《2021 年全球疾病负担研究：拉丁美洲和加勒比国家的 COVID-19 负担分析》。

The burden of COVID-19 in Latin American and Caribbean countries: an analysis based on the Global Burden of Disease Study 2021.

机构信息

Facultad de Ingeniería Civil, Universidad de Colima, km. 9 Carretera Colima-Coquimatlán, Coquimatlán 28400, Colima, Mexico; Centro de Estudios e Investigación en Biocultura, Agroecología, Ambiente y Salud, Ex Hacienda Nogueras S/N, Nogueras 28450, Mexico.

CONAHCyT -Facultad de Medicina y Cirugía, Universidad Autónoma Benito Juárez de Oaxaca, Ex Hacienda Aguilera S/N, Carr. a San Felipe del Agua, Oaxaca 68020, Mexico.

出版信息

Public Health. 2024 Nov;236:1-6. doi: 10.1016/j.puhe.2024.07.006. Epub 2024 Aug 17.

DOI:10.1016/j.puhe.2024.07.006

PMID:39154584

Abstract

OBJECTIVES

The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on the countries of Latin America and the Caribbean. This study aims to summarise key findings from the Global Burden of Disease (GBD) 2021 in the region. We also explore disparities in burden rates and the relationship with the Socio-demographic Index (SDI).

STUDY DESIGN

A cross-sectional analysis of GBD 2021 results was conducted.

METHODS

We obtained the disability-adjusted life years (DALYs) due to COVID-19 for 20 countries, analysing number- and age-adjusted rates. Spearman's correlation (rho) and 95% confidence intervals (CIs) assessed the SDI-DALY rates relationship.

RESULTS

COVID-19 was the leading cause disease burden in the region, with 20,437,321 DALYs in 2020 and 31,525,824 in 2021. Premature mortality (years of life lost) accounted for over 95%. Disparities existed across sexes, age groups, and countries, with Bolivia and Peru having the highest rates. A significant 2021 correlation was found (rho = -0.55, 95% CI: -0.90 to 0.19; P = 0.013) but not in 2020 (rho = -0.40, 95% CI: -0.75 to 0.05; P = 0.078).

CONCLUSIONS

COVID-19 posed a significant burden in Latin America and the Caribbean, emphasising the need for targeted interventions, especially in socioeconomically disadvantaged regions.

摘要

目的

2019 年冠状病毒病（COVID-19）大流行对拉丁美洲和加勒比国家产生了深远影响。本研究旨在总结全球疾病负担（GBD）2021 年在该地区的主要发现。我们还探讨了负担率的差异及其与社会人口指数（SDI）的关系。

研究设计

对 GBD 2021 年结果进行了横断面分析。

方法

我们获得了 20 个国家 COVID-19 导致的残疾调整生命年（DALY），分析了数量和年龄调整后的比率。Spearman 相关系数（rho）和 95%置信区间（CI）评估了 SDI-DALY 比率的关系。

结果

COVID-19 是该地区疾病负担的主要原因，2020 年有 20437321 个 DALY，2021 年有 31525824 个 DALY。过早死亡（损失的生命年）占 95%以上。存在性别、年龄组和国家之间的差异，玻利维亚和秘鲁的比率最高。2021 年发现了显著的相关性（rho=-0.55，95%CI：-0.90 至 0.19；P=0.013），但 2020 年没有（rho=-0.40，95%CI：-0.75 至 0.05；P=0.078）。