Analysis of the burden and trends of communicable diseases in Pacific Island countries from 1990 to 2019.

Yan Li, Hao Li, Yi Jiang
Author Information
  1. Yan Li: School of Public Health, Chongqing Medical University, Chongqing, China.
  2. Hao Li: School of Public Health, Chongqing Medical University, Chongqing, China.
  3. Yi Jiang: School of Public Health, Chongqing Medical University, Chongqing, China. jiangyilaoshi@163.com.

Abstract

BACKGROUND: Communicable diseases contribute substantially to morbidity and death rates worldwide, particularly in low-and middle-income countries. Pacific Island countries face unique challenges in addressing these diseases due to their remote locations and limited resources. Understanding the burden and trends of these diseases in this region is crucial for developing effective public health interventions.
OBJECTIVE: This study aimed to analyze the burden and trends of communicable diseases in Pacific Island countries from 1990 to 2019.
METHODS: We utilized data from the 2019 Global Burden of Disease (GBD) study to analyze indicators including incidence, death, and disability-adjusted life years (DALYs). Excel 2016, R 4.2.1, and GraphPad Prism 9 were used to analyze and visualize the data. Joinpoint regression models were used for trend analysis, and the average annual percent change (AAPC) was calculated.
RESULTS: From 1990 to 2019, the standardized incidence rate of communicable diseases in Pacific Island countries showed an upward trend (AAPC = 0.198%, 95% CI = 0.0174 ~ 0.221), while the standardized death rate (AAPC = -1.098%, 95% CI = -1.34 ~ 0.86) and standardized DALY rate (AAPC = -1.008%, 95% CI = -1.187 ~ -0.828) showed downward trends. In 2019, the standardized incidence, death, and DALY rates of communicable diseases were higher among males than among females, but the standardized death and DALY rates among males decreased faster than those among females from 1990 to 2019. There were significant differences in the disease burden among different Pacific Island countries. The Solomon Islands had the highest standardized death rate (363.73/100,000), and Guam had the lowest (50.42/100,000). Papua New Guinea had the highest standardized DALY rate (16,041.14/100,000), and the Cook Islands had the lowest (2,740.13/100,000). In 2019, the main attributable risk factors for communicable disease deaths in Pacific Island countries were child and maternal malnutrition (28.32%), followed by unsafe water, sanitation, and handwashing (27.14%), air pollution (16.11%), and unsafe sex (14.96%). There were considerable geographical variations in risk factors.
CONCLUSION: The burden of communicable diseases in Pacific Island countries remains high, despite improvements in mortality and disability-adjusted life-year rates over the past few decades. This study provides valuable insights into the burden and trends of communicable diseases in Pacific Island countries from 1990 to 2019. The findings reveal several important insights and highlight the need for targeted public health interventions in the region.

Keywords

References

  1. Lancet. 2018 Nov 10;392(10159):1736-1788 [PMID: 30496103]
  2. Lancet. 2020 Oct 17;396(10258):1223-1249 [PMID: 33069327]
  3. World J Surg. 2011 Jun;35(6):1183-93 [PMID: 21487845]
  4. Matern Child Nutr. 2020 Apr;16(2):e12921 [PMID: 32004423]
  5. Pac Health Dialog. 2012 Apr;18(1):166-77 [PMID: 23240354]
  6. Environ Health Perspect. 2016 Nov;124(11):1707-1714 [PMID: 26645102]
  7. Arch Sex Behav. 2007 Oct;36(5):646-54 [PMID: 17690971]
  8. JAMA Netw Open. 2021 Jul 1;4(7):e2118457 [PMID: 34309666]
  9. BMC Public Health. 2013 Nov 04;13:1037 [PMID: 24180366]
  10. BMJ Open. 2016 Dec 21;6(12):e012697 [PMID: 28003287]
  11. Ann Nutr Metab. 2018;72 Suppl 3:56-64 [PMID: 29631269]
  12. Lancet. 2002 Sep 14;360(9336):830-4 [PMID: 12243917]
  13. Lancet. 2020 Oct 17;396(10258):1160-1203 [PMID: 33069325]
  14. Glob Health Action. 2014 May 15;7:23550 [PMID: 24836442]
  15. Mitig Adapt Strateg Glob Chang. 2023;28(2):9 [PMID: 36685809]
  16. Trans R Soc Trop Med Hyg. 2006 Mar;100(3):191-9 [PMID: 16274715]
  17. BMC Int Health Hum Rights. 2012 Mar 01;12:1 [PMID: 22376229]
  18. Lancet. 2020 Oct 17;396(10258):1204-1222 [PMID: 33069326]

MeSH Term

Male
Child
Female
Humans
Life Expectancy
Quality-Adjusted Life Years
Pacific Islands
Communicable Diseases
Global Burden of Disease
Risk Factors
Global Health

Word Cloud

Created with Highcharts 10.0.0diseasescountriesPacificIsland2019communicablestandardizeddeathburdentrends1990rateamongratesDALY000studyanalyzeincidence95%IslandsCommunicableregionpublichealthinterventionsdataDiseasedisability-adjustedlifeyears2usedtrendshowedAAPC = -1CI = -1malesfemalesdiseasehighestlowest16riskfactorsunsafeinsightsBACKGROUND:contributesubstantiallymorbidityworldwideparticularlylow-andmiddle-incomefaceuniquechallengesaddressingdueremotelocationslimitedresourcesUnderstandingcrucialdevelopingeffectiveOBJECTIVE:aimedMETHODS:utilizedGlobalBurdenGBDindicatorsincludingDALYsExcel2016R41GraphPadPrism9visualizeJoinpointregressionmodelsanalysisaverageannualpercentchangeAAPCcalculatedRESULTS:upwardAAPC = 0198%CI = 00174 ~ 0221098%34 ~ 086008%187 ~ -0828downwardhigherdecreasedfastersignificantdifferencesdifferentSolomon36373/100Guam5042/100PapuaNewGuinea04114/100Cook74013/100mainattributabledeathschildmaternalmalnutrition2832%followedwatersanitationhandwashing2714%airpollution11%sex1496%considerablegeographicalvariationsCONCLUSION:remainshighdespiteimprovementsmortalitylife-yearpastdecadesprovidesvaluablefindingsrevealseveralimportanthighlightneedtargetedAnalysisDisability-adjustedIncidence

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