Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark., Akibu M; Department of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia., Al-Raddadi RM; Department of Family and Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alvis-Guzman N; Research Group on Health Economics, University of Cartagena, Cartagena, Colombia.; Research Group on Hospital Management and Health Policies, University of the Coast, Barranquilla, Colombia., Antonio CAT; Department of Health Policy and Administration, University of the Philippines Manila, Manila, Philippines.; Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong., Aremu O; School of Health Sciences, Birmingham City University, Birmingham, United Kingdom., Asgedom SW; School of Pharmacy, Mekelle University, Mekelle, Ethiopia., Asseffa NA; School of Public Health, Wolaita Sodo University, Wolaita Dofo, Ethiopia., Avila-Burgos L; Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico., Barac A; Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Bärnighausen TW; Institute of Public Health, Heidelberg University, Heidelberg, Germany.; Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Bassat Q; Barcelona Institute for Global Health, Barcelona, Spain.; Catalan Institution for Research and Advanced Studies, Manhiça Health Research Center, Manhiça, Mozambique., Bensenor IM; Department of Internal Medicine, University of São Paulo, São Paulo, Brazil., Bhutta ZA; The Centre for Global Child Health, University of Toronto, Toronto, Canada.; Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan., Bijani A; Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran., Bililign N; Woldia University, Woldia, Ethiopia., Cahuana-Hurtado L; Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico., Malta DC; Department of Maternal and Child Nursing and Public Health, Federal University of Minas Gerais, Minas Gerais, Brazil., Chang JC; College of Medicine, National Taiwan University, Taipei, Taiwan., Charlson FJ; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.; Department of Global Health, University of Washington, Seattle., Dharmaratne SD; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Community Medicine, University of Peradeniya, Peradeniya, Sri Lanka., Doku DT; Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.; Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland., Edessa D; School of Pharmacy, Haramaya University, Harar, Ethiopia., El-Khatib Z; Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden., Erskine HE; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.; Queensland Centre for Mental Health Research, Brisbane, Queensland, Australia., Ferrari AJ; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.; Queensland Centre for Mental Health Research, Brisbane, Queensland, Australia., Fullman N; Institute for Health Metrics and Evaluation, Seattle, Washington., Gupta R; West Virginia Bureau for Public Health, Charleston, West Virginia.; Department of Health Policy, Management, and Leadership, West Virginia University, Morgantown., Hassen HY; Public Health Department, Mizan-Tepi University, Teppi, Ethiopia.; Unit of Epidemiology and Social Medicine, University Hospital Antwerp, Antwerp, Belgium., Hay SI; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Ilesanmi OS; Department of Public Health and Community Medicine, University of Liberia, Monrovia, Liberia., Jacobsen KH; Department of Global and Community Health, George Mason University, Fairfax, Virginia., Kahsay A; Department of Nutrition and Dietetics, Mekelle University, Tigray, Ethiopia., Kasaeian A; Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Hematologic Malignancies Research Center, Tehran University of Medical Sciences, Tehran, Iran., Kassa TD; Clinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia., Kebede S; Midwifery Program, Salale University, Fiche, Ethiopia., Khader YS; Department of Public Health and Community Medicine, Jordan University of Science and Technology, Ramtha, Jordan., Khan EA; Department of Epidemiology and Biostatistics, Health Services Academy, Islamabad, Pakistan., Khan MN; School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.; Department of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh., Khang YH; Department of Health Policy and Management, Seoul National University, Seoul, South Korea.; Institute of Health Policy and Management, Seoul National University, Seoul, South Korea., Khubchandani J; Department of Nutrition and Health Science, Ball State University, Muncie, Indiana., Kinfu Y; Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.; Murdoch Childrens Research Institute, Melbourne, Victoria, Australia., Kochhar S; Department of Global Health, University of Washington, Seattle.; Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands., Kokubo Y; Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan., Koyanagi A; Research and Development Unit, San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Barcelona., Defo BK; Department of Demography, University of Montreal, Montreal, Quebec, Canada.; Department of Social and Preventive Medicine, University of Montreal, Montreal, Quebec, Canada., Lal DK; Public Health Foundation of India, Gurugram, India., Kumsa FA; Center for Midwifery, Child, and Family Health, University of Technology Sydney, Sydney, New South Wales, Australia.; School of Public Health, Haramaya University, Harar, Ethiopia., Larson HJ; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom., Leung J; Center for Youth Substance Abuse Research, The University of Queensland, St Lucia, Queensland, Australia., Mamun AA; Institute for Social Science Research, The University of Queensland, Brisbane, Queensland, Australia., Mehata S; Research, Monitoring, and Evaluation, Ipas Nepal, Kathmandu, Nepal., Melku M; Institute of Public Health, University of Gondar, Gondar, Ethiopia., Mendoza W; Peru Country Office, United Nations Population Fund, Lima, Peru., Mezgebe HB; Department of Pharmacy, Ethiopian Academy of Medical Science, Tigray, Ethiopia., Miller TR; Pacific Institute for Research and Evaluation, Calverton, Maryland.; School of Public Health, Curtin University, Perth, Western Australia, Australia., Moges NA; Department of Public Health, Debre Markos University, Debre Markos, Ethiopia., Mohammed S; Institute of Public Health, Heidelberg University, Heidelberg, Germany.; Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria., Mokdad AH; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Monasta L; Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy., Neupane S; Faculty of Health Sciences, University of Tampere, Tampere, Finland., Nguyen HLT; Institute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam., Ningrum DNA; Department of Public Health Science, State University of Semarang, Kota Semarang, Indonesia.; Graduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan., Nirayo YL; Clinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia., Nong VM; Institute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam., Ogbo FA; Translational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia., Olagunju AT; Department of Psychiatry,University of Adelaide, Adelaide, South Australia, Australia.; Department of Psychiatry, University of Lagos, Lagos, Nigeria., Olusanya BO; Centre for Healthy Start Initiative, Lagos, Nigeria., Olusanya JO; Centre for Healthy Start Initiative, Lagos, Nigeria., Patton GC; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.; Population Health Group, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia., Pereira DM; Rede de Química e Tecnologia/Laboratório Asociado do Química Verde, University of Porto, Oporto, Portugal.; Cartagena University, Cartagena, Colombia., Pourmalek F; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada., Qorbani M; Noncommunicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran., Rafay A; Department of Epidemiology and Biostatistics, Contech School of Public Health, Lahore, Pakistan., Rai RK; Society for Health and Demographic Surveillance, Suri, India.; Department of Economics, University of Göttingen, Göttingen, Germany., Ram U; Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India., Ranabhat CL; Institute for Poverty Alleviation and International Development, Yonsei University, Wonju, South Korea., Renzaho AMN; School of Social Sciences and Psychology, Western Sydney University, Penrith, New South Wales, Australia., Rezai MS; Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran., Ronfani L; Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy., Roth GA; Institute for Health Metrics and Evaluation, Seattle, Washington.; Division of Cardiology, University of Washington, Seattle., Safiri S; Managerial Epidemiology Research Center, Maragheh University of Medical Sciences, Maragheh, Iran., Sartorius B; Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa., Scott JG; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.; Child and Youth Mental Health, Queensland Centre for Mental Health Research, Brisbane, Queensland, Australia., Shackelford KA; Institute for Health Metrics and Evaluation, Seattle, Washington., Sliwa K; Department of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa., Sreeramareddy C; Division of Community Medicine, International Medical University, Kuala Lumpur, Malaysia., Sufiyan MB; Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria., Terkawi AS; Department of Anesthesiology, University of Virginia, Charlottesville.; Syrian Expatriate Medical Association, Charlottesville, Virginia., Topor-Madry R; Institute for Public Health, Jagiellonian University Medical College, Krakow, Poland.; Agency for Health Technology Assessment and Tariff System, Warszawa, Poland., Tran BX; Department of Health Economics, Hanoi Medical University, Hanoi, Vietnam., Ukwaja KN; Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Nigeria., Uthman OA; Division of Health Sciences, University of Warwick, Coventry, United Kingdom., Vollset SE; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Weldegwergs KG; Clinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia., Werdecker A; Demographic Change and Ageing Research Area, Federal Institute for Population Research, Wiesbaden, Germany.; Independent Consultant, Staufenberg, Germany., Whiteford HA; Institute for Health Metrics and Evaluation, Seattle, Washington.; The University of Queensland, Brisbane, Queensland, Australia., Wijeratne T; Department of Medicine, University of Melbourne, St Albans, Victoria, Australia.; Department of Psychology, La Trobe University, Melbourne, Victoria, Australia., Yonemoto N; Department of Psychopharmacology, National Center of Neurology and Psychiatry, Tokyo, Japan., Yotebieng M; College of Public Health, The Ohio State University, Columbus.; School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo., Zuhlke LJ; Department of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa.; Department of Paediatrics and Child Health, University of Cape Town, Cape Town, Western Cape, South Africa., Kyu HH; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Naghavi M; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Vos T; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Murray CJL; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Health Metrics Sciences, University of Washington, Seattle., Kassebaum NJ; Institute for Health Metrics and Evaluation, Seattle, Washington.; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle.
Jazyk:	angličtina
Zdroj:	JAMA pediatrics [JAMA Pediatr] 2019 Jun 01; Vol. 173 (6), pp. e190337. Date of Electronic Publication: 2019 Jun 03.
DOI:	10.1001/jamapediatrics.2019.0337
Abstrakt:	Importance: Understanding causes and correlates of health loss among children and adolescents can identify areas of success, stagnation, and emerging threats and thereby facilitate effective improvement strategies. Objective: To estimate mortality and morbidity in children and adolescents from 1990 to 2017 by age and sex in 195 countries and territories. Design, Setting, and Participants: This study examined levels, trends, and spatiotemporal patterns of cause-specific mortality and nonfatal health outcomes using standardized approaches to data processing and statistical analysis. It also describes epidemiologic transitions by evaluating historical associations between disease indicators and the Socio-Demographic Index (SDI), a composite indicator of income, educational attainment, and fertility. Data collected from 1990 to 2017 on children and adolescents from birth through 19 years of age in 195 countries and territories were assessed. Data analysis occurred from January 2018 to August 2018. Exposures: Being under the age of 20 years between 1990 and 2017. Main Outcomes and Measures: Death and disability. All-cause and cause-specific deaths, disability-adjusted life years, years of life lost, and years of life lived with disability. Results: Child and adolescent deaths decreased 51.7% from 13.77 million (95% uncertainty interval [UI], 13.60-13.93 million) in 1990 to 6.64 million (95% UI, 6.44-6.87 million) in 2017, but in 2017, aggregate disability increased 4.7% to a total of 145 million (95% UI, 107-190 million) years lived with disability globally. Progress was uneven, and inequity increased, with low-SDI and low-middle-SDI locations experiencing 82.2% (95% UI, 81.6%-82.9%) of deaths, up from 70.9% (95% UI, 70.4%-71.4%) in 1990. The leading disaggregated causes of disability-adjusted life years in 2017 in the low-SDI quintile were neonatal disorders, lower respiratory infections, diarrhea, malaria, and congenital birth defects, whereas neonatal disorders, congenital birth defects, headache, dermatitis, and anxiety were highest-ranked in the high-SDI quintile. Conclusions and Relevance: Mortality reductions over this 27-year period mean that children are more likely than ever to reach their 20th birthdays. The concomitant expansion of nonfatal health loss and epidemiological transition in children and adolescents, especially in low-SDI and middle-SDI countries, has the potential to increase already overburdened health systems, will affect the human capital potential of societies, and may influence the trajectory of socioeconomic development. Continued monitoring of child and adolescent health loss is crucial to sustain the progress of the past 27 years.
Databáze:	MEDLINE
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