Epidemiological transition in rural Bangladesh, 1986-2006.
Epidemiological transition in rural Bangladesh, 1986-2006.
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DOI：
10.3402/gha.v2i0.1904
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发表时间：
2009-06-19
影响因子：
2.6
通讯作者：
Kim Streatfield P
中科院分区：
文献类型：
--
作者：
Ahsan Karar Z;Alam N;Kim Streatfield P
为了了解流行病的转变，卫生和人口监测系统在缺乏关于重要事件(如出生、死亡)和死因的准确信息的情况下，在发展和资源受限的环境中发挥重要作用。这项研究旨在评估孟加拉农村地区1986年至2006年间18917例死亡原因的现有水平和趋势，并预测选定的主要死因的未来情景。结果表明，在过去的20年里，MatLab经历了从急性、传染性和寄生虫病到非传染性、退行性和慢性病的死亡情况的巨大变化。报告还显示，在1986-2006年期间，因腹泻和痢疾引起的年龄标准化死亡率(男女均为)下降了86%，呼吸道感染下降了79%，结核病除外，上升了173%。另一方面，在同一时期，心脑血管疾病死亡率大幅上升3527%，恶性肿瘤死亡率上升495%，而慢性阻塞性肺疾病和损伤的死亡率保持在类似水平(增长12%-13%)。选定死因的趋势表明，在未来20年内，传染病死亡人数将大幅下降，非传染性疾病死亡人数将大幅增加。尽管MatLab在社会人口指标方面取得了重大进展，但非传染性疾病的出现和与之相关的死亡率将是未来几年令人关切的主要原因。
For understanding epidemiological transition, Health and Demographic Surveillance System plays an important role in developing and resource-constraint setup where accurate information on vital events (e.g. births, deaths) and cause of death is not available. This study aimed to assess existing level and trend of causes of 18,917 deaths in Matlab, a rural area of Bangladesh, during 1986–2006 and to project future scenarios for selected major causes of death. The results demonstrated that Matlab experienced a massive change in the mortality profile from acute, infectious, and parasitic diseases to non-communicable, degenerative, and chronic diseases during the last 20 years. It also showed that over the period 1986–2006, age-standardized mortality rate (for both sexes) due to diarrhea and dysentery reduced by 86%, respiratory infections by 79%, except for tuberculosis which increased by 173%. On the other hand, during the same period, mortality due to cardiovascular and cerebrovascular diseases increased by a massive 3,527% and malignant neoplasms by 495%, whereas mortality due to chronic obstructive pulmonary disease and injury remained in the similar level (12–13% increase). The trend of selected causes of death demonstrates that in next two decades, deaths due to communicable diseases will decline substantially and the mortality due to non-communicable diseases (NCDs) will increase at massive proportions. Despite Matlab's significant advances in socio-demographic indicators, emergence of NCDs and mortality associated with it would be the major cause for concern in the coming years.
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影响因子：
168.9
作者：
Murray, CJL;Lopez, AD
通讯作者：
Lopez, AD
影响因子：
37.8
作者：
Yusuf, S;Reddy, S;Anand, S
通讯作者：
Anand, S
DOI：
10.2471/blt.08.051250
发表时间：
2009-01-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Joshi, Rohina;Lopez, Alan D;Neal, Bruce
通讯作者：
Neal, Bruce
影响因子：
7.7
作者：
Yang, Gonghuan;Rao, Chalapati;Lopez, Alan D.
通讯作者：
Lopez, Alan D.
影响因子：
6.1
作者：
WALSH, S;DIAMOND, D
通讯作者：
DIAMOND, D