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青少年健康指标揭示了地区和国家层面的差异和不平等。

Health indicators on adolescents reveal disparity and inequality on regional and national levels.

机构信息

Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Renmin South Road 16, Chengdu, Sichuan Province, 610041, People's Republic of China.

出版信息

BMC Public Health. 2021 May 28;21(1):1006. doi: 10.1186/s12889-021-10989-1.

Abstract

BACKGROUND

Health status in adolescents is difficult to evaluate and compare horizontally, vertically and longitudinally among different regions and nations of the world.

METHODS

With repeated surveys conducted with relatively uniformed standards, the UNICEF Data warehouse compiles and publishes a wide spectrum of health indicators, of which data analysis and visualization would reveal the underlying statuses and trends on global, regional and national levels.

RESULTS

Apparent geographic disparity is present in that sub-Saharan African countries lag far behind their counterparts in other regions with regard to most health indicators on adolescents. Education attendance rates sequentially drop from primary to secondary school levels, and display correlation with youth literacy. Harmful practices of early marriage, early childbearing and female genital mutilation have decreased but the presences of peer violence and sexual violence are worthy of attentions. Although incidence and mortality rates of HIV/AIDS have dropped (most notably in sub-Saharan Africa), adolescents' HIV/AIDS awareness remains suboptimal in selected countries. Cumulative COVID-19 cases and deaths in the adolescents are comparable to the children but relatively lower than the adult and senior groups.

CONCLUSIONS

Findings on the health indicators of adolescents until 2019 reveal the most recent status quo for reference right before the hit of ongoing COVID-19 pandemic. Progresses made on the various health indicators as well as the associated disparity and inequality underlie the remaining gaps to fill for the achievement of the Sustainable Development Goals by 2030.

摘要

背景

青少年的健康状况难以在世界不同地区和国家之间进行横向、纵向和纵向评估和比较。

方法

联合国儿童基金会数据仓库采用相对统一的标准进行重复调查,编制和发布了广泛的健康指标,其中数据分析和可视化将揭示全球、区域和国家各级的基本状况和趋势。

结果

明显存在地域差异,大多数青少年健康指标方面,撒哈拉以南非洲国家远远落后于其他地区的国家。教育出勤率从小学到中学依次下降,并与青年识字率相关。早婚、早育和女性割礼等有害习俗有所减少,但同伴暴力和性暴力的存在值得关注。虽然艾滋病毒/艾滋病的发病率和死亡率有所下降(尤其是在撒哈拉以南非洲地区),但一些国家青少年的艾滋病毒/艾滋病意识仍不理想。选定国家中,青少年累积的 COVID-19 病例和死亡人数与儿童相当,但低于成人和老年群体。

结论

截至 2019 年,青少年健康指标的调查结果反映了当前在持续 COVID-19 大流行之前的最新现状。在各种健康指标方面取得的进展以及相关的差距和不平等,为到 2030 年实现可持续发展目标留下了仍需填补的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1011/8164254/e77b3c7f4367/12889_2021_10989_Fig1a_HTML.jpg

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