Prevalence and attributable health burdens of vector-borne parasitic infectious diseases of poverty, 1990-2021: findings from the Global Burden of Disease Study 2021.

IF 8.1 1区 医学 Infectious Diseases of Poverty Pub Date : 2024-12-11 DOI:10.1186/s40249-024-01260-x
Yin-Shan Zhu, Zhi-Shan Sun, Jin-Xin Zheng, Shun-Xian Zhang, Jing-Xian Yin, Han-Qing Zhao, Hai-Mo Shen, Gad Baneth, Jun-Hu Chen, Kokouvi Kassegne
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Abstract

Background: Vector-borne parasitic infectious diseases associated with poverty (referred to as vb-pIDP), such as malaria, leishmaniasis, lymphatic filariasis, African trypanosomiasis, Chagas disease, and onchocerciasis, are highly prevalent in many regions around the world. This study aims to characterize the recent burdens of and changes in these vb-pIDP globally and provide a comprehensive and up-to-date analysis of geographical and temporal trends.

Methods: Data on the prevalence and disability-adjusted life years (DALYs) of the vb-pIDP were retrieved from the Global Burden of Disease, Injuries, and Risk Factors Study (GBD) 2021 for 21 geographical regions and 204 countries worldwide, from 1990-2021. The age-standardized prevalence rate and DALYs rate by age, sex, and sociodemographic index (SDI) were calculated to quantify temporal trends. Correlation analysis was performed to examine the relationship between the age-standardized rate and the SDI.

Results: Over the past 30 years, the age-standardized prevalence rate and DALYs rate of these vb-pIDP have generally decreased, with some fluctuations. The distribution of vb-pIDP globally is highly distinctive. Except for Chagas disease, the age-standardized prevalence rate and DALYs rate of other vb-pIDP were highest in low-SDI regions by 2021. Malaria had the highest age-standardized prevalence rate (2336.8 per 100,000 population, 95% UI: 2122.9, 2612.2 per 100,000 population) and age-standardized DALYs rate (806.0 per 100,000 population, 95% UI: 318.9, 1570.2 per 100,000 population) among these six vb-pIDP globally. Moreover, significant declines in the age-standardized prevalence rate and DALYs rate have been observed in association with an increase in the SDI . Globally, 0.14% of DALYs related to malaria are attributed to child underweight, and 0.08% of DALYs related to malaria are attributed to child stunting.

Conclusions: The age-standardized prevalence rate and DALY rates for the vb-pIDP showed pronounced decreasing trends from 1990-2021. However, the vb-pIDP burden remains a substantial challenge for vector-borne infectious disease control globally and requires effective control strategies and healthcare systems. The findings provide scientific evidence for designing targeted health interventions and contribute to improving the prevention and control of infectious diseases.

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1990-2021年媒介传播的贫穷寄生虫传染病的流行率和可归因健康负担:《2021年全球疾病负担研究》的调查结果。
背景:与贫困有关的病媒传播的寄生虫传染病,如疟疾、利什曼病、淋巴丝虫病、非洲锥虫病、恰加斯病和盘尾丝虫病,在世界许多地区高度流行。本研究旨在描述全球范围内这些vb-pIDP最近的负担和变化,并提供全面和最新的地理和时间趋势分析。方法:从全球21个地理区域和204个国家的全球疾病、损伤和风险因素负担研究(GBD) 2021中检索1990-2021年期间vb-pIDP的患病率和残疾调整生命年(DALYs)数据。计算按年龄、性别和社会人口指数(SDI)划分的年龄标准化患病率和DALYs率,以量化时间趋势。相关分析年龄标准化率与SDI之间的关系。结果:近30年来,这些vb-pIDP的年龄标准化患病率和DALYs率普遍下降,但有一定的波动。vb-pIDP在全球的分布具有高度的独特性。到2021年,低sdi地区除恰加斯病外,其他vb-pIDP的年龄标准化患病率和DALYs率最高。疟疾的年龄标准化患病率(2336.8 / 10万人口,95% UI: 2122.9 / 10万人口,2612.2 / 10万人口)和年龄标准化DALYs率(806.0 / 10万人口,95% UI: 318.9 / 10万人口,1570.2 / 10万人口)在这6个bb - pidp中全球最高。此外,年龄标准化患病率和DALYs率的显著下降与SDI的增加有关。在全球范围内,与疟疾有关的残疾调整生命年中有0.14%归因于儿童体重不足,与疟疾有关的残疾调整生命年中有0.08%归因于儿童发育迟缓。结论:1990-2021年,vb-pIDP的年龄标准化患病率和DALY率呈明显下降趋势。然而,细菌性皮炎的负担仍然是全球媒介传播传染病控制的重大挑战,需要有效的控制战略和卫生保健系统。这些发现为设计有针对性的卫生干预措施提供了科学依据,并有助于改善传染病的预防和控制。
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来源期刊
Infectious Diseases of Poverty
Infectious Diseases of Poverty INFECTIOUS DISEASES-
自引率
1.20%
发文量
368
期刊介绍: Infectious Diseases of Poverty is an open access, peer-reviewed journal that focuses on addressing essential public health questions related to infectious diseases of poverty. The journal covers a wide range of topics including the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and animal reservoirs, control strategies and implementation, new technologies and application. It also considers the transdisciplinary or multisectoral effects on health systems, ecohealth, environmental management, and innovative technology. The journal aims to identify and assess research and information gaps that hinder progress towards new interventions for public health problems in the developing world. Additionally, it provides a platform for discussing these issues to advance research and evidence building for improved public health interventions in poor settings.
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