Phillips M, Feachem R G, Murray C J, Over M, Kjellstrom T
London School of Hygiene and Tropical Medicine, England.
Am J Public Health. 1993 Nov;83(11):1527-30. doi: 10.2105/ajph.83.11.1527.
Adults, defined here as people between 15 and 59 years of age, in developing countries have a high risk of premature death and suffer from frequent morbidity and high rates of chronic impairment. Their ill health imposes a major burden on health services and large negative consequences on families, communities, and societies. This paper describes the level and impact of adult mortality and morbidity, and highlights some of its characteristics and causes, which in some cases contradict commonly held beliefs. It concludes that "adult health" is a legitimate public health concern for developing countries that is not being addressed. An agenda for remedial research and action is proposed.
本文所定义的成年人是指年龄在15至59岁之间的人群。在发展中国家,成年人面临过早死亡的高风险,经常患病,且慢性损伤率很高。他们的健康不佳给卫生服务带来了沉重负担,并对家庭、社区和社会造成了巨大的负面影响。本文描述了成人死亡率和发病率的水平及影响,并强调了其中一些特征和原因,在某些情况下这些特征和原因与普遍看法相悖。结论是,“成人健康”是发展中国家一个合理的公共卫生问题,但尚未得到解决。本文提出了补救性研究和行动议程。