Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water
BackgroundDiarrheal diseases are major contributors to deaths. Data on global and country-specific levels and trends of diarrheal diseases resulting from unsafe water are essential for policymakers to allocate resources.AimsThis study aimed to describe the global, regional, and national spatiotempor...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1302748/full |
| _version_ | 1797403202781446144 |
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| author | Ling Chen Jinghua Jiao Shunming Liu Lei Liu Pengliang Liu |
| author_facet | Ling Chen Jinghua Jiao Shunming Liu Lei Liu Pengliang Liu |
| author_sort | Ling Chen |
| collection | DOAJ |
| description | BackgroundDiarrheal diseases are major contributors to deaths. Data on global and country-specific levels and trends of diarrheal diseases resulting from unsafe water are essential for policymakers to allocate resources.AimsThis study aimed to describe the global, regional, and national spatiotemporal burden of diarrheal diseases resulting from unsafe water exposure.MethodsAccording to the Global Burden of Disease (GBD) 2019 dataset, deaths, disability-adjusted life years (DALYs) of diarrheal diseases, and their age-standardized rates (ASRs) were analyzed by age and sex in 204 countries and territories. Moreover, the average annual percentage change (AAPC) was estimated by a log-linear regression model to reflect the time trend. The association between ASR of diarrheal diseases due to unsafe water and socio-demographic index (SDI) levels was also analyzed.ResultsFrom 1990 to 2019, the number of deaths and DALYs of diarrheal diseases resulting from unsafe water decreased by 50 and 59%, respectively. Moreover, the ASR of deaths and DALYs also decreased during the study period, with AAPCs of −3.69 (95% CI [95% confidence interval]: −3.91 to −3.47) and − 3.66 (95% CI: −3.8 to −3.52), respectively. High diarrheal diseases resulting from unsafe water occurred mainly in low SDI regions and Africa. Males exhibited greater diarrheal deaths attributable to unsafe water than females, which was contrary to the condition in terms of DALYs. The age-specific burden of diarrheal deaths attributable to unsafe water is concentrated in children younger than 5 years. The AAPCs of the ASR of both deaths and DALYs showed a strong negative correlation with the SDI levels.ConclusionThe current study indicated that the global burden of unsafe water exposure-related diarrheal diseases decreased from 1990 to 2019 and varied significantly according to age, sex, and geographical location. Effective health promotion and health communication strategies and policies should be adopted to prevent and control diarrheal diseases resulting from unsafe water exposure. |
| first_indexed | 2024-03-09T02:35:08Z |
| format | Article |
| id | doaj.art-17e8af522495441e9de8bfe1587056ab |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-09T02:35:08Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-17e8af522495441e9de8bfe1587056ab2023-12-06T08:32:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.13027481302748Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe waterLing Chen0Jinghua Jiao1Shunming Liu2Lei Liu3Pengliang Liu4Department of Pharmacy, General Hospital of Benxi Iron and Steel Industry Group of Liaoning Health Industry Group, Benxi, ChinaDepartment of Anesthesiology, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, ChinaGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaDepartment of Gastroenterology and Endoscopy, The Fourth Affiliated Hospital of China Medical University, Shenyang, ChinaBackgroundDiarrheal diseases are major contributors to deaths. Data on global and country-specific levels and trends of diarrheal diseases resulting from unsafe water are essential for policymakers to allocate resources.AimsThis study aimed to describe the global, regional, and national spatiotemporal burden of diarrheal diseases resulting from unsafe water exposure.MethodsAccording to the Global Burden of Disease (GBD) 2019 dataset, deaths, disability-adjusted life years (DALYs) of diarrheal diseases, and their age-standardized rates (ASRs) were analyzed by age and sex in 204 countries and territories. Moreover, the average annual percentage change (AAPC) was estimated by a log-linear regression model to reflect the time trend. The association between ASR of diarrheal diseases due to unsafe water and socio-demographic index (SDI) levels was also analyzed.ResultsFrom 1990 to 2019, the number of deaths and DALYs of diarrheal diseases resulting from unsafe water decreased by 50 and 59%, respectively. Moreover, the ASR of deaths and DALYs also decreased during the study period, with AAPCs of −3.69 (95% CI [95% confidence interval]: −3.91 to −3.47) and − 3.66 (95% CI: −3.8 to −3.52), respectively. High diarrheal diseases resulting from unsafe water occurred mainly in low SDI regions and Africa. Males exhibited greater diarrheal deaths attributable to unsafe water than females, which was contrary to the condition in terms of DALYs. The age-specific burden of diarrheal deaths attributable to unsafe water is concentrated in children younger than 5 years. The AAPCs of the ASR of both deaths and DALYs showed a strong negative correlation with the SDI levels.ConclusionThe current study indicated that the global burden of unsafe water exposure-related diarrheal diseases decreased from 1990 to 2019 and varied significantly according to age, sex, and geographical location. Effective health promotion and health communication strategies and policies should be adopted to prevent and control diarrheal diseases resulting from unsafe water exposure.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1302748/fulldiarrheal diseasesunsafe waterglobaldisability-adjusted life yearsdeath |
| spellingShingle | Ling Chen Jinghua Jiao Shunming Liu Lei Liu Pengliang Liu Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water Frontiers in Public Health diarrheal diseases unsafe water global disability-adjusted life years death |
| title | Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water |
| title_full | Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water |
| title_fullStr | Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water |
| title_full_unstemmed | Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water |
| title_short | Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water |
| title_sort | mapping the global regional and national burden of diarrheal diseases attributable to unsafe water |
| topic | diarrheal diseases unsafe water global disability-adjusted life years death |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1302748/full |
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