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Prevalence and attributable health burdens of vector-borne parasitic infectious diseases of poverty,1990-2021:findings from the Global Burden of Disease Study 2021

摘要Background Vector-borne parasitic infectious diseases associated with poverty(referred to as vb-pIDP),such as malaria,leishmaniasis,lymphatic filariasis,African trypanosomiasis,Chagas disease,and onchocerciasis,are highly prevalent in many regions around the world.This study aims to characterize the recent burdens of and changes in these vb-pIDP globally and provide a comprehensive and up-to-date analysis of geographical and temporal trends.Methods Data on the prevalence and disability-adjusted life years(DALYs)of the vb-pIDP were retrieved from the Global Burden of Disease,Injuries,and Risk Factors Study(GBD)2021 for 21 geographical regions and 204 countries worldwide,from 1990-2021.The age-standardized prevalence rate and DALYs rate by age,sex,and sociode-mographic index(SDI)were calculated to quantify temporal trends.Correlation analysis was performed to examine the relationship between the age-standardized rate and the SDI.Results Over the past 30 years,the age-standardized prevalence rate and DALYs rate of these vb-pIDP have gener-ally decreased,with some fluctuations.The distribution of vb-pIDP globally is highly distinctive.Except for Chagas disease,the age-standardized prevalence rate and DALYs rate of other vb-pIDP were highest in low-SDI regions by 2021.Malaria had the highest age-standardized prevalence rate(2336.8 per 100,000 population,95%UI:2122.9,2612.2 per 100,000 population)and age-standardized DALYs rate(806.0 per 100,000 population,95%UI:318.9,1570.2 per 100,000 population)among these six vb-pIDP globally.Moreover,significant declines in the age-standardized prevalence rate and DALYs rate have been observed in association with an increase in the SDI.Globally,0.14%of DALYs related to malaria are attributed to child underweight,and 0.08%of DALYs related to malaria are attributed to child stunting.Conclusions The age-standardized prevalence rate and DALY rates for the vb-pIDP showed pronounced decreas-ing trends from 1990-2021.However,the vb-pIDP burden remains a substantial challenge for vector-borne infec-tious disease control globally and requires effective control strategies and healthcare systems.The findings provide scientific evidence for designing targeted health interventions and contribute to improving the prevention and con-trol of infectious diseases.

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作者 Yin-Shan Zhu Zhi-Shan Sun Jin-Xin Zheng Shun-Xian Zhang Jing-Xian Yin Han-Qing Zhao Hai-Mo Shen Gad Baneth Jun-Hu Chen Kokouvi Kassegne 学术成果认领
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DOI 10.1186/s40249-024-01260-x
发布时间 2025-03-14
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