1990—2019年中国5岁以下儿童低体重疾病负担分析

doi:10.11852/zgetbjzz2022-1480

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (7): 790-793.DOI: 10.11852/zgetbjzz2022-1480

1990—2019年中国5岁以下儿童低体重疾病负担分析

朱丽君¹, 李彪章², 周嘉雯¹, 吴柏欣¹, 李卫东¹

1.南方医科大学附属小榄医院/中山市小榄人民医院新生儿科,广东中山 528415;
2.江门市江海区人民医院泌尿外科

收稿日期:2022-12-08 修回日期:2023-02-24 发布日期:2023-07-12 出版日期:2023-07-10
通讯作者: 李卫东,E-mail: Zzcl20188888@163.com
作者简介:朱丽君(1987-),女,住院医师,本科学历,主要研究方向为新生儿专业。

Disease burden of low body weight in children under 5 years old in China from 1990 to 2019

ZHU Lijun¹, LI Biaozhang², ZHOU Jiawen¹, WU Baixin¹, LI Weidong¹

1. Department of Neonatology, Xiaolan Hospital Affiliated to Southern Medical University/Zhongshan Xiaolan People′s Hospital, Zhongshan, Guangdong 528415, China;
2. Department of Urology, Jiangmen Jianghai District People′s Hospital

Received:2022-12-08 Revised:2023-02-24 Online:2023-07-10 Published:2023-07-12
Contact: LI Weidong, E-mail: Zzcl20188888@163.com

摘要/Abstract

摘要： 目的分析1990—2019年我国5岁以下儿童因低体重造成的疾病负担现状及趋势,为预防和控制儿童因低体重导致的疾病负担提供参考依据。方法从全球疾病负担(GBD)2019提取1990—2019年5岁以下儿童归因于低体重的死亡和伤残调整寿命年(DALY)指标,采用Joinpoint线性回归模型分析因低体重导致相关疾病的死亡率和DALY率的变化趋势。结果 2019年我国5岁以下儿童因低体重造成的死亡人数为3.44万例,死亡率为42.27/10⁵,DALY为314.50万人年,DALY率为3 859.31/10⁵。与1990年相比,2019年死亡人数下降86.40%,死亡率下降80.74%,DALY下降了86.08%,DALY率下降80.29%。男童因低体重导致的疾病负担均高于女童。5岁以下儿童因低体重导致的呼吸道感染和肺结核、肠道感染和婴儿猝死综合症的死亡率分别为2.73/10⁵、0.07/10⁵和0.07/10⁵,呼吸道感染和肺结核在低体重所致的3种相关疾病中保持最高的死亡率和DALY率。结论虽然1990—2019年我国5岁以下儿童因低体重导致的死亡和DALY呈下降趋势,但是目前我国防治问题仍面临较多挑战,提示我国5岁以下儿童归因于低体重的疾病负担不容忽视。

关键词: 5岁以下儿童, 疾病负担, 低体重

Abstract: Objective To analyze the current situation and trends of the disease burden due to low weight in Chinese children under 5 years old from 1990 to 2019, in order to provide reference for the prevention and control of the disease burden caused by low weight in children. Method Disability-adjusted life year (DALY) indicators attributable to low weight in children under 5 years of age from 1990—2019 were extracted from global burden of disease(GBD) 2019, and trends in mortality and DALY rates for diseases associated with low weight were analyzed using Joinpoint linear regression models. Results In 2019, the number of deaths due to low weight in children under 5 years of age in China was 34 400, the mortality rate was 42.27/10⁵, the DALY was 3.145 million person-years, and the DALY rate was 3 859.31/10⁵. Compared to 1990, the number of deaths decreased by 86.40%, mortality rate decreased by 80.74%, DALY decreased by 86.08% and DALY rate decreased by 80.29% in 2019. The burden of disease due to low weight was higher in boys than that in girls. The mortality rates for respiratory infections and tuberculosis, intestinal infections, and sudden infant death syndrome due to low weight in children under 5 years of age were 2.73/10⁵, 0.07/10⁵, and 0.07/10⁵, respectively. Respiratory tract infection and tuberculosis maintained the highest mortality and DALY rates among the three related diseases caused by low body weight. Conclusion Although the mortality and DALY of children under 5 years of age due to low body weight have shown a decreasing trend from 1990 to 2019, there are still many challenges in the prevention and treatment, indicating that the disease burden of children under 5 years of age attributed to low body weight cannot be ignored.

Key words: children under 5 years old, disease burden, low body weight

中图分类号:

R725

朱丽君, 李彪章, 周嘉雯, 吴柏欣, 李卫东. 1990—2019年中国5岁以下儿童低体重疾病负担分析[J]. 中国儿童保健杂志, 2023, 31(7): 790-793.

ZHU Lijun, LI Biaozhang, ZHOU Jiawen, WU Baixin, LI Weidong. Disease burden of low body weight in children under 5 years old in China from 1990 to 2019[J]. Chinese Journal of Child Health Care, 2023, 31(7): 790-793.

参考文献

[1] 詹会莲.丽江市5岁以下儿童低体重影响因素分析[J].中国妇幼保健,2010,25(19):2628-2629.
Zhan HL. Analysis of influencing factors of low weight in children under 5 years of age in Lijiang City[J]. Chinese Journal of Maternal and Child Health, 2010, 25(19):2.(in Chinese)
[2] 刘慧然,王晓飞,陆大江.上海市部分幼儿园学龄前儿童低体重影响因素分析[J].中国儿童保健杂志,2018,26(2):212-214.
Liu HR, Wang XF, Lu DJ. Influencing factors of low body weight of preschool children in some kindergartens in Shanghai[J]. Chin J Child Health Care,2018,26(2):212-214.(in Chinese)
[3] 黄丽红,施慧玲,林尧,等.海口市5岁以下儿童低体重率既往变化及未来趋势预测[J].中国儿童保健杂志,2022,30(9):956-959.
Huang LH, Shi HL, Lin Y, et al. Previous changes and future trends of underweight prevalence among children under 5 years of age in Haikoucity[J]. Chin J Child Health Care, 2021,30(9):956-959.(in Chinese)
[4] 赵艳芳,王卓群,杨静,等.1990-2010年中国5岁以下儿童低体重疾病负担分析[J].中华流行病学杂志,2015,36(11):1279-1282.
Zhao YF, Wang ZQ, Yang J, et al. Burden of low body weight in children under 5 years of age in China from 1990 to 2010[J]. Chin J Epidemiol,2015,36(11):1279-1282.
[5] GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019[J].Lancet,2020,396(10258):1223-1249.
[6] Kim HJ,Fay MP,Feuer EJ,et al. Permutation tests forjoinpoint regression with applications to cancer rates[J].Stat Med,2001,20(4):655.
[7] Thurstans S, Opondo C, Seal A, et al.Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition[J]. BMJ Glob Health,2020,5(12):e004030.
[8] Thurstans S, Opondo C,Seal A, et al.Understandingsex differences in childhood undernutrition: A narrative review[J]. Nutrients,2022,14(5):948.
[9] Taneja V. Sexhormones determine immune response[J]. Front Immunol,2018,9:1931.
[10] Garenne M.Demographic evidence of sex differences in vulnerability to infectious diseases[J]. J Infect Dis,2015,211(2):331-332.
[11] 肖昕雨,洪灿林,毕媛昕,等.中国5岁以下儿童生长障碍疾病负担现状与趋势[J].公共卫生与预防医学,2022,11(2):1-5.
Xiao XY, Hong CL, Bi YX, et al. Current situation and trend of growth disorder disease burden in children under 5 years old in China[J]. Public Health and Preventive Medicine,2022,11(2):1-5.(in Chinese)
[12] 王青,吴振茹.1～12岁儿童营养状况及其生长发育的关系[J].公共卫生与预防医学,2021,32(6):157-160.
Wang Q, Wu ZR. Relationship between nutritional status and growth and development of children aged from 1 to 12 years[J]. Public Health and Preventive Medicine, 2021,32(6):157-160.(in Chinese)
[13] 吉彦莉,王永全,崔海洋,等.2015—2018年北京市西城区5岁以下儿童病毒性腹泻流行病学特征[J].公共卫生与预防医学,2020,31(3):104-107.
Ji YL, Wang YQ, Cui H, et al. Epidemiological characteristics of viral diarrhea in children under 5 years of age in Xicheng District, Beijing from 2015 to 2018[J]. Public Health and Preventive Medicine,2020,31(3):104-107.(in Chinese)
[14] de Onis M, Branca F. Childhood stunting: A global perspective[J]. Matern Child Nutr,2016,12 (Suppl 1):12-26.
[15] 甘银艳,郭超男.中国0～5岁儿童营养不良的现状、影响因素与干预策略[J].中国妇幼卫生杂志,2015,6(4):99-103.
Gan YY, Guo CN. Current status, influencing factors and intervention strategies of malnutrition in children aged 0 to 5 years in China[J].Chinese Journal of Maternal and Child Health,2015,6(4):99-103.(in Chinese)
[16] Dong Y, Wang L, Burgner DP, et al. Infectious diseases in children and adolescents in China: Analysis of national surveillance data from 2008 to 2017[J]. BMJ, 2020,369:1043.
[17] 刘精明.我国儿童营养不良状况分析[J].江苏社会科学,2019,28(1):59-68.
Liu JM. Analysis of child malnutrition in China[J]. Jiangsu Social Sciences, 2019,28(1):10.(in Chinese)
[18] 陈京蓉,熊鹰,杨静,等.2013—2019年重庆市贫困农村地区中小学生营养不良状况分析[J].公共卫生与预防医学,2021,32(1):43-46.
Chen JR,Xiong Y, Yang J,et al. Analysis of malnutrition of primary and secondary school students in poor rural areas of Chongqing from 2013to 2019[J]. Public Health and Preventive Medicine, 2021,32(1):43-46.(in Chinese)
[19] 马军.儿童生长发育与营养[J].中国儿童保健杂志,2018,26(9):932-934.
Ma J. Child growth and nutrition[J]. Chin J Child Health Care, 2018, 26(9):3.(in Chinese)
[20] 宇传华,冯太聪.中国健康相关SDG 2030目标展望[J].公共卫生与预防医学,2018,29(5):1-6.
Yu CH, Feng TC. China′s health-related SDG 2030 target outlook[J]. Public Health and Preventive Medicine, 2018,29 (5):1-6.(in Chinese)
[21] Zhou M, Wang H, Zhu J, et al.Cause-specific mortality for 240 causes in China during 1990-2013:A systematic subnational analysis for the Global Burden of Disease Study 2013[J]. Lancet, 2016,387(10015):251-272.
[22] Salomon JA, Haagsma JA, Davis A, et al. Disability weights for the global burden of disease 2013 study[J]. Lancet Glob Health,2015,3(11):712-723.

1990—2019年中国5岁以下儿童低体重疾病负担分析

Disease burden of low body weight in children under 5 years old in China from 1990 to 2019

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