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The United States is one of eight countries in the world where
decrease in child and adolescent mortality over 27 years
has not been matched by a reduction in maternal mortality, according to
to a new scientific study.
This divergent trend has also been observed in American Samoa, Canada,
Greece, Guam, Jamaica, Saint Vincent and the Grenadines and Zimbabwe. Of
In these countries, the United States recorded the largest increase in maternal mortality.
mortality rate at 67.5%.
"Our findings are particularly alarming because the health of
children is very closely related to that of their mother, "said Dr
Nicholas Kbadebaum, lead author of the study and badociate badociate
Professor at the Institute of Metrics and Health Assessment (IHME) of
the University of Washington Medical School. "This paradox justifies
further investigation in the United States to determine how we can
prioritize improvements in maternal health alongside those of children
and teenagers. "
Kbadebaum pointed out that the study also identifies uneven progress in
health of children and adolescents during the 27-year study period, with inequalities
growing between the countries with the highest and the lowest
Results of the socio-demographic index (SDI). The IDS, a measure of development,
takes into account per capita income, adult education and
fertility rate among women under 25 years of age.
For example, the results show the gap between the best and the worst
the artists have expanded. Low IDS country and low average IDS
82.2% of all child and youth deaths, up from 70.9% in 1990
Published today in the international medical journal JAMA Pediatrics,
The study covers the period from 1990 to 2017 and concerns 195 countries and territories. A part
of the Global Burden of Disease (GBD) study, this new badysis is a
comprehensive effort to quantify the health of children and adolescents
internationally. The results are presented for the group age group of
from birth to 19 years, but also separately for newborns, infants, children,
and teenagers. The authors of the study defined newborns as those younger than 28 years old.
days, infants like those younger than 1 year old, children like younger ones
under 10 years and adolescents like those aged 10 to 19 years.
The researchers found that children today are more likely than ever to reach
20 years as a result of substantial reductions in mortality.
The deaths of children and adolescents were halved between 1990 and 2017,
from 13.8 million to 6.6 million. These dramatic gains are largely due
overall decline in deaths from diarrhea, lower respiratory
infections and other common infectious diseases, particularly in
children aged 1 to 4, who experienced the fastest reduction in mortality.
Despite this considerable progress, infections of the lower respiratory tract,
diarrhea and acute malnutrition remained among the leading causes of death
children and adolescents around the world in 2017. In addition, HIV / AIDS remains
an imminent threat to the health and well-being of older children and
adolescents in many countries of sub-Saharan Africa, including the countries of the South
Africa, Zimbabwe, Lesotho, Swaziland, Botswana and Zambia.
With reductions in mortality from communicable diseases, many
middle- and high-income countries have experienced an increased deterioration in their health
noncommunicable diseases (NCDs) such as conbad malformations,
mental and behavioral disorders, and asthma. Injuries also continue
Major Cause of Early Mortality and Long-Term Disability in the Elderly
children and adolescents in all countries.
"An emerging threat is the growing and growing burden of mental health
and Substance Use Disorders in Older Children and Adolescents
globally, "said Dr. Bobby Reiner, lead author of the study and badistant
professor at IHME. "As more and more children survive childhood, already
Overburdened health systems will have to adapt to the challenge of
treat noncommunicable diseases in older children and
teens. "
Reiner also noted that few countries have health signs
improvements in teens over the 27-year period beyond what was
expected with overall gains in societal development.
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