东地中海区域青少年健康状况:2015 年全球疾病负担研究结果。
Adolescent health in the Eastern Mediterranean Region: findings from the global burden of disease 2015 study.
出版信息
Int J Public Health. 2018 May;63(Suppl 1):79-96. doi: 10.1007/s00038-017-1003-4. Epub 2017 Aug 3.
OBJECTIVES
The 22 countries of the East Mediterranean Region (EMR) have large populations of adolescents aged 10-24 years. These adolescents are central to assuring the health, development, and peace of this region. We described their health needs.
METHODS
Using data from the Global Burden of Disease Study 2015 (GBD 2015), we report the leading causes of mortality and morbidity for adolescents in the EMR from 1990 to 2015. We also report the prevalence of key health risk behaviors and determinants.
RESULTS
Communicable diseases and the health consequences of natural disasters reduced substantially between 1990 and 2015. However, these gains have largely been offset by the health impacts of war and the emergence of non-communicable diseases (including mental health disorders), unintentional injury, and self-harm. Tobacco smoking and high body mass were common health risks amongst adolescents. Additionally, many EMR countries had high rates of adolescent pregnancy and unmet need for contraception.
CONCLUSIONS
Even with the return of peace and security, adolescents will have a persisting poor health profile that will pose a barrier to socioeconomic growth and development of the EMR.
目的
东地中海区域(EMR)的 22 个国家拥有大量 10-24 岁的青少年人口。这些青少年是确保该地区健康、发展与和平的核心。我们描述了他们的健康需求。
方法
我们使用 2015 年全球疾病负担研究(GBD 2015)的数据,报告了 1990 年至 2015 年 EMR 青少年的主要死亡和发病原因。我们还报告了关键健康风险行为和决定因素的流行率。
结果
传染病和自然灾害的健康后果在 1990 年至 2015 年间大幅减少。然而,这些成果在很大程度上被战争和非传染性疾病(包括精神健康障碍)、意外伤害和自残的健康影响所抵消。吸烟和体重过高是青少年常见的健康风险。此外,许多 EMR 国家青少年怀孕率和避孕需求未得到满足的比率都很高。
结论
即使和平与安全得以恢复,青少年的健康状况仍将持续不佳,这将成为 EMR 地区社会经济增长和发展的障碍。
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