Worldwide, the deaths among children and adolescents decreased from 14.2 million deaths in 1990 to 7.2 million deaths in 2015. A new article published online by JAMA Pediatrics. states that this global progress has been uneven.
The article by corresponding author Nicholas J. Kassebaum, M.D. of the University of Washington, Seattle, and his Global Burden of Disease Child and Adolescent Health Collaboration colleagues, describes mortality and nonfatal health outcomes among children and adolescents (19 years old and younger) in 195 countries and territories from 1990 to 2015.
A composite indicator of income, education and fertility called a Sociodemographic Index (SDI) was developed for each geographic unit.
Countries with lower SDIs had a greater share of the burden of death in 2015 compared with 1990, while the most deaths among children and adolescents occurred in South Asia and sub-Saharan Africa.
The report speculates one reason for growing inequality of disease among children and adolescents may be that geographical areas with the lowest SDIs have historically not received significant development assistance for health.
Limitations of the study include variations in the availability and quality of data.
"Timely, robust and comprehensive assessment of disease burden among children and adolescents provides information that is essential to health policy decision making in countries at all points along the spectrum of economic development," the article concludes.