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Systematic Review of the Links between Eco-Distress and Mental Health. 生态窘迫与心理健康关系的系统综述。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-02 DOI: 10.1007/s10393-025-01769-z
N Gebhardt, F Westermann, Lilli Kleinböhl, H-C Friederich, C Nikendei

Background: Eco-distress shows positive correlations with mental health impairments. However, the correlations reported by different studies vary widely. The aim of our review was to explore possible methodological sources for this heterogeneity, hereby deepening our understanding of eco-distress and its relationship with mental health.

Methods: Following PRISMA guidelines, Academic Search Complete, PubMed, PsycInfo, and Web of Science were searched on 15.03.2025 for publications reporting the initial development of instruments assessing eco-distress, subsequent validation studies, or correlations with mental health impairments. We analyzed the relationship of psychometric quality and the range of effect sizes descriptively, as well as the potential influence of the type of mental health questionnaire, the psychometric quality, and study and sample characteristics statistically as moderators in meta-analysis.

Results: We included 87 studies reporting on 15 different instruments. The underlying definitions of eco-distress differed and psychometric quality was mixed. However, confidence intervals did not vary systematically due to psychometric quality. Overall, eco-distress and mental health impairments correlated with r = 0.32, 95% CI [0.27; 0.37]. Only type of mental health questionnaire moderated the effect size.

Conclusion: Although it varied in magnitude, there was a significant positive correlation between eco-distress and mental health impairments. However, type of eco-distress questionnaire did not systematically influence the effect size. The heterogeneity was considerable and could only be partially explained by the moderators used. Future research should focus on the psychometric evaluation of existing instruments, as information on psychometric quality was incomplete for many instruments.

背景:生态窘迫与心理健康障碍呈正相关。然而,不同研究报告的相关性差异很大。我们回顾的目的是探索这种异质性的可能方法来源,从而加深我们对生态窘迫及其与心理健康关系的理解。方法:按照PRISMA指南,于2025年3月15日检索Academic Search Complete、PubMed、PsycInfo和Web of Science,检索报告生态窘迫评估工具初步开发、后续验证研究或与心理健康障碍相关性的出版物。我们描述性地分析了心理测量质量与效应量范围的关系,以及心理健康问卷类型、心理测量质量、研究和样本特征作为meta分析的调节因子的潜在影响。结果:我们纳入了87项研究,报告了15种不同的仪器。生态窘迫的基本定义不同,心理测量质量参差不齐。然而,置信区间不会因心理测量质量而系统性地变化。总体而言,生态窘迫和心理健康障碍相关r = 0.32, 95% CI [0.27;0.37]。只有心理健康问卷类型对效应量有调节作用。结论:生态窘迫与心理健康障碍之间存在着显著的正相关关系。生态窘迫问卷类型对效应量没有系统性影响。异质性是相当大的,只能部分解释的调节使用。由于许多工具的心理测量质量信息不完整,未来的研究应侧重于对现有工具的心理测量评价。
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引用次数: 0
Ecophysiological Suitability of Batrachochytrium dendrobatidis in Mexico. 墨西哥石斛壶菌的生态生理适宜性。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-15 DOI: 10.1007/s10393-025-01734-w
Aldo Gómez-Benitez, Erika Adriana Reyes-Velázquez, Karla Pelz-Serrano, Laura Heredia-Bobadilla, Armando Sunny-García, Víctor Daniel Ávila-Akerberg

Batrachochytrium dendrobatidis (Bd) is a fungal pathogen responsible for amphibian population declines worldwide. In Mexico, understanding the potential distribution of Bd is crucial for conservation. Here, we developed an ecophysiological suitability index that integrates five key physiological parameters related to temperature. The environmental variables from WorldClim v2.1 were used to derive spatial representations of Bd's thermal responses. A multicriteria evaluation combined these parameters into an ecophysiological suitability index. This index was projected to 2050 and 2070 under two contrasting climate change scenarios. We also analyzed the overlap between Bd's suitability, natural protected areas (NPAs), and endemic amphibian geographic distributions to assess conservation implications. Our results indicate that Bd suitability is highest in the mountainous regions of central Mexico and declines significantly in coastal and lowland areas. By 2050 and 2070, both climate change scenarios predict reduced suitability across most of Mexico. Thirty-five percent of federal NPAs and 53% of state NPAs had high suitability for Bd. Endemic amphibians inhabiting mountains face greater suitability for Bd in their habitats. Our findings highlight the utility of mechanistic models for predicting pathogen distributions under environmental constraints. This approach provides actionable insights for prioritizing conservation efforts, including habitat management and amphibian population monitoring.

水蛭壶菌(Batrachochytrium dendroatidis, Bd)是一种真菌病原体,是导致世界范围内两栖动物种群数量下降的原因。在墨西哥,了解Bd的潜在分布对保护至关重要。在此,我们开发了一个生态生理适宜性指数,该指数整合了与温度相关的五个关键生理参数。使用来自WorldClim v2.1的环境变量来推导Bd热响应的空间表示。多标准评价将这些参数组合成一个生态生理适宜性指数。该指数在两种不同的气候变化情景下预测到2050年和2070年。我们还分析了Bd的适宜性、自然保护区(NPAs)和地方性两栖动物地理分布之间的重叠,以评估保护意义。结果表明,生物多样性适宜性在墨西哥中部山区最高,在沿海和低地地区显著下降。到2050年和2070年,两种气候变化情景都预测墨西哥大部分地区的适宜性会降低。35%的联邦保护区和53%的州保护区对双酚d具有高度适宜性。山地特有两栖动物的栖息地对双酚d的适宜性更高。我们的发现强调了在环境约束下预测病原体分布的机制模型的效用。这种方法为优先考虑保护工作提供了可行的见解,包括栖息地管理和两栖动物种群监测。
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引用次数: 0
A Compendium of One Health Terminologies. 一种卫生术语汇编。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-31 DOI: 10.1007/s10393-025-01738-6
Olayide Abraham Adeyemi, Hasnat Sujon, Tariq Oluwakunmi Agbabiaka

The global acceptance of the One Health (OH) approach has surged over the past two decades, leading to a proliferation of OH-related activities. A consequence of this growth is the increase in discipline-specific terminologies emerging in the OH lexicon to become lingua franca. However, some of these terms are used ambiguously, and interpreted broadly, thereby hampering systematic OH coordination. This article elucidates the semantics of eight fundamental terminologies, including 'One Health', 'One Health Systems', 'One Health Framework', 'One Health Core Competency', 'One Health Education/Curriculum', 'One Health Professional/Workforce', 'One Health Study/Research', and 'One Health Governance/Legislation'. The major findings of this study are that while there is a consensus on OH definition and OH framework usage, OH systems remain ambiguous despite frequent mentions. Core competencies and educational models are disparate, thus requiring harmonization, and a putative global OH governance structure is being defined through international organizations.

在过去二十年中,全球对“同一个健康”方法的接受度激增,导致与“同一个健康”相关的活动激增。这种增长的结果是,特定学科术语的增加出现在OH词典中,成为通用语言。然而,其中一些术语使用含糊,解释广泛,从而阻碍了系统的羟基配位。本文阐述了八个基本术语的语义,包括“一个健康”、“一个健康系统”、“一个健康框架”、“一个健康核心能力”、“一个健康教育/课程”、“一个健康专业人员/劳动力”、“一个健康研究/研究”和“一个健康治理/立法”。本研究的主要发现是,虽然对OH的定义和OH框架的使用有共识,但尽管经常被提及,OH系统仍然是模糊的。核心能力和教育模式是不同的,因此需要协调一致,并且正在通过国际组织确定假定的全球OH治理结构。
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引用次数: 0
Container Mosquito Abundance in Brooklyn Community Gardens. 布鲁克林社区花园的容器蚊子数量。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1007/s10393-025-01739-5
Alexandra Taylor Kelley, Rebecca Boger

Community gardens in urban Brooklyn, New York are social spaces that provide food sovereignty to many New Yorkers, but the arrival of the mosquito Aedes albopictus and longtime presence of Culex pipiens makes socializing in these spaces more dangerous. Ae. albopictus is associated with several mosquito-borne diseases including dengue fever, Zika virus, and chikungunya virus while Cx. pipiens is a longtime vector of West Nile virus. Since Ae. albopictus and Cx. pipiens both breed in human-made plastic containers, knowledge of their preferred container types and locations could aid best management practices for community gardeners. This research looked at the abundance and genera of mosquito larvae in 22 Brooklyn community gardens to understand the breeding habits and survivability of these mosquitoes. This research found that non-purposeful container types and lower total volumes of water were significant predictors of higher mosquito densities, but these variables did not predict egg laying preference.

纽约布鲁克林市区的社区花园是为许多纽约人提供食物主权的社交空间,但白纹伊蚊的到来和长期存在的库蚊使这些空间的社交变得更加危险。Ae。白纹伊蚊与几种蚊媒疾病有关,包括登革热、寨卡病毒和基孔肯雅病毒。库蚊是西尼罗河病毒的长期传播媒介。因为Ae。白纹伊蚊和Cx。库蚊都在人造塑料容器中繁殖,了解它们喜欢的容器类型和位置可以帮助社区园丁采取最佳管理措施。这项研究观察了布鲁克林22个社区花园中蚊子幼虫的丰度和属,以了解这些蚊子的繁殖习惯和生存能力。本研究发现,无目的容器类型和较低的总水量是蚊子密度较高的重要预测因素,但这些变量并不能预测产卵偏好。
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引用次数: 0
Planetary Health Consequences of Telecoupled Shrimp Farming. 四偶对虾养殖对地球健康的影响。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1007/s10393-025-01733-x
Byomkesh Talukder, Krishna Prosad Mondal, Md Saifuzzaman, Ranjan Roy, Reza Salim, Gary W vanLoon, Keith W Hipel

The international demand for shrimp from Bangladesh exhibits a Telecoupled system. Semi-intensive to intensive shrimp farming has changed vast coastal areas into saline zones by altering land use and land cover. While shrimp cultivation significantly contributes to foreign exchange earnings, it also leads to various social and environmental impacts that affect planetary health. This study sees shrimp farming as a result of these Telecoupled dynamics. It uses a mixed-methods approach, combining both primary and secondary data to examine its effects on planetary health in Bangladesh's southwestern coastal areas. The findings reveal several important health and social issues associated with shrimp farming. These include (i) scarcity of drinking and household water, (ii) infectious diseases, (iii) non-infectious diseases, (iv) food and nutritional insecurity, (v) antimicrobial resistance and chemical contamination, (vi) mental pressure, (vii) disaster-related health vulnerability, (viii) social conflict, (ix) healthcare inequality, and (x) rural-urban migration. This analysis enhances our understanding of the complex interactions between humans and nature in shrimp farming systems and their evolving impacts on planetary health in southwestern coastal Bangladesh. The study stresses the urgent need for integrated, ecosystem-based agricultural practices to find a balance between economic benefits and sustainable health and environmental outcomes.

孟加拉国虾的国际需求呈现出一种远耦合系统。半集约化到集约化的对虾养殖通过改变土地利用和土地覆盖,将大片沿海地区变成了盐碱区。虽然虾类养殖为外汇收入作出了重大贡献,但它也造成影响地球健康的各种社会和环境影响。这项研究将虾养殖视为这些远耦合动态的结果。它采用混合方法,结合初级和次级数据,审查其对孟加拉国西南沿海地区地球健康的影响。研究结果揭示了与养虾有关的几个重要的健康和社会问题。这些问题包括:(一)饮用水和家庭用水短缺;(二)传染病;(三)非传染病;(四)粮食和营养不安全;(五)抗菌素耐药性和化学污染;(六)精神压力;(七)与灾害有关的健康脆弱性;(八)社会冲突;(九)保健不平等;(十)农村向城市迁移。这一分析增强了我们对孟加拉国西南沿海虾类养殖系统中人类与自然之间复杂相互作用及其对地球健康不断演变的影响的理解。该研究强调,迫切需要以生态系统为基础的综合农业实践,在经济效益与可持续的健康和环境成果之间找到平衡。
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引用次数: 0
Response to Evaluating the Risk Landscape of Hawaiian Monk Seal Exposure to Toxoplasma gondii published in EcoHealth volume 21 (2024). 对评估夏威夷僧海豹暴露于弓形虫的风险景观的反应发表在生态健康第21卷(2024)。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-08-06 DOI: 10.1007/s10393-025-01748-4
Sadia Farhana
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引用次数: 0
Fire-Driven Land Cover Change and Zoonotic Disease Risk in African Landscapes. 非洲景观中火灾驱动的土地覆盖变化和人畜共患疾病风险。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1007/s10393-025-01743-9
Ore Koren

Land use and land cover (LULC) change-especially habitat disruption-has long been linked to zoonotic disease emergence, yet direct empirical evidence remains limited. Using new spatially disaggregated data, this study offers the clearest evidence to date that fire-linked vegetation loss significantly increases zoonotic risk in forest landscapes, but not in agricultural or other-use areas. Monthly vegetation anomalies, captured via NDVI deviations, are tracked across landscape types. A quasi-experimental mediation design estimates the indirect effect of fire on outbreaks through vegetation loss. Results show that in forests, fire-driven vegetation decline is associated with increased outbreak rates, while no significant effects appear in agricultural or other zones. Fires-including slash-and-burn practices and uncontrolled natural fires-hence play a key role in shaping zoonotic risk. The results underscore the need for integrated fire management and land-use strategies to reduce spillover potential and align public health with climate and conservation goals.

长期以来,土地利用和土地覆盖(LULC)变化——尤其是栖息地破坏——一直与人畜共患疾病的出现有关,但直接的经验证据仍然有限。利用新的空间分类数据,本研究提供了迄今为止最明确的证据,表明与火灾有关的植被损失显著增加了森林景观的人畜共患病风险,但在农业或其他利用区却没有。每月植被异常,通过NDVI偏差捕获,跟踪不同景观类型。一个准实验的中介设计估计了火灾通过植被损失对暴发的间接影响。结果表明,在森林中,火灾导致的植被减少与暴发率增加有关,而在农业或其他地区没有出现显著影响。因此,火灾——包括刀耕火种和不受控制的自然火灾——在形成人畜共患病风险方面发挥了关键作用。研究结果强调,需要采取综合的火灾管理和土地利用战略,以减少溢出潜力,并使公共卫生与气候和保护目标保持一致。
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引用次数: 0
Genotypic Discrimination of Chytrid Fungus Lineages in the Amphibian Trade. 两栖动物贸易中壶菌系的基因型鉴定。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-30 DOI: 10.1007/s10393-025-01736-8
Luisa P Ribeiro, David Rodriguez, Roseli Coelho Dos Santos, Elaine M Lucas, Luís Felipe Toledo

The international amphibian trade is a cause for concern due to its potential to introduce different lineages of the chytrid fungus (Batrachochytrium dendrobatidis, or Bd) into new environments, threatening native populations. Current diagnostic methods, particularly qPCR, lack the capability to differentiate between these lineages, necessitating more accurate genotyping approaches. Here we propose the application of TaqMan SNP genotyping assays to discriminate Bd genotypes (Bd-GPL, Bd-ASIA2/Bd-BRAZIL, and Hybrid) in skin swabs, tadpole mouthparts, and Bd cultures from Brazilian bullfrog farms. Employing two assays utilizing both qPCR and dPCR, we identified genotype presence and analyzed the relationship between Bd load and genotype determination. The genotyping assay achieved approximately 57% success overall, rising to nearly 82% in samples with over 1,000 genomic equivalents. The use of dPCR also enabled the recovery of genotypes in previously unresolved samples, enhancing lineage detection in challenging field contexts. Culture samples achieved a 100% success rate. We identified all Bd genotypes previously reported in Brazil-the targets of our assay-and detected coinfections and hybrids in high-density farms. We hereby present an efficient method for discriminating Bd genotypes, applicable to both pure cultures and field samples with low Bd loads. We emphasize the need for advanced discriminatory methods and comprehensive genetic studies, particularly regarding national regulations governing breeding sites and the global amphibian trade. Our findings highlight the feasibility and relevance of the method and support further research into infection dynamics by different Bd lineages to inform amphibian conservation efforts and trade regulatory policies.

国际两栖动物贸易是一个值得关注的问题,因为它有可能将不同谱系的壶菌(Batrachochytrium dendroatidis,或Bd)引入新的环境,威胁到当地种群。目前的诊断方法,特别是qPCR,缺乏区分这些谱系的能力,需要更准确的基因分型方法。在此,我们建议应用TaqMan SNP基因分型方法在巴西牛蛙养殖场的皮肤拭子、蝌蚪口器和Bd培养物中区分Bd基因型(Bd- gpl、Bd- asia2 /Bd- brazil和Hybrid)。采用qPCR和dPCR两种检测方法,我们确定了基因型的存在,并分析了Bd负荷与基因型测定的关系。总体而言,基因分型分析的成功率约为57%,在超过1000个基因组等效物的样本中,成功率上升至近82%。使用dPCR还可以恢复先前未解决的样品的基因型,增强具有挑战性的领域背景下的谱系检测。培养样本达到100%的成功率。我们确定了之前在巴西报道的所有Bd基因型——我们的检测目标——并在高密度农场检测到共感染和杂交。本文提出了一种高效的双酚a基因型鉴别方法,该方法既适用于纯培养物,也适用于低双酚a含量的田间样品。我们强调需要先进的歧视性方法和全面的遗传研究,特别是在有关繁殖地点和全球两栖动物贸易的国家法规方面。我们的研究结果强调了该方法的可行性和相关性,并支持进一步研究不同Bd谱系的感染动力学,为两栖动物保护工作和贸易监管政策提供信息。
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引用次数: 0
Inequality in Exposure and Knowledge Drives Vulnerability to Rat-Associated Leptospirosis. 暴露和知识的不平等导致对大鼠相关钩端螺旋体病的易感性。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1007/s10393-025-01735-9
Alexandre Dyer, Kaylee A Byers, Jacqueline Buckley, Danielle German, Maureen H Murray

To predict and prevent public health risks from urban rats, studies often examine zoonotic pathogen prevalence in rats in different urban environments. However, human exposure to rats and their awareness of the associated risks are poorly understood. In this study, we aimed to identify factors associated with two aspects of vulnerability to leptospirosis as a model rat-associated disease: (1) exposure to rat urine in the home and (2) lack of awareness that rats carry leptospirosis. To collect data on residents' experiences and knowledge about rats, we mailed a survey to randomly selected households along an income gradient in Chicago. Of 432 complete cases, 36% had observed rat urine in the home and 73% were unaware that rats carry leptospirosis. Using logistic regression, we found that non-white respondents had over three times higher odds of observing rat urine in the home than white respondents. Dog owners and respondents who sought out information about rats, regardless of source, were more likely to be aware that rats carry leptospirosis. When we examined both aspects of vulnerability simultaneously using multinomial regression, we found that residents most vulnerable to leptospirosis (who had been exposed to urine and were not aware that rats carry leptospirosis) were significantly less likely to be white and less likely to be dog owners. Our results suggest that more public education is needed about rat-associated diseases spread through feces and urine and that exposure to rats should be considered another environmental health burden that is disproportionately persistent in underserved communities of color.

为了预测和预防来自城市老鼠的公共卫生风险,研究经常检查不同城市环境中老鼠的人畜共患病原体流行情况。然而,人类与老鼠的接触以及他们对相关风险的认识却知之甚少。在这项研究中,我们旨在确定与钩端螺旋体病易感的两个方面相关的因素:(1)在家中暴露于大鼠尿液;(2)缺乏对大鼠携带钩端螺旋体病的认识。为了收集居民对老鼠的经验和知识,我们向芝加哥按收入梯度随机选择的家庭邮寄了一份调查问卷。在432例完整病例中,36%在家中观察到大鼠尿液,73%不知道大鼠携带钩端螺旋体病。使用逻辑回归,我们发现非白人受访者在家中观察到大鼠尿液的几率是白人受访者的三倍以上。无论来源如何,狗主人和寻找有关老鼠信息的受访者更有可能意识到老鼠携带钩端螺旋体病。当我们使用多项回归同时检查脆弱性的两个方面时,我们发现最容易受到钩端螺旋体病的居民(暴露于尿液并且不知道老鼠携带钩端螺旋体病)明显不太可能是白人,也不太可能是狗主人。我们的研究结果表明,需要对通过粪便和尿液传播的老鼠相关疾病进行更多的公众教育,并且暴露于老鼠应该被视为另一种环境健康负担,这种负担在服务不足的有色人种社区中持续存在得不成比例。
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引用次数: 0
Temporal Trends of Dengue in India (1990-2021): A Joinpoint and Age-Period-Cohort Analysis. 印度登革热的时间趋势(1990-2021):一个结合点和年龄时期队列分析。
IF 2.2 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-12-01 Epub Date: 2025-08-19 DOI: 10.1007/s10393-025-01745-7
Meenu Mariya James, Bhabani Shankar Mohanty, Naveen Kumar Kodali, Praveen Balabaskaran Nina, Natarajan Gopalan, Sujit Kumar Behera

Dengue is a neglected tropical disease with a huge disease burden globally. Even though previous studies have focused on socio-demographic and climatic predictors of dengue, the independent effects of age, period, and birth cohort have not been studied. Here, using data from the Global Burden of Disease Study 2021, a joinpoint regression analysis and an age-period-cohort model were applied to identify temporal trends in age-standardized incidence and mortality rates and to estimate the longitudinal age curves, the rate ratios of period and cohort effects, the net drift, and the local drift values of dengue incidence and mortality in India, respectively. Dengue incidence and mortality trends in India showed a significant increase from 1990 to 2021. The average annual percent change (AAPC) of age-standardized incidence (AAPC: 1.39; 95% CI: 1.34, 1.44) and mortality (AAPC: 1.65; 95% CI: 1.23, 2.08) increased significantly over the study period. The Error, Trend, and Seasonality model forecasts a rise in cases from 28.86 million in 2020 to 32.06 million, while the ARIMA model projects an increase from 28.95 million to 33.43 million by 2031. The age-standardized rates of incidence, mortality, age, period, and cohort effects of dengue incidence and mortality in India show an increasing trend in all age groups from 1990 to 2021 in both sexes. The findings underscore the need for enhanced dengue prevention and control strategies in India.

登革热是一种被忽视的热带病,在全球造成巨大的疾病负担。尽管先前的研究侧重于登革热的社会人口和气候预测因素,但尚未研究年龄、时期和出生队列的独立影响。在这里,使用来自2021年全球疾病负担研究的数据,采用联结点回归分析和年龄-时期-队列模型来确定年龄标准化发病率和死亡率的时间趋势,并分别估计印度登革热发病率和死亡率的纵向年龄曲线、时期和队列效应的比率、净漂移值和当地漂移值。从1990年到2021年,印度的登革热发病率和死亡率趋势显著上升。在研究期间,年龄标准化发病率(AAPC: 1.39, 95% CI: 1.34, 1.44)和死亡率(AAPC: 1.65, 95% CI: 1.23, 2.08)的年均变化率(AAPC: 1.39, 95% CI: 1.34, 1.44)显著增加。误差、趋势和季节性模型预测,到2020年,病例将从2886万例增加到3206万例,而ARIMA模型预测,到2031年,病例将从2895万例增加到3343万例。印度登革热发病率和死亡率的年龄标准化率、死亡率、年龄、时期和队列效应显示,从1990年至2021年,所有年龄组的男女发病率和死亡率都呈上升趋势。这些发现强调了印度加强登革热预防和控制战略的必要性。
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