Disease Burden and Geographic Inequalities in 15 Types of Neonatal Infectious Diseases in 131 Low- and Middle-Income Countries and Territories  

作　　者：Chenyuan Qin Qiao Liu Yaping Wang Jie Deng Min Du Min Liu Jue Liu 

机构地区：[1]School of Public Health,Peking University,Beijing,100191,China [2]Institute for Global Health and Development,Peking University,Beijing,100871,China [3]National Health Commission Key Laboratory of Reproductive Health,Peking University,Beijing,100191,China [4]Peking University Health Science CenterWeifang Joint Research Center for Maternal and Child Health,Peking University,Beijing,100191,China

出　　处：《Health Data Science》2024年第1期122-135,共14页健康数据科学(英文)

基　　金：funded by the Peking University Health Science Center-Weifang Joint Research Center for Maternal and Child Health(20230315,PKUWF-Y12);the National Natural Science Foundation of China(72122001).

摘　　要：Background:The burden of neonatal infections in low- and middle-income countries and territories (LMICs) is a critical public health challenge, while our understanding of speciffc burden and secular trends remains limited. Methods:We gathered annual data on 15 types of neonatal infections in LMICs from 1990 to 2019 from the Global Burden of Disease 2019. Numbers, rates, percent changes, and estimated annual percentage changes of incidence and deaths were calculated. We also explored the association between disease burden, socio-demographic index (SDI), and universal health coverage index (UHCI). Results:Enteric infections and upper respiratory infections owned the top highest incidence rates for neonates in 2019. Neonatal sepsis and other neonatal infections, as well as otitis media, demonstrated an increasing trend of incidence across all 3 low- and middle-income regions. The top 3 causes of neonatal mortality in 2019 were neonatal sepsis and other neonatal infections, lower respiratory infections, and enteric infections. Between 1990 and 2019, all of the neonatal infection-related mortality rates suggested an overall decline. Sex differences could be found in the incidence and mortality of some neonatal infections, but most disease burdens decreased more rapidly in males. SDI and UHCI were both negatively associated with most of the disease burden, but there were exceptions. Conclusions:Our study serves as a vital exploration into the realities of neonatal infectious diseases in LMICs. The identiffed trends and disparities not only provide a foundation for future research but also underscore the critical need for targeted policy initiatives to alleviate on a global scale.

关 键 词：INCOME MIDDLE BURDEN 

分 类 号：R72[医药卫生—儿科]