HIV/AIDS, STI and TB Research Programme, Human Sciences Research Council, Durban, South Africa.
Department of Biomedical Science, Mangosuthu University of Technology, Durban, South Africa.
J Epidemiol Glob Health. 2018 Dec;8(1-2):77-81. doi: 10.2991/j.jegh.2018.09.001.
It is important to assess whether regional progress toward achieving the millennium development goals (MDGs) has contributed to human development and whether this has had an effect on the triple burden of disease in the continent. This analysis investigates the association between the human development index (HDI) and co-occurrence of HIV/AIDS, tuberculosis (TB), and malaria as measured by MDG 6 indicators in 35 selected sub-Saharan African countries from 2000 to 2014. The analysis used secondary data from the United Nations Development Programme data repository for HDI and disease data from WHO Global Health observatory data repository. Generalized Linear Regression Models were used to analyze relationships between HDI and MDG 6 indicators. HDI was observed to improve from 2001 to 2014, and this varied across the selected sub-regions. There was a significant positive relationship between HDI and HIV prevalence in East Africa ( = 0.048 [95% CI: 0.040-0.056], < 0.001) and Southern Africa ( = 0.032 [95% CI: 0.002-0.062], = 0.034). A significant positive relationship was observed with TB incidence ( = 0.009 [95% CI: 0.003-0.015], = 0.002) and a significant negative relationship was observed with malaria incidence ( = -0.020 (95% CI: -0.029 to -0.010, < 0.001) in East Africa. Observed improvements in HDI from the year 2000 to 2014 did not translate into commensurate progress in MDG 6 goals.
评估区域在实现千年发展目标（MDGs）方面取得的进展是否有助于人类发展，以及这对非洲大陆的三重疾病负担是否有影响，这一点很重要。本分析研究了人类发展指数（HDI）与艾滋病毒/艾滋病、结核病（TB）和疟疾共病之间的关联，该分析采用了 2000 年至 2014 年在 35 个选定的撒哈拉以南非洲国家中通过 MDG 6 指标衡量的 HDI 和疾病数据。该分析使用了联合国开发计划署数据存储库中 HDI 的二级数据和世卫组织全球卫生观察站数据存储库中的疾病数据。使用广义线性回归模型分析了 HDI 与 MDG 6 指标之间的关系。HDI 从 2001 年到 2014 年有所提高，且在所选的各个子区域中存在差异。东非的 HDI 与艾滋病毒流行率之间存在显著正相关（ = 0.048 [95% CI：0.040-0.056]， < 0.001）和南部非洲（ = 0.032 [95% CI：0.002-0.062]， = 0.034）。TB 发病率（ = 0.009 [95% CI：0.003-0.015]， = 0.002）呈显著正相关，疟疾发病率（ = -0.020 [95% CI：-0.029 至 -0.010， < 0.001）呈显著负相关。从 2000 年到 2014 年，HDI 的观察到的改善并没有转化为 MDG 6 目标的相应进展。
