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2000 年至 2016 年期间撒哈拉以南非洲地区归因于非传染性疾病的比例死亡率趋势。

Trends in the proportionate mortalities attributed to noncommunicable diseases in sub-Saharan Africa for the period 2000 to 2016.

机构信息

Research Department, FOCOS Orthopaedic Hospital, Accra, Ghana.

Department of Nursing, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

Int J Health Plann Manage. 2020 Sep;35(5):1232-1239. doi: 10.1002/hpm.2981. Epub 2020 Jun 21.

Abstract

Noncommunicable diseases (NCDs) remain a growing global health issue and sub-Saharan Africa (SSA) is no exception. Using secondary data obtained from the World Bank on 48 SSA countries, we describe the trends in the proportionate mortalities attributed to NCDs in SSA between 2000 and 2016. The baseline proportionate mortalities attributed to NCDs in SSA increased from 22.49% in 2000 to 33.69% in 2016, representing about 11% increase. The trend was replicated across the low-, middle-, and high-income countries in SSA. The highest change in the NCD mortalities in low-income SSA countries was seen in Eritrea where NCD mortalities increased from 19.3% in the year 2000 to 45.2% in 2016. In Rwanda, it rose from 24.8% to 44% during the same period. Ghana, a lower-middle-income country, also witnessed an increase from 27.3% in 2000 to 42.7% in 2016. The general increasing trend in the burden of NCD mortalities in SSA implies the need for higher prioritization of NCD prevention and control initiatives. There is a need for a greater contribution of nontraditional stakeholders in health through a multi-sectoral approach. We also recommend integrating NCD prevention and control strategies into existing public health structures being used for communicable disease control.

摘要

非传染性疾病(NCDs)仍然是一个全球性的健康问题,撒哈拉以南非洲(SSA)也不例外。我们使用世界银行提供的 48 个 SSA 国家的二手数据,描述了 2000 年至 2016 年期间 SSA 中 NCD 导致的相对死亡率的趋势。SSA 中 NCD 导致的相对死亡率的基线从 2000 年的 22.49%增加到 2016 年的 33.69%,增长了约 11%。这一趋势在 SSA 的低收入、中等收入和高收入国家中都得到了复制。在低收入 SSA 国家中,NCD 死亡率变化最大的是厄立特里亚,其 NCD 死亡率从 2000 年的 19.3%上升到 2016 年的 45.2%。在卢旺达,同期从 24.8%上升到 44%。加纳是一个中低收入国家,也从 2000 年的 27.3%上升到 2016 年的 42.7%。SSA 中 NCD 死亡率负担普遍呈上升趋势,这意味着需要更高地优先考虑 NCD 预防和控制措施。需要通过多部门方法,让非传统卫生利益相关者做出更大的贡献。我们还建议将 NCD 预防和控制战略纳入现有的用于控制传染病的公共卫生结构中。

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