Evidence map›Paper›PMID 41141294›Full record

ArticlePublic health in practice (Oxford, England)2025

Child and adolescent mortality in the WHO European Region: Concerning trends requiring urgent action.

Alice Hucko, Ralf Weigel, Fakhriddin Nizamov, Michelle Black

Abstract read
In one paragraph

Article in Public health in practice (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Upholding the right to health of forcibly displaced children in Europe.Public health in practice (Oxford, England) · 2025
    Article
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

4 authors.

Alice HuckoCharité- University Medicine Berlin, Center for Global Health/Institute of International Health, Berlin, Germany.
Ralf WeigelWitten/Herdecke University, Faculty of Health/ School of Medicine, Witten, Germany.
Fakhriddin NizamovUnited Nations Children's Fund (UNICEF) Regional Office for Europe and Central Asia, Almaty, Kazakhstan.
Michelle BlackDepartment of Public Health, Policy and Systems, University of Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The WHO European Region is experiencing concerning setbacks in child and adolescent mortality, highlighting the need for urgent, coordinated action. Using estimates from the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), we analyzed mortality trends from 2000 to 2022 across neonatal, under-five, 5-to-14-year-old, and 15-to-19 age groups. Our findings reveal stagnation or increases in mortality rates across multiple countries over the last five years of this period, with the highest burden in Central Asia and Eastern Europe. Several high-income countries also show worrisome plateaus or increases. Alarmingly, adolescent mortality rates are rising in 22 countries, causing the regional median to increase for the first time in decades. These trends reflect widening inequities, disproportionately affecting migrant children and socioeconomically disadvantaged groups. Contributing factors likely encompass health challenges faced by migrant populations, worsening adolescent mental health exacerbated by COVID-19, negative social media influences, economic decline, and armed conflict. Urgent action is needed to strengthen maternal, neonatal, and child health services and tackle preventable causes of mortality, including inadequate perinatal care, infectious diseases, and injuries. Equity-focused policies, improved health systems, a comprehensive approach to strengthening health systems, and cross-border collaboration are critical. The upcoming WHO/UNICEF 2026-2030 regional child and adolescent health and well-being strategy presents a vital opportunity to address these concerning trends.

Indexed as

Adolescent mortalityChild healthChild mortalityInequitiesPublic health policyWHO European Region

Identifiers

PMID41141294
PMCPMC12547288

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.