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Correction to Lancet Child Adolesc Health 2024; published online July 29. https://doi.org/10.1016/S2352-4642(24)00145-7 https://doi.org/10.1016/S2352-4642(24)00145-7.
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-08-01 DOI: 10.1016/S2352-4642(24)00205-0
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引用次数: 0
Otitis media sequelae and hearing in adolescence after administration of an 11-valent conjugate pneumococcal vaccine in infancy: a prospective cohort study with long-term follow-up of the ARIVAC trial 婴儿期接种 11 价肺炎球菌结合疫苗后的中耳炎后遗症和青春期听力:对 ARIVAC 试验进行长期跟踪的前瞻性队列研究。
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-31 DOI: 10.1016/S2352-4642(24)00128-7
Prof Eric A F Simões MD , Phyllis Carosone-Link MSPH , Diozele M Sanvictores BS , Kristin M Uhler PhD , Marilla Lucero MD , Veronica Tallo MD , Prof Kenny H Chan MD
<div><h3>Background</h3><p>Pneumococcal conjugate vaccines (PCVs) have been shown in randomised controlled trials and epidemiological studies to prevent acute otitis media caused by vaccine serotype pneumococci, although their role in preventing complications of acute otitis media is less clear. We hypothesised that the 11-valent PCV would reduce the long-term sequelae of acute otitis media, including moderate-to-severe ear disease and hearing loss.</p></div><div><h3>Methods</h3><p>This prospective cohort study, referred to as 11PCV study, included follow-up after 16–20 years of children previously enrolled in 2000–04, at age 6 weeks to 6 months, in the randomised, placebo-controlled, ARIVAC trial of 11-valent PCV for the prevention of radiographical pneumonia. The ARIVAC trial and this 11PCV study were conducted at six study centres in Bohol, Philippines. Ear disease was classified using video-otoscopy review and observations derived from the ear exam. The final classification of the worst ear disease was mild (ie, acute otitis media, otitis media with effusion, healed perforation, or tympanosclerosis), moderate (ie, dry perforation or adhesive otitis media), or severe (chronic suppurative otitis media). Hearing loss was assessed following a standard schema and classified according to the worst ear as mild (>15 to 30 dB puretone average) or moderate-to-profound (>30 dB pure tone average). We calculated the relative and absolute risk reduction in the primary outcome of moderate-to-severe ear disease and the secondary outcomes of mild or moderate-to-profound hearing loss in adolescents who previously received the 11-valent PCV compared with those who received placebo during infancy in ARIVAC.</p></div><div><h3>Findings</h3><p>Of the 15 593 children assessed for eligibility in ARIVAC, 12 194 were randomly assigned and 8926 were alive and could be located for enrolment in this 11PCV study between Sept 19, 2016, and Dec 13, 2019. 8321 (4188 in the vaccine group and 4133 in the placebo group) completed follow-up of the 11PCV study by March 30, 2020, and had sufficient data to classify ear disease and be included in the primary outcome analysis. The primary outcome of the absolute risk reduction in moderate-to-severe ear disease in the vaccine group (310 [7·4%] of 4188) versus those in the placebo group (356 [8·6%] of 4133) was 1·2% (95% CI 0·0–2·4; p=0·046) and the relative risk reduction was 14·1% (0·0 to 26·0). There were no differences in secondary outcomes of mild hearing loss or moderate-to-profound hearing loss between the vaccine and placebo groups.</p></div><div><h3>Interpretation</h3><p>The absolute risk reduction for moderate-to-severe ear disease in adolescence of 1·2% (12 per 1000 children) was almost three times higher than the 0·45% reduction (4·5 per 1000 children) in radiographical pneumonia in the first 2 years of life shown in ARIVAC. Administration of 11-valent PCV in infancy was associated with absolute and relative risk redu
背景:随机对照试验和流行病学研究表明,肺炎球菌结合疫苗(PCV)可预防由疫苗血清型肺炎球菌引起的急性中耳炎,但它们在预防急性中耳炎并发症方面的作用却不太明确。我们假设 11 价肺炎球菌疫苗将减少急性中耳炎的长期后遗症,包括中重度耳病和听力损失:这项前瞻性队列研究(简称为 11PCV 研究)包括对 2000-04 年期间参加 11 价 PCV 预防放射性肺炎的随机、安慰剂对照、ARIVAC 试验的 6 周岁至 6 个月儿童在 16-20 年后的随访。ARIVAC试验和这项11价PCV研究是在菲律宾薄荷岛的六个研究中心进行的。耳部疾病是通过视频视网膜镜检查和耳部检查的观察结果进行分类的。最严重耳病的最终分类为轻度(即急性中耳炎、中耳炎伴流脓、穿孔愈合或鼓室硬化)、中度(即干性穿孔或粘连性中耳炎)或重度(慢性化脓性中耳炎)。听力损失按照标准模式进行评估,并根据听力损失最严重的耳朵分为轻度(纯音平均值大于 15 至 30 dB)或中度至重度(纯音平均值大于 30 dB)。我们计算了曾接受过 11 价 PCV 的青少年与在婴儿期接受过安慰剂的青少年相比,在中重度耳病这一主要结果和轻度或中度听力损失这一次要结果上的相对和绝对风险降低率:在ARIVAC评估的15 593名符合条件的儿童中,12 194名儿童被随机分配,8926名儿童存活,并可在2016年9月19日至2019年12月13日期间参与本11价PCV研究。截至 2020 年 3 月 30 日,8321 人(疫苗组 4188 人,安慰剂组 4133 人)完成了 11PCV 研究的随访,并有足够的数据对耳病进行分类,纳入主要结果分析。疫苗组(4188人中有310人[7-4%])与安慰剂组(4133人中有356人[8-6%])相比,中重度耳病的绝对风险降低率为1-2%(95% CI 0-0-2-4;P=0-046),相对风险降低率为14-1%(0-0至26-0)。疫苗组和安慰剂组在轻度听力损失或中度至永久性听力损失的次要结果上没有差异:青少年期中度至重度耳病的绝对风险降低率为1-2%(每1000名儿童中有12名),比ARIVAC显示的出生后2年内放射性肺炎的绝对风险降低率0-45%(每1000名儿童中有4-5名)高出近3倍。在最初的ARIVAC试验后16-20年,在婴儿期施用11价PCV可降低急性中耳炎后遗症的绝对和相对风险:比尔及梅琳达-盖茨基金会。
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引用次数: 0
The camaraderie behind a 20-year follow-up study 20 年跟踪研究背后的友情。
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-31 DOI: 10.1016/S2352-4642(24)00204-9
Megan Tatum
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引用次数: 0
Intimate partner violence against adolescent girls: regional and national prevalence estimates and associated country-level factors 针对少女的亲密伴侣暴力行为:地区和国家流行率估计数及相关的国家一级因素
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-29 DOI: 10.1016/S2352-4642(24)00145-7
LynnMarie Sardinha PhD , Ilknur Yüksel-Kaptanoğlu PhD , Mathieu Maheu-Giroux ScD , Claudia García-Moreno MD
<div><h3>Background</h3><p>Intimate partner violence is a serious public health problem and negatively affects short-term and long-term health, development, and wellbeing of adolescent girls. Global estimates from WHO have shown that adolescent girls aged 15–19 years experience high rates of intimate partner violence. We aimed to estimate the lifetime and past-year prevalence and patterns of physical or sexual intimate partner violence against adolescent girls by male partners across 161 countries and areas, and to examine the country-level factors, including the prevalence of child marriage, associated with the lifetime and past-year prevalence of intimate partner violence in this age group.</p></div><div><h3>Methods</h3><p>These analyses used the 2018 global, regional, and country estimates on intimate partner violence published by WHO and economic, social, and political metadata from subject-specific databases. Drawing on data from the WHO Global Database on Prevalence of Violence Against Women, we used hierarchical Bayesian modelling techniques to estimate lifetime and past-year prevalence of physical or sexual (or both) intimate partner violence against adolescent girls aged 15–19 years by country. Linear regression methods were used to examine contextual social, economic, and political factors associated with intimate partner violence against adolescent girls in the 101 countries (lifetime prevalence) and 105 countries (past-year prevalence) for which these metadata were available.</p></div><div><h3>Findings</h3><p>The estimated global prevalence of physical or sexual intimate partner violence against ever-partnered adolescent girls aged 15–19 years was 24% (95% uncertainty interval 21–28) in their lifetime and 16% (14–19) in the past year. Prevalence varied greatly across countries and regions, with lifetime prevalence ranging from 6% (3–11) in Georgia to 49% (35–64) in Papua New Guinea. Overall, the prevalence of both lifetime (154 countries) and past-year (157 countries) intimate partner violence against adolescent girls was higher in low-income and lower-middle-income countries and regions than in high-income countries and regions. Countries with higher rates of female secondary school enrolment and those with inheritance laws that are more gender-equal had lower prevalence of intimate partner violence against adolescent girls. Lower-income countries and societies with a high prevalence of child marriage had higher prevalence of physical or sexual intimate partner violence against adolescent girls.</p></div><div><h3>Interpretation</h3><p>Our findings highlight the widespread prevalence of intimate partner violence against adolescent girls across the globe and its relationship with country-level contextual factors. They emphasise the need for promoting and ensuring policies and programmes that increase and ensure gender equality. Countries should strive to provide secondary education for all girls, ensure equal property rights for women,
亲密伴侣暴力是一个严重的公共卫生问题,对少女的短期和长期健康、发展和福祉都有负面影响。世界卫生组织的全球估计表明,15-19 岁的少女遭受亲密伴侣暴力的比例很高。我们旨在估算161个国家和地区中男性伴侣对少女实施身体或性亲密伴侣暴力的终生和过去一年的发生率及模式,并研究与该年龄组终生和过去一年亲密伴侣暴力发生率相关的国家级因素,包括童婚的发生率。这些分析使用了世卫组织发布的2018年全球、地区和国家亲密伴侣暴力估计数据,以及特定主题数据库中的经济、社会和政治元数据。根据世卫组织全球暴力侵害妇女行为发生率数据库中的数据,我们采用分层贝叶斯建模技术,按国家估算了亲密伴侣对15-19岁少女实施身体暴力或性暴力(或两者兼有)的终生发生率和上年发生率。我们还使用线性回归方法来研究与亲密伴侣暴力侵害少女行为相关的社会、经济和政治因素,这些因素涉及 101 个国家(终生发生率)和 105 个国家(上一年发生率),这些国家的元数据均已提供。据估计,全球 15-19 岁曾有伴侣的少女一生中遭受亲密伴侣身体暴力或性暴力侵害的比例为 24%(95% 不确定区间为 21-28),过去一年中遭受亲密伴侣身体暴力或性暴力侵害的比例为 16%(14-19)。不同国家和地区的流行率差异很大,一生中的流行率从格鲁吉亚的 6% (3-11) 到巴布亚新几内亚的 49% (35-64)不等。总体而言,在低收入和中低收入国家和地区,少女一生中(154 个国家)和过去一年中(157 个国家)遭受亲密伴侣暴力侵害的发生率均高于高收入国家和地区。女性中学入学率较高的国家以及继承法性别平等程度较高的国家,亲密伴侣暴力侵害少女的发生率较低。低收入国家和童婚现象严重的社会中,针对少女的身体暴力或亲密伴侣性暴力的发生率较高。我们的研究结果凸显了亲密伴侣暴力侵害少女行为在全球范围内的普遍存在,以及它与国家层面背景因素的关系。这些研究结果强调了促进和确保政策与计划的必要性,以提高和确保性别平等。各国应努力为所有女童提供中等教育,确保妇女享有平等的财产权,消除歧视性的性别规范,并解决童婚等有害习俗。联合国妇女署-世卫组织 "加强对妇女的暴力行为 "联合计划数据由英国外交和联邦发展办公室以及联合国开发计划署-人口基金-儿童基金会-世卫组织-世界银行 "人类生殖研究、发展和研究培训特别计划 "资助。
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引用次数: 0
The roles of paediatric emergency physicians and intensivists in disaster responses 儿科急诊医生和重症监护医生在救灾中的作用。
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-29 DOI: 10.1016/S2352-4642(24)00198-6
Özlem Teksam, Oksan Derinoz Guleryuz, Oğuz Dursun, Aykut Caglar, Ayse Berna Anil, Tanıl Kendirli, Riza Dincer Yildizdas
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引用次数: 0
Violence to resilience: structural change to protect adolescent girls 从暴力到复原力:保护少女的结构性变革。
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-29 DOI: 10.1016/S2352-4642(24)00177-9
Jiayu Wang , Abigail M Hatcher , Nora E Rosenberg
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引用次数: 0
The healing powers of music 音乐的治愈力量
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-27 DOI: 10.1016/S2352-4642(24)00199-8
Robert Stirrups
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引用次数: 0
A community-based approach to young people's health and wellbeing: reflections from peer researchers 以社区为基础的青少年健康和幸福方法:同行研究人员的思考。
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1016/S2352-4642(24)00200-1
Dean Leake, Grace Ward
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引用次数: 0
Kid Governors and youth civic engagement in the USA 美国的儿童州长和青年公民参与
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-17 DOI: 10.1016/S2352-4642(24)00174-3
Bryant Furlow
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引用次数: 0
Mental health help-seeking by children and adolescents in Uganda's refugee settlements 乌干达难民安置点儿童和青少年寻求心理健康帮助的情况
IF 19.9 1区 医学 Q1 PEDIATRICS Pub Date : 2024-07-17 DOI: 10.1016/S2352-4642(24)00166-4
Adesola Olumide
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引用次数: 0
期刊
Lancet Child & Adolescent Health
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