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

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dc.creatorRobert C. Reiner Jr.
dc.creatorAlison Smith
dc.creatorKaren Sliwa
dc.creatorChandrashekhar Sreeramareddy
dc.creatorMu'awiyyah Bable Sufiyan
dc.creatorAbdullah Sulieman Terkawi
dc.creatorRoman Topor-Madry
dc.creatorBach Xuan Tran
dc.creatorKingsley Nnanna Ukwaja
dc.creatorOlalekan A. Uthman
dc.creatorStein Emil Vollset
dc.creatorJanni Leung
dc.creatorAbdullah A. Mamun
dc.creatorSuresh Mehata
dc.creatorMulugeta Melku
dc.creatorWalter Mendoza
dc.creatorHaftay Berhane Mezgebe
dc.creatorIra Martopullo
dc.creatorTed R. Miller
dc.creatorNurilign Abebe Moges
dc.creatorShafiu Mohammed
dc.creatorBolajoko Olubukunola Olusanya
dc.creatorAli H. Mokdad
dc.creatorLorenzo Monasta
dc.creatorSubas Neupane
dc.creatorHuong Lan Thi Nguyen
dc.creatorDina Nur Anggraini Ningrum
dc.creatorYirga Legesse Nirayo
dc.creatorVuong Minh Nong
dc.creatorAnoushka Millear
dc.creatorFelix Akpojene Ogbo
dc.creatorAndrew T. Olagunju
dc.creatorJacob Olusegun Olusanya
dc.creatorGeorge C. Patton
dc.creatorDavid M. Pereira
dc.creatorFarshad Pourmalek
dc.creatorMostafa Qorbani
dc.creatorAnwar Rafay
dc.creatorRajesh Kumar Rai
dc.creatorChloe Shields
dc.creatorUsha Ram
dc.creatorKidu Gidey Weldegwergs
dc.creatorChhabi Lal Ranabhat
dc.creatorAndre M. N. Renzaho
dc.creatorMohammad Sadegh Rezai
dc.creatorLuca Ronfani
dc.creatorGregory A. Roth
dc.creatorSaeid Safiri
dc.creatorBenn Sartorius
dc.creatorJames G. Scott
dc.creatorKatya Anne Shackelford
dc.creatorOlayinka Stephen Ilesanmi
dc.creatorBryan Strub
dc.creatorAndrea Werdecker
dc.creatorHarvey A. Whiteford
dc.creatorTissa Wijeratne
dc.creatorNaohiro Yonemoto
dc.creatorMarcel Yotebieng
dc.creatorLiesl J. Zuhlke
dc.creatorHmwe Hmwe Kyu
dc.creatorMohsen Naghavi
dc.creatorTheo Vos
dc.creatorChristopher J. L. Murray
dc.creatorMolla Abebe
dc.creatorNicholas J. Kassebaum
dc.creatorZegeye Abebe
dc.creatorBeyene Meressa Adhena
dc.creatorTara Ballav Adhikari
dc.creatorMohammed Akibu
dc.creatorRajaa M. Al-raddadi
dc.creatorNelson Alvis-Guzman
dc.creatorCarl Abelardo T. Antonio
dc.creatorHelen Elizabeth Olsen
dc.creatorOlatunde Aremu
dc.creatorSolomon Weldegebreal Asgedom
dc.creatorNetsanet Abera Asseffa
dc.creatorLeticia Avila-Burgos
dc.creatorAleksandra Barac
dc.creatorTill W. Bärnighausen
dc.creatorQuique Bassat
dc.creatorIsabela M. Bensenor
dc.creatorZulfiqar A. Bhutta
dc.creatorAli Bijani
dc.creatorChad Thomas Ikeda
dc.creatorNigus Bililign
dc.creatorLucero Cahuana-Hurtado
dc.creatorDeborah Carvalho Malta
dc.creatorJung-Chen Chang
dc.creatorFiona J. Charlson
dc.creatorSamath Dhamminda Dharmaratne
dc.creatorDavid Teye Doku
dc.creatorDumessa Edessa
dc.creatorZiad El-Khatib
dc.creatorHolly E. Erskine
dc.creatorMichelle M. Echko
dc.creatorAlize J. Ferrari
dc.creatorNancy Fullman
dc.creatorRahul Gupta
dc.creatorHamid Yimam Hassen
dc.creatorSimon I. Hay
dc.creatorKathryn H. Jacobsen
dc.creatorAmaha Kahsay
dc.creatorAmir Kasaeian
dc.creatorTesfaye Dessale Kassa
dc.creatorKatherine E. Ballestreros
dc.creatorSeifu Kebede
dc.creatorYousef Saleh Khader
dc.creatorEjaz Ahmad Khan
dc.creatorMohammed Nuruzzaman Khan
dc.creatorYoung-Ho Khang
dc.creatorJagdish Khubchandani
dc.creatorYohannes Kinfu
dc.creatorSonali Kochhar
dc.creatorYoshihiro Kokubo
dc.creatorAi Koyanagi
dc.creatorHelen Manguerra
dc.creatorBarthelemy Kuate Defo
dc.creatorDharmesh Kumar Lal
dc.creatorFekede Asefa Kumsa
dc.creatorHeidi J. Larson
dc.date.accessioned2023-03-22T00:45:09Z
dc.date.accessioned2025-09-08T23:06:05Z
dc.date.available2023-03-22T00:45:09Z
dc.date.issued2019-04
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1001/jamapediatrics.2019.0337
dc.identifier.issn2168-6211
dc.identifier.urihttps://hdl.handle.net/1843/51112
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJAMA Pediatrics
dc.rightsAcesso Aberto
dc.subjectMortalidade infantil
dc.subjectDefesa da criança e do adolescente
dc.subjectSaúde do adolescente
dc.subjectSaúde da criança
dc.subjectMortalidade
dc.subject.otherChild and adolescent health
dc.subject.otherDiseases
dc.subject.otherInjuries
dc.subject.otherRisk factors
dc.subject.otherMortality
dc.titleDiseases, 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
dc.typeArtigo de periódico
local.citation.issue6
local.citation.volume173
local.description.resumoIMPORTANCE 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.
local.identifier.orcidhttps://orcid.org/0000-0002-8214-5734
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.initialsUFMG
local.url.externahttps://jamanetwork.com/journals/jamapediatrics/fullarticle/2732143?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamapediatrics.2019.0337

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