Opin vísindi

Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study

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dc.contributor Háskólinn í Reykjavík
dc.contributor Reykjavik University
dc.contributor.author Sigfúsdóttir, Inga Dóra
dc.contributor.author Kassebaum, Nicholas J
dc.date.accessioned 2020-01-24T11:39:11Z
dc.date.available 2020-01-24T11:39:11Z
dc.date.issued 2017-06-01
dc.identifier.citation Kassebaum, N., Hmwe Kyu, H., Zoeckler, L., Elizabeth Olsen, H., Thomas, K., Pinho, C., Bhutta, Z. A., Dandona, L., Ferrari, A., Ghiwot, T. T., Hay, S. I., Kinfu, Y., Liang, X., Lopez, A., Carvalho Malta, D., Mokdad, A. H., Naghavi, M., Patton, G. C., Salomon, J., … Vos, T. (2017). Child and Adolescent Health From 1990 to 2015 Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study. Jama Pediatrics, 171(6), 573–592. https://doi.org/10.1001/jamapediatrics.2017.0250
dc.identifier.issn 2168-6203
dc.identifier.issn 2168-6211 (eISSN)
dc.identifier.uri https://hdl.handle.net/20.500.11815/1462
dc.description Correction: JAMA Pediatr. 2017;171(10):1019. doi:10.1001/jamapediatrics.2017.2732 Correction: JAMA Pediatr. 2017;171(6):602. DOI: 10.1001/jamapediatrics.2017.1667
dc.description.abstract IMPORTANCE Comprehensive and timely monitoring of disease burden in all age groups, including children and adolescents, is essential for improving population health. OBJECTIVE To quantify and describe levels and trends of mortality and nonfatal health outcomes among children and adolescents from 1990 to 2015 to provide a framework for policy discussion. EVIDENCE REVIEW Cause-specific mortality and nonfatal health outcomes were analyzed for 195 countries and territories by age group, sex, and year from 1990 to 2015 using standardized approaches for data processing and statistical modeling, with subsequent analysis of the findings to describe levels and trends across geography and time among children and adolescents 19 years or younger. A composite indicator of income, education, and fertility was developed (Socio-demographic Index [SDI]) for each geographic unit and year, which evaluates the historical association between SDI and health loss. FINDINGS Global child and adolescent mortality decreased from 14.18 million (95% uncertainty interval [UI], 14.09 million to 14.28 million) deaths in 1990 to 7.26 million (95% UI, 7.14 million to 7.39 million) deaths in 2015, but progress has been unevenly distributed. Countries with a lower SDI had a larger proportion of mortality burden (75%) in 2015 than was the case in 1990 (61%). Most deaths in 2015 occurred in South Asia and sub-Saharan Africa. Global trends were driven by reductions in mortality owing to infectious, nutritional, and neonatal disorders, which in the aggregate led to a relative increase in the importance of noncommunicable diseases and injuries in explaining global disease burden. The absolute burden of disability in children and adolescents increased 4.3%(95% UI, 3.1%-5.6%) from 1990 to 2015, with much of the increase owing to population growth and improved survival for children and adolescents to older ages. Other than infectious conditions, many top causes of disability are associated with long-term sequelae of conditions present at birth (eg, neonatal disorders, congenital birth defects, and hemoglobinopathies) and complications of a variety of infections and nutritional deficiencies. Anemia, developmental intellectual disability, hearing loss, epilepsy, and vision loss are important contributors to childhood disability that can arise from multiple causes. Maternal and reproductive health remains a key cause of disease burden in adolescent females, especially in lower-SDI countries. In low-SDI countries, mortality is the primary driver of health loss for children and adolescents, whereas disability predominates in higher-SDI locations; the specific pattern of epidemiological transition varies across diseases and injuries. CONCLUSIONS AND RELEVANCE Consistent international attention and investment have led to sustained improvements in causes of health loss among children and adolescents in many countries, although progress has been uneven. The persistence of infectious diseases in some countries, coupled with ongoing epidemiologic transition to injuries and noncommunicable diseases, require all countries to carefully evaluate and implement appropriate strategies to maximize the health of their children and adolescents and for the international community to carefully consider which elements of child and adolescent health should be monitored.
dc.description.sponsorship The Institute for Health Metrics and Evaluation received funding from the Bill & Melinda Gates Foundation
dc.format.extent 573-592
dc.language.iso en
dc.publisher American Medical Association (AMA)
dc.relation.ispartofseries JAMA Pediatrics;171(6)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Börn
dc.subject Unglingar
dc.subject Heilbrigðisvísindi
dc.subject Heilsufar
dc.subject Lífslíkur
dc.subject Dánarmein
dc.subject Sjúkdómar
dc.subject Áverkar
dc.subject Fötlun
dc.subject Meðganga
dc.subject Áhættuþættir
dc.subject Aldurshópar
dc.subject Faraldsfræði
dc.subject Tölfræði
dc.subject Sálfræði
dc.subject Psychology
dc.subject Psychology
dc.subject.mesh Children
dc.subject.mesh Adolescents
dc.subject.mesh Global burden of disease/statistics and numerical data
dc.subject.mesh Child health/trends
dc.subject.mesh Adolescent health/trends
dc.subject.mesh Global health
dc.subject.mesh Child mortality/trends
dc.subject.mesh Disabled children
dc.subject.mesh Pregnancy complications/epidemiology
dc.subject.mesh Wounds and injuries/epidemiology
dc.subject.mesh Cause of death
dc.subject.mesh Risk factors
dc.title Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study
dc.type info:eu-repo/semantics/article
dcterms.license This is an open access article distributed under the terms of the CC-BY License
dc.description.version Peer Reviewed
dc.identifier.doi 10.1001/jamapediatrics.2017.0250
dc.relation.url http:///jamapediatrics/article-pdf/171/6/573/17684856/jamapediatrics_kassebaum_2017_oi_170025.pdf
dc.contributor.school Viðskiptadeild (HR)
dc.contributor.school School of Business (RU)

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