Suchergebnisse

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? There were approximately 1.23 million deaths reported among individuals aged 5–19 years worldwide in 2017. Limited attention has been paid to current mortality among primary and secondary school students aged 6–18 years in China. WHAT IS ADDED BY THIS REPORT? In 2018, an estimated 28,519 deaths occurred among primary and secondary school students aged 6–18 years in China with an age-standardized mortality rate (ASMR) of 17.66 per 100,000. Substantial disparities existed among sexes, age groups, areas, and regions for different causes of death. Drowning, road traffic injuries, and leukemia were three leading causes of death. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? Government support, legislation enforcement, multisectoral cooperation, and stakeholder engagement should be initiated to reduce premature deaths among primary and secondary school students in China, especially those due to injuries.

BACKGROUND: Public health is a priority for the Chinese Government. Evidence-based decision making for health at the province level in China, which is home to a fifth of the global population, is of paramount importance. This analysis uses data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to help inform decision making and monitor progress on health at the province level. METHODS: We used the methods in GBD 2017 to analyse health patterns in the 34 province-level administrative units in China from 1990 to 2017. We estimated all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), summary exposure values (SEVs), and attributable risk. We compared the observed results with expected values estimated based on the Socio-demographic Index (SDI). FINDINGS: Stroke and ischaemic heart disease were the leading causes of death and DALYs at the national level in China in 2017. Age-standardised DALYs per 100 000 population decreased by 33·1% (95% uncertainty interval [UI] 29·8 to 37·4) for stroke and increased by 4·6% (–3·3 to 10·7) for ischaemic heart disease from 1990 to 2017. Age-standardised stroke, ischaemic heart disease, lung cancer, chronic obstructive pulmonary disease, and liver cancer were the five leading causes of YLLs in 2017. Musculoskeletal disorders, mental health disorders, and sense organ diseases were the three leading causes of YLDs in 2017, and high systolic blood pressure, smoking, high-sodium diet, and ambient particulate matter pollution were among the leading four risk factors contributing to deaths and DALYs. All provinces had higher than expected DALYs per 100 000 population for liver cancer, with the observed to expected ratio ranging from 2·04 to 6·88. The all-cause age-standardised DALYs per 100 000 population were lower than expected in all provinces in 2017, and among the top 20 level 3 causes were lower than expected for ischaemic heart disease, Alzheimer's disease, ...