George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
University of Sydney.
Int J Epidemiol. 2017 Dec 1;46(6):2036-2043. doi: 10.1093/ije/dyx097.
Adolescents (10-19 years old) comprise a fifth of the Indian population (253.2 million), yet there is very little published information about the burden of disease and injury for this age group. This paper aims to provide a contemporary picture of the leading causes of death and disability for Indian adolescent girls and boys for 2013, and changes in deaths and disability between 1990 and 2013.
Data from the Global Burden of Disease (GBD) study for India, for the years 1990 and 2013, were accessed. Data were categorized into two age groups: 10 to 14 years (younger adolescents) and 15 to 19 years (older adolescents) and analysed separately for girls and boys.
The study shows that for both younger and older adolescent boys and for older adolescent girls, non-communicable diseases (NCDs) and injuries are responsible for a greater number of deaths and disability-adjusted life-years (DALYs) than communicable diseases. Communicable diseases are still important causes of death and disability for young adolescents. Among older adolescents there is an increasing burden of death and disability due to self-harm, road traffic injuries, fire- and heat-related injuries and mental disorders such as depressive disorders.
Although strategies to reduce the burden of communicable diseases among adolescents must continue to be an important focus, innovative, evidence-based strategies aimed at reducing the growing burden of NCDs and injuries must be elevated as a priority.
印度人口中有五分之一是青少年（10-19 岁），共有 2.532 亿人，然而针对这一年龄群体的疾病和伤害负担，相关出版物却非常少。本文旨在介绍 2013 年印度青少年（男、女）的主要死因和致残原因，并分析 1990 年至 2013 年期间死亡人数和残疾人数的变化。
本文使用印度全球疾病负担研究（GBD）1990 年和 2013 年的数据，将数据分为两个年龄组：10-14 岁（年轻青少年）和 15-19 岁（年长青少年），并分别对男、女孩进行分析。
研究表明，对于年轻和年长的青少年男孩以及年长的青少年女孩，非传染性疾病（NCD）和伤害导致的死亡人数和伤残调整生命年（DALY）多于传染性疾病。传染性疾病仍然是青少年死亡和残疾的重要原因。在年长的青少年中，由于自伤、道路交通伤害、火灾和热相关伤害以及抑郁障碍等精神障碍，死亡和残疾的负担日益加重。
虽然减少青少年传染性疾病负担的策略必须继续作为一个重要重点，但必须将旨在减少非传染性疾病和伤害负担日益加重的创新、基于证据的策略提升为优先事项。
