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Type:	Artigo de Periódico
Title:	Diseases, injuries, and risk factors in child and adolescent health, 1990 to 2017: findings from the global burden of diseases, injuries, and risk factors 2017 study
Authors:	Robert C. Reiner Jr. Alison Smith Karen Sliwa Chandrashekhar Sreeramareddy Mu'awiyyah Bable Sufiyan Abdullah Sulieman Terkawi Roman Topor-Madry Bach Xuan Tran Kingsley Nnanna Ukwaja Olalekan A. Uthman Stein Emil Vollset Janni Leung Abdullah A. Mamun Suresh Mehata Mulugeta Melku Walter Mendoza Haftay Berhane Mezgebe Ira Martopullo Ted R. Miller Nurilign Abebe Moges Shafiu Mohammed Bolajoko Olubukunola Olusanya Ali H. Mokdad Lorenzo Monasta Subas Neupane Huong Lan Thi Nguyen Dina Nur Anggraini Ningrum Yirga Legesse Nirayo Vuong Minh Nong Anoushka Millear Felix Akpojene Ogbo Andrew T. Olagunju Jacob Olusegun Olusanya George C. Patton David M. Pereira Farshad Pourmalek Mostafa Qorbani Anwar Rafay Rajesh Kumar Rai Chloe Shields Usha Ram Kidu Gidey Weldegwergs Chhabi Lal Ranabhat Andre M. N. Renzaho Mohammad Sadegh Rezai Luca Ronfani Gregory A. Roth Saeid Safiri Benn Sartorius James G. Scott Katya Anne Shackelford Olayinka Stephen Ilesanmi Bryan Strub Andrea Werdecker Harvey A. Whiteford Tissa Wijeratne Naohiro Yonemoto Marcel Yotebieng Liesl J. Zuhlke Hmwe Hmwe Kyu Mohsen Naghavi Theo Vos Christopher J. L. Murray Molla Abebe Nicholas J. Kassebaum Zegeye Abebe Beyene Meressa Adhena Tara Ballav Adhikari Mohammed Akibu Rajaa M. Al-raddadi Nelson Alvis-Guzman Carl Abelardo T. Antonio Helen Elizabeth Olsen Olatunde Aremu Solomon Weldegebreal Asgedom Netsanet Abera Asseffa Leticia Avila-Burgos Aleksandra Barac Till W. Bärnighausen Quique Bassat Isabela M. Bensenor Zulfiqar A. Bhutta Ali Bijani Chad Thomas Ikeda Nigus Bililign Lucero Cahuana-Hurtado Deborah Carvalho Malta Jung-Chen Chang Fiona J. Charlson Samath Dhamminda Dharmaratne David Teye Doku Dumessa Edessa Ziad El-Khatib Holly E. Erskine Michelle M. Echko Alize J. Ferrari Nancy Fullman Rahul Gupta Hamid Yimam Hassen Simon I. Hay Kathryn H. Jacobsen Amaha Kahsay Amir Kasaeian Tesfaye Dessale Kassa Katherine E. Ballestreros Seifu Kebede Yousef Saleh Khader Ejaz Ahmad Khan Mohammed Nuruzzaman Khan Young-Ho Khang Jagdish Khubchandani Yohannes Kinfu Sonali Kochhar Yoshihiro Kokubo Ai Koyanagi Helen Manguerra Barthelemy Kuate Defo Dharmesh Kumar Lal Fekede Asefa Kumsa Heidi J. Larson
Abstract:	IMPORTANCE Understanding causes and correlates of health loss among children and adolescents can identify areas of success, stagnation, and emerging threats and thereby facilitate effective improvement strategies. OBJECTIVE To estimate mortality and morbidity in children and adolescents from 1990 to 2017 by age and sex in 195 countries and territories. DESIGN, SETTING, AND PARTICIPANTS This study examined levels, trends, and spatiotemporal patterns of cause-specific mortality and nonfatal health outcomes using standardized approaches to data processing and statistical analysis. It also describes epidemiologic transitions by evaluating historical associations between disease indicators and the Socio-Demographic Index (SDI), a composite indicator of income, educational attainment, and fertility. Data collected from 1990 to 2017 on children and adolescents from birth through 19 years of age in 195 countries and territories were assessed. Data analysis occurred from January 2018 to August 2018. EXPOSURES Being under the age of 20 years between 1990 and 2017. MAIN OUTCOMES AND MEASURES Death and disability. All-cause and cause-specific deaths, disability-adjusted life years, years of life lost, and years of life lived with disability. RESULTS Child and adolescent deaths decreased 51.7%from 13.77 million (95%uncertainty interval [UI], 13.60-13.93 million) in 1990 to 6.64 million (95%UI, 6.44-6.87 million) in 2017, but in 2017, aggregate disability increased 4.7%to a total of 145 million (95%UI, 107-190 million) years lived with disability globally. Progress was uneven, and inequity increased, with low-SDI and low-middle–SDI locations experiencing 82.2%(95%UI, 81.6%-82.9%) of deaths, up from 70.9%(95%UI, 70.4%-71.4%) in 1990. The leading disaggregated causes of disability-adjusted life years in 2017 in the low-SDI quintile were neonatal disorders, lower respiratory infections, diarrhea, malaria, and congenital birth defects, whereas neonatal disorders, congenital birth defects, headache, dermatitis, and anxiety were highest-ranked in the high-SDI quintile. CONCLUSIONS AND RELEVANCE Mortality reductions over this 27-year period mean that children are more likely than ever to reach their 20th birthdays. The concomitant expansion of nonfatal health loss and epidemiological transition in children and adolescents, especially in low-SDI and middle-SDI countries, has the potential to increase already overburdened health systems, will affect the human capital potential of societies, and may influence the trajectory of socioeconomic development. Continued monitoring of child and adolescent health loss is crucial to sustain the progress of the past 27 years.
Subject:	Mortalidade infantil Defesa da criança e do adolescente Saúde do adolescente Saúde da criança Mortalidade
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	https://doi.org/10.1001/jamapediatrics.2019.0337
URI:	http://hdl.handle.net/1843/51112
Issue Date:	Apr-2019
metadata.dc.url.externa:	https://jamanetwork.com/journals/jamapediatrics/fullarticle/2732143?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamapediatrics.2019.0337
metadata.dc.relation.ispartof:	JAMA Pediatrics
Appears in Collections:	Artigo de Periódico

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