Burden of injuries in Nepal, 1990-2017: findings from the Global Burden of Disease Study 2017.
Burden of injuries in Nepal, 1990-2017: findings from the Global Burden of Disease Study 2017.
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DOI：
10.1136/injuryprev-2019-043309
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
James SL
中科院分区：
文献类型：
--
作者：
Pant PR;Banstola A;Bhatta S;Mytton JA;Acharya D;Bhattarai S;Bisignano C;Castle CD;Prasad Dhungana G;Dingels ZV;Fox JT;Kumar Hamal P;Liu Z;Bahadur Mahotra N;Paudel D;Narayan Pokhrel K;Lal Ranabhat C;Roberts NLS;Sylte DO;James SL
尼泊尔是一个政治、经济和社会快速发展的低收入国家。迄今为止，很少有证据表明在这一过渡时期受伤的负担。全球疾病负担研究（GBD）是在发病率和死亡率方面对人口健康结果的综合衡量。我们分析了2017年GBD估计的死亡人数、生命损失年数、残疾生活年数、受伤发生率和残疾调整生命年（DALYs），以确定1990年至2017年尼泊尔的伤害负担。2017年有16 831例（95%不确定区间13 323 ~ 20 579）因伤死亡（占全因死亡的9.21%(7.45% ~ 11.25%)），而1990年因伤死亡的比例为6.31%。总体而言，伤害特定年龄标准化死亡率从1990年的88.91(71.54至105.31)/ 10万下降到2017年的70.25(56.75至85.11)/ 10万。2017年，尼泊尔所有死亡人数中有4.11%（2.47%至6.10%）归因于交通伤害，3.54%（2.86%至4.08%）归因于意外伤害，1.55%（1.16%至1.85%）归因于自残和人际暴力。从1990年到2017年，道路伤害、跌倒和自残在所有死亡原因中的排名都有所上升。1990年至2017年期间尼泊尔受伤相关死亡和伤残调整生命年的增加表明需要进一步研究和预防干预措施。在尼泊尔，伤害仍然是一项重要的公共卫生负担，负担的程度和趋势因具体原因、性别和年龄组而异。尼泊尔的联邦、省和地方政府可以利用这项研究的结果，将伤害预防作为公共卫生议程的优先事项，并作为国家具体干预措施的证据。
Nepal is a low-income country undergoing rapid political, economic and social development. To date, there has been little evidence published on the burden of injuries during this period of transition. The Global Burden of Disease Study (GBD) is a comprehensive measurement of population health outcomes in terms of morbidity and mortality. We analysed the GBD 2017 estimates for deaths, years of life lost, years lived with disability, incidence and disability-adjusted life years (DALYs) from injuries to ascertain the burden of injuries in Nepal from 1990 to 2017. There were 16 831 (95% uncertainty interval 13 323 to 20 579) deaths caused by injuries (9.21% of all-cause deaths (7.45% to 11.25%)) in 2017 while the proportion of deaths from injuries was 6.31% in 1990. Overall, the injury-specific age-standardised mortality rate declined from 88.91 (71.54 to 105.31) per 100 000 in 1990 to 70.25 (56.75 to 85.11) per 100 000 in 2017. In 2017, 4.11% (2.47% to 6.10%) of all deaths in Nepal were attributed to transport injuries, 3.54% (2.86% to 4.08%) were attributed to unintentional injuries and 1.55% (1.16% to 1.85%) were attributed to self-harm and interpersonal violence. From 1990 to 2017, road injuries, falls and self-harm all rose in rank for all causes of death. The increase in injury-related deaths and DALYs in Nepal between 1990 and 2017 indicates the need for further research and prevention interventions. Injuries remain an important public health burden in Nepal with the magnitude and trend of burden varying over time by cause-specific, sex and age group. Findings from this study may be used by the federal, provincial and local governments in Nepal to prioritise injury prevention as a public health agenda and as evidence for country-specific interventions.
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DOI：
10.1016/s0140-6736(18)31694-5
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
Foreman KJ;Marquez N;Dolgert A;Fukutaki K;Fullman N;McGaughey M;Pletcher MA;Smith AE;Tang K;Yuan CW;Brown JC;Friedman J;He J;Heuton KR;Holmberg M;Patel DJ;Reidy P;Carter A;Cercy K;Chapin A;Douwes-Schultz D;Frank T;Goettsch F;Liu PY;Nandakumar V;Reitsma MB;Reuter V;Sadat N;Sorensen RJD;Srinivasan V;Updike RL;York H;Lopez AD;Lozano R;Lim SS;Mokdad AH;Vollset SE;Murray CJL
通讯作者：
Murray CJL
影响因子：
2.9
作者：
Karkee R;Lee AH
通讯作者：
Lee AH
影响因子：
5.9
作者：
Bogstrand, Stig Tore;Larsson, Magnus;Gjerde, Hallvard
通讯作者：
Gjerde, Hallvard
DOI：
10.1016/s0140-6736(18)31891-9
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 Mortality Collaborators
通讯作者：
GBD 2017 Mortality Collaborators
影响因子：
3.7
作者：
Giri S;Risnes K;Uleberg O;Rogne T;Shrestha SK;Nygaard ØP;Koju R;Solligård E
通讯作者：
Solligård E