TY  - JOUR
PY  - 2019//
TI  - 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
JO  - JAMA pediatrics
A1  - Reiner, Robert C.
A1  - Olsen, Helen Elizabeth
A1  - Ikeda, Chad Thomas
A1  - Echko, Michelle M.
A1  - Ballestreros, Katherine E.
A1  - Manguerra, Helen
A1  - Martopullo, Ira
A1  - Millear, Anoushka
A1  - Shields, Chloe
A1  - Smith, Alison
A1  - Strub, Bryan
A1  - Abebe, Molla
A1  - Abebe, Zegeye
A1  - Adhena, Beyene Meressa
A1  - Adhikari, Tara Ballav
A1  - Akibu, Mohammed
A1  - Al-Raddadi, Rajaa M.
A1  - Alvis-Guzmán, Nelson
A1  - Antonio, Carl Abelardo T.
A1  - Aremu, Olatunde
A1  - Asgedom, Solomon Weldegebreal
A1  - Asseffa, Netsanet Abera
A1  - Avila-Burgos, Leticia
A1  - Barac, Aleksandra
A1  - Bärnighausen, Till W.
A1  - Bassat, Quique
A1  - Benseñor, Isabela M.
A1  - Bhutta, Zulfiqar A.
A1  - Bijani, Ali
A1  - Bililign, Nigus
A1  - Cahuana-Hurtado, Lucero
A1  - Malta, Deborah Carvalho
A1  - Chang, Jung-Chen
A1  - Charlson, Fiona J.
A1  - Dharmaratne, Samath Dhamminda
A1  - Doku, David Teye
A1  - Edessa, Dumessa
A1  - El-Khatib, Ziad
A1  - Erskine, Holly E.
A1  - Ferrari, Alize J.
A1  - Fullman, Nancy
A1  - Gupta, Rahul
A1  - Hassen, Hamid Yimam
A1  - Hay, Simon I.
A1  - Ilesanmi, Olayinka Stephen
A1  - Jacobsen, Kathryn H.
A1  - Kahsay, Amaha
A1  - Kasaeian, Amir
A1  - Kassa, Tesfaye Dessale
A1  - Kebede, Seifu
A1  - Khader, Yousef Saleh
A1  - Khan, Ejaz Ahmad
A1  - Khan, Mohammed Nuruzzaman
A1  - Khang, Young-Ho
A1  - Khubchandani, Jagdish
A1  - Kinfu, Yohannes
A1  - Kochhar, Sonali
A1  - Kokubo, Yoshihiro
A1  - Koyanagi, Ai
A1  - Defo, Barthelemy Kuate
A1  - Lal, Dharmesh Kumar
A1  - Kumsa, Fekede Asefa
A1  - Larson, Heidi J.
A1  - Leung, Janni
A1  - Mamun, Abdullah A.
A1  - Mehata, Suresh
A1  - Melku, Mulugeta
A1  - Mendoza, Walter
A1  - Mezgebe, Haftay Berhane
A1  - Miller, Ted R.
A1  - Moges, Nurilign Abebe
A1  - Mohammed, Shafiu
A1  - Mokdad, Ali H.
A1  - Monasta, Lorenzo
A1  - Neupane, Subas
A1  - Nguyen, Huong Lan Thi
A1  - Ningrum, Dina Nur Anggraini
A1  - Nirayo, Yirga Legesse
A1  - Nong, Vuong Minh
A1  - Ogbo, Felix Akpojene
A1  - Olagunju, Andrew T.
A1  - Olusanya, Bolajoko Olubukunola
A1  - Olusanya, Jacob Olusegun
A1  - Patton, George C.
A1  - Pereira, David M.
A1  - Pourmalek, Farshad
A1  - Qorbani, Mostafa
A1  - Rafay, Anwar
A1  - Rai, Rajesh Kumar
A1  - Ram, Usha
A1  - Ranabhat, Chhabi Lal
A1  - Renzaho, Andre M. N.
A1  - Rezai, Mohammad Sadegh
A1  - Ronfani, Luca
A1  - Roth, Gregory A.
A1  - Safiri, Saeid
A1  - Sartorius, Benn
A1  - Scott, James G.
A1  - Shackelford, Katya Anne
A1  - Sliwa, Karen
A1  - Sreeramareddy, Chandrashekhar
A1  - Sufiyan, Mu'awiyyah Bable
A1  - Terkawi, Abdullah Sulieman
A1  - Topór-Madry, Roman
A1  - Tran, Bach Xuan
A1  - Ukwaja, Kingsley Nnanna
A1  - Uthman, Olalekan A.
A1  - Vollset, Stein Emil
A1  - Weldegwergs, Kidu Gidey
A1  - Werdecker, Andrea
A1  - Whiteford, Harvey A.
A1  - Wijeratne, Tissa
A1  - Yonemoto, Naohiro
A1  - Yotebieng, Marcel
A1  - Zuhlke, Liesl J.
A1  - Kyu, Hmwe Hmwe
A1  - Naghavi, Mohsen
A1  - Vos, Theo
A1  - Murray, Christopher J. L.
A1  - Kassebaum, Nicholas J.
SP  - e190337
EP  - e190337
VL  - 173
IS  - 6
N2  - 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. <br><br>OBJECTIVE: To estimate mortality and morbidity in children and adolescents from 1990 to 2017 by age and sex in 195 countries and territories. <br><br>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. <br><br>EXPOSURES: Being under the age of 20 years between 1990 and 2017. <br><br>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. <br><br>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, but 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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 2168-6211
UR  - http://dx.doi.org/10.1001/jamapediatrics.2019.0337
ID  - ref1
ER  -