Evidence map›Paper›PMID 31034019›Full record

ArticleJAMA pediatrics2019

Diseases, Injuries, and Risk Factors in Child and Adolescent Health, 1990 to 2017: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study.

GBD 2017 Child and Adolescent Health Collaborators, Robert C Reiner, Helen Elizabeth Olsen, Chad Thomas Ikeda, Michelle M Echko, Katherine E Ballestreros, Helen Manguerra, Ira Martopullo, Anoushka Millear, Chloe Shields and 111 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JAMA pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Identifying Common Patient-Oriented Priorities for Child and Adolescent Health Research and Care: A Systematic Review of Priority Setting Partnerships.Health expectations : an international journal of public participation in health care and health policy · 2025
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  7. The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria.International journal of environmental research and public health · 2022
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67 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

121 authors.

GBD 2017 Child and Adolescent Health Collaborators
Robert C ReinerInstitute for Health Metrics and Evaluation, Seattle, Washington.
Helen Elizabeth OlsenInstitute for Health Metrics and Evaluation, Seattle, Washington.
Chad Thomas IkedaInstitute for Health Metrics and Evaluation, Seattle, Washington.
Michelle M EchkoInstitute for Health Metrics and Evaluation, Seattle, Washington.
Katherine E BallestrerosInstitute for Health Metrics and Evaluation, Seattle, Washington.
Helen ManguerraInstitute for Health Metrics and Evaluation, Seattle, Washington.
Ira MartopulloInstitute for Health Metrics and Evaluation, Seattle, Washington.
Anoushka MillearInstitute for Health Metrics and Evaluation, Seattle, Washington.
Chloe ShieldsInstitute for Health Metrics and Evaluation, Seattle, Washington.
Alison SmithInstitute for Health Metrics and Evaluation, Seattle, Washington.
Bryan StrubInstitute for Health Metrics and Evaluation, Seattle, Washington.
Molla AbebeDepartment of Clinical Chemistry, University of Gondar, Gondar, Ethiopia.
Zegeye AbebeDepartment of Human Nutrition, University of Gondar, Gondar, Ethiopia.
Beyene Meressa AdhenaSchool of Public Health, Mekelle University, Tigray, Ethiopia.
Tara Ballav AdhikariNepal Health Research Environment, Center for Social Science and Public Health Research Nepal, Lalitpur, Nepal.
Mohammed AkibuDepartment of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia.
Rajaa M Al-RaddadiDepartment of Family and Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Nelson Alvis-GuzmanResearch Group on Health Economics, University of Cartagena, Cartagena, Colombia.
Carl Abelardo T AntonioDepartment of Health Policy and Administration, University of the Philippines Manila, Manila, Philippines.
Olatunde AremuSchool of Health Sciences, Birmingham City University, Birmingham, United Kingdom.
Solomon Weldegebreal AsgedomSchool of Pharmacy, Mekelle University, Mekelle, Ethiopia.
Netsanet Abera AsseffaSchool of Public Health, Wolaita Sodo University, Wolaita Dofo, Ethiopia.
Leticia Avila-BurgosCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Aleksandra BaracClinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia.
Till W BärnighausenInstitute of Public Health, Heidelberg University, Heidelberg, Germany.
Quique BassatBarcelona Institute for Global Health, Barcelona, Spain.
Isabela M BensenorDepartment of Internal Medicine, University of São Paulo, São Paulo, Brazil.
Zulfiqar A BhuttaThe Centre for Global Child Health, University of Toronto, Toronto, Canada.
Ali BijaniSocial Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran.
Nigus BililignWoldia University, Woldia, Ethiopia.
Lucero Cahuana-HurtadoCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Deborah Carvalho MaltaDepartment of Maternal and Child Nursing and Public Health, Federal University of Minas Gerais, Minas Gerais, Brazil.
Jung-Chen ChangCollege of Medicine, National Taiwan University, Taipei, Taiwan.
Fiona J CharlsonSchool of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Samath Dhamminda DharmaratneInstitute for Health Metrics and Evaluation, Seattle, Washington.
David Teye DokuDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Dumessa EdessaSchool of Pharmacy, Haramaya University, Harar, Ethiopia.
Ziad El-KhatibDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Holly E ErskineSchool of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Alize J FerrariSchool of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Nancy FullmanInstitute for Health Metrics and Evaluation, Seattle, Washington.
Rahul GuptaWest Virginia Bureau for Public Health, Charleston, West Virginia.
Hamid Yimam HassenPublic Health Department, Mizan-Tepi University, Teppi, Ethiopia.
Simon I HayInstitute for Health Metrics and Evaluation, Seattle, Washington.
Olayinka Stephen IlesanmiDepartment of Public Health and Community Medicine, University of Liberia, Monrovia, Liberia.
Kathryn H JacobsenDepartment of Global and Community Health, George Mason University, Fairfax, Virginia.
Amaha KahsayDepartment of Nutrition and Dietetics, Mekelle University, Tigray, Ethiopia.
Amir KasaeianHematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Tesfaye Dessale KassaClinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia.
Seifu KebedeMidwifery Program, Salale University, Fiche, Ethiopia.
Yousef Saleh KhaderDepartment of Public Health and Community Medicine, Jordan University of Science and Technology, Ramtha, Jordan.
Ejaz Ahmad KhanDepartment of Epidemiology and Biostatistics, Health Services Academy, Islamabad, Pakistan.
Mohammed Nuruzzaman KhanSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Young-Ho KhangDepartment of Health Policy and Management, Seoul National University, Seoul, South Korea.
Jagdish KhubchandaniDepartment of Nutrition and Health Science, Ball State University, Muncie, Indiana.
Yohannes KinfuFaculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.
Sonali KochharDepartment of Global Health, University of Washington, Seattle.
Yoshihiro KokuboDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Ai KoyanagiResearch and Development Unit, San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Barcelona.
Barthelemy Kuate DefoDepartment of Demography, University of Montreal, Montreal, Quebec, Canada.
Dharmesh Kumar LalPublic Health Foundation of India, Gurugram, India.
Fekede Asefa KumsaCenter for Midwifery, Child, and Family Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Heidi J LarsonInstitute for Health Metrics and Evaluation, Seattle, Washington.
Janni LeungCenter for Youth Substance Abuse Research, The University of Queensland, St Lucia, Queensland, Australia.
Abdullah A MamunInstitute for Social Science Research, The University of Queensland, Brisbane, Queensland, Australia.
Suresh MehataResearch, Monitoring, and Evaluation, Ipas Nepal, Kathmandu, Nepal.
Mulugeta MelkuInstitute of Public Health, University of Gondar, Gondar, Ethiopia.
Walter MendozaPeru Country Office, United Nations Population Fund, Lima, Peru.
Haftay Berhane MezgebeDepartment of Pharmacy, Ethiopian Academy of Medical Science, Tigray, Ethiopia.
Ted R MillerPacific Institute for Research and Evaluation, Calverton, Maryland.
Nurilign Abebe MogesDepartment of Public Health, Debre Markos University, Debre Markos, Ethiopia.
Shafiu MohammedInstitute of Public Health, Heidelberg University, Heidelberg, Germany.
Ali H MokdadInstitute for Health Metrics and Evaluation, Seattle, Washington.
Lorenzo MonastaClinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy.
Subas NeupaneFaculty of Health Sciences, University of Tampere, Tampere, Finland.
Huong Lan Thi NguyenInstitute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam.
Dina Nur Anggraini NingrumDepartment of Public Health Science, State University of Semarang, Kota Semarang, Indonesia.
Yirga Legesse NirayoClinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia.
Vuong Minh NongInstitute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam.
Felix Akpojene OgboTranslational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Andrew T OlagunjuDepartment of Psychiatry,University of Adelaide, Adelaide, South Australia, Australia.
Bolajoko Olubukunola OlusanyaCentre for Healthy Start Initiative, Lagos, Nigeria.
Jacob Olusegun OlusanyaCentre for Healthy Start Initiative, Lagos, Nigeria.
George C PattonDepartment of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
David M PereiraRede de Química e Tecnologia/Laboratório Asociado do Química Verde, University of Porto, Oporto, Portugal.
Farshad PourmalekSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Mostafa QorbaniNoncommunicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Anwar RafayDepartment of Epidemiology and Biostatistics, Contech School of Public Health, Lahore, Pakistan.
Rajesh Kumar RaiSociety for Health and Demographic Surveillance, Suri, India.
Usha RamDepartment of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.
Chhabi Lal RanabhatInstitute for Poverty Alleviation and International Development, Yonsei University, Wonju, South Korea.
Andre M N RenzahoSchool of Social Sciences and Psychology, Western Sydney University, Penrith, New South Wales, Australia.
Mohammad Sadegh RezaiDepartment of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran.
Luca RonfaniClinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy.
Gregory A RothInstitute for Health Metrics and Evaluation, Seattle, Washington.
Saeid SafiriManagerial Epidemiology Research Center, Maragheh University of Medical Sciences, Maragheh, Iran.
Benn SartoriusDepartment of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.
James G ScottSchool of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Katya Anne ShackelfordInstitute for Health Metrics and Evaluation, Seattle, Washington.
Karen SliwaDepartment of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa.
Chandrashekhar SreeramareddyDivision of Community Medicine, International Medical University, Kuala Lumpur, Malaysia.
Mu'awiyyah Bable SufiyanDepartment of Community Medicine, Ahmadu Bello University, Zaria, Nigeria.
Abdullah Sulieman TerkawiDepartment of Anesthesiology, University of Virginia, Charlottesville.
Roman Topor-MadryInstitute for Public Health, Jagiellonian University Medical College, Krakow, Poland.
Bach Xuan TranDepartment of Health Economics, Hanoi Medical University, Hanoi, Vietnam.
Kingsley Nnanna UkwajaDepartment of Internal Medicine, Federal Teaching Hospital, Abakaliki, Nigeria.
Olalekan A UthmanDivision of Health Sciences, University of Warwick, Coventry, United Kingdom.
Stein Emil VollsetInstitute for Health Metrics and Evaluation, Seattle, Washington.
Kidu Gidey WeldegwergsClinical Pharmacy Unit, Mekelle University, Mekelle, Ethiopia.
Andrea WerdeckerDemographic Change and Ageing Research Area, Federal Institute for Population Research, Wiesbaden, Germany.
Harvey A WhitefordInstitute for Health Metrics and Evaluation, Seattle, Washington.
Tissa WijeratneDepartment of Medicine, University of Melbourne, St Albans, Victoria, Australia.
Naohiro YonemotoDepartment of Psychopharmacology, National Center of Neurology and Psychiatry, Tokyo, Japan.
Marcel YotebiengCollege of Public Health, The Ohio State University, Columbus.
Liesl J ZuhlkeDepartment of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa.
Hmwe Hmwe KyuInstitute for Health Metrics and Evaluation, Seattle, Washington.
Mohsen NaghaviInstitute for Health Metrics and Evaluation, Seattle, Washington.
Theo VosInstitute for Health Metrics and Evaluation, Seattle, Washington.
Christopher J L MurrayInstitute for Health Metrics and Evaluation, Seattle, Washington.
Nicholas J KassebaumInstitute for Health Metrics and Evaluation, Seattle, Washington.

Funding

Medical Research Council MR/S005242/1
6 · The paper itself

Abstract

Importance: Understanding causes and correlates of health loss among children and adolescents can identify areas of success, stagnation, and emerging threats and thereby facilitate effective improvement strategies. Objective: To estimate mortality and morbidity in children and adolescents from 1990 to 2017 by age and sex in 195 countries and territories. Design, Setting, and Participants: This study examined levels, trends, and spatiotemporal patterns of cause-specific mortality and nonfatal health outcomes using standardized approaches to data processing and statistical analysis. It also describes epidemiologic transitions by evaluating historical associations between disease indicators and the Socio-Demographic Index (SDI), a composite indicator of income, educational attainment, and fertility. Data collected from 1990 to 2017 on children and adolescents from birth through 19 years of age in 195 countries and territories were assessed. Data analysis occurred from January 2018 to August 2018. Exposures: Being under the age of 20 years between 1990 and 2017. Main Outcomes and Measures: Death and disability. All-cause and cause-specific deaths, disability-adjusted life years, years of life lost, and years of life lived with disability. Results: Child and adolescent deaths decreased 51.7% from 13.77 million (95% uncertainty interval [UI], 13.60-13.93 million) in 1990 to 6.64 million (95% UI, 6.44-6.87 million) in 2017, but in 2017, aggregate disability increased 4.7% to a total of 145 million (95% UI, 107-190 million) years lived with disability globally. Progress was uneven, and inequity increased, with low-SDI and low-middle-SDI locations experiencing 82.2% (95% UI, 81.6%-82.9%) of deaths, up from 70.9% (95% UI, 70.4%-71.4%) in 1990. The leading disaggregated causes of disability-adjusted life years in 2017 in the low-SDI quintile were neonatal disorders, lower respiratory infections, diarrhea, malaria, and congenital birth defects, whereas neonatal disorders, congenital birth defects, headache, dermatitis, and anxiety were highest-ranked in the high-SDI quintile. Conclusions and Relevance: Mortality reductions over this 27-year period mean that children are more likely than ever to reach their 20th birthdays. The concomitant expansion of nonfatal health loss and epidemiological transition in children and adolescents, especially in low-SDI and middle-SDI countries, has the potential to increase already overburdened health systems, will affect the human capital potential of societies, and may influence the trajectory of socioeconomic development. Continued monitoring of child and adolescent health loss is crucial to sustain the progress of the past 27 years.

Indexed as

AdolescentAdolescent HealthAge DistributionChildChild HealthChild, PreschoolFemaleGlobal Burden of DiseaseGlobal HealthHumansInfantInfant, NewbornMaleMorbidityQuality-Adjusted Life YearsRisk Factors

Identifiers

PMID31034019
PMCPMC6547084

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.