Feddema Jelle J, van der Geest Anne M, Claassen Eric, van de Burgwal Linda H M
Vrije Universiteit Amsterdam, Amsterdam, Noord-Holland, The Netherlands.
Glob Pediatr Health. 2021 Jan 24;8:2333794X21989530. doi: 10.1177/2333794X21989530. eCollection 2021.
This study explored to what degree economic development and improvement of healthcare are associated with lower respiratory tract infection (LRTI) mortality. A correlation analysis between LRTI mortality and Gross Domestic Product (GDP) per capita, and the Health Access and Quality Index (HAQI), respectively was conducted for 15 countries in East and South-East Asia. The results revealed a dramatic decrease in LRTI mortality in total populations for lower-middle income (LMI) countries but at the same time an increase in upper-middle income (UMI) and high-income (HI) countries. A highly significant ( < .001) growth-dependent relationship between LRTI mortality and economic growth was observed. Improvements in HAQI were significantly associated with a decrease in LRTI mortality in LMI countries, but an increase in UMI and HI countries. The decline of LRTI mortality amongst children in LMI countries is an encouraging trend and efforts against LRTI must be continued, though not at the expense of preparing health systems for the growing burden.
本研究探讨了经济发展和医疗保健改善在多大程度上与下呼吸道感染（LRTI）死亡率相关。分别对东亚和东南亚15个国家的LRTI死亡率与人均国内生产总值（GDP）以及健康可及性和质量指数（HAQI）进行了相关性分析。结果显示，中低收入（LMI）国家总人口的LRTI死亡率显著下降，但与此同时，中高收入（UMI）国家和高收入（HI）国家的LRTI死亡率却有所上升。观察到LRTI死亡率与经济增长之间存在高度显著（<0.001）的增长依赖关系。HAQI的改善与LMI国家LRTI死亡率的下降显著相关，但与UMI国家和HI国家LRTI死亡率的上升相关。LMI国家儿童LRTI死亡率的下降是一个令人鼓舞的趋势，必须继续开展防治LRTI的工作，不过不能以牺牲为应对不断增加的负担而准备卫生系统为代价。
