Mapping the global, regional, and national burden of diarrheal diseases attributable to unsafe water

Dados Bibliográficos

ID22075673
AutoresLing Chen (0000-0002-1725-4942, Taiyuan Iron and Steel Group (China)), Jinghua Jiao (0000-0003-3774-0021, Guangzhou Eighth People's Hospital), Shunming Liu (Guangdong Academy of Medical Sciences), Lei Liu (0000-0002-4422-7325, Guangdong Academy of Medical Sciences), Pengliang Liu (0000-0001-9741-1444, Fourth Affiliated Hospital of China Medical University, autor correspondente)
Ano2023
Volume11
Páginas1302748-1302748
Data de publicação2023-12-06
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1302748
PMID38125838
OpenAlexW4389393005
IdiomaEN
Citações recebidas2
Referências citadas17

Background: Diarrheal 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. Aims: This study aimed to describe the global, regional, and national spatiotemporal burden of diarrheal diseases resulting from unsafe water exposure. Methods: According 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. Results: From 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. Conclusion: The 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

Burden of disease · Confidence interval · Diarrhea · Diarrheal disease · Diarrheal diseases · Disease burden · Environmental health · Population · Public health · Child Nutrition and Water Access · Climate Change and Health Impacts · Demography · Fecal contamination and water quality · Medicine