■可持续发展目标3.4.1(SDG3.4.1)的目标是到2030年(相对于2015年)将30-69岁的非传染性疾病(NCD)死亡率降低三分之一。指导干预以实现这一目标需要对潜在死亡原因(UCoD)进行可靠估计。当同时存在心血管疾病(CVD)和糖尿病时,这可能是有问题的,因为这些死亡的证明缺乏一致性。我们根据经验估计斐济2013-17年非传染性疾病死亡率,按性别和种族划分,从CVD,糖尿病,癌症,和慢性下呼吸道疾病(CRD),并聚合为NCD4。
■UCoD是在对存在糖尿病和/或高血压的死亡率数据进行预处理后,根据斐济卫生部的《死亡原因医学证明》(MCCD)确定的,以产生具有国际可比性的UCoD。如果在MCCD的第一部分(直接原因)中没有糖尿病或高血压引起的潜在致命并发症,这些条件被重新分配给第二部分(分担原因)。30岁的人在达到70岁之前死亡的概率(PoD30-70),由于原因,已计算。
■2013-17年来自NCD4的PoD30-70因性别和种族而异:在女性中,i-Taukei为36%(95CI35-37%),印度裔斐济人(FID)为27%(26-28%);在男性中,i-Taukei和FID均为41%(40-42%)。来自CVD的PoD30-70,糖尿病,女性的癌症和CRD为:18%,10%,i-Taukei的13%和1·0%;13%,10%,FID的5·6%和1·1%;男性为:28%,8.4%,i-Taukei的7·6%和2·2%;31%,8.3%,FID中的3.5%和3·1%。
为了在2030年前实现斐济的SDG3.4.1目标,需要针对多种非传染性疾病的有效的全人群和特定种族干预措施,以将PoD30-70从NCD4降低:从36%降低到24%。FID女性为27%至18%;i-Taukei和FID男性为41%至27%。
■不适用。
UNASSIGNED: Sustainable Development Goal 3.4.1 (SDG3.4.1) targets a one-third reduction in non-communicable disease (NCD) mortality in ages 30-69-years by 2030 (relative to 2015). Directing interventions to achieve this aim requires reliable estimates of underlying cause of death (UCoD). This may be problematic when both cardiovascular diseases (CVD) and diabetes are present due to a lack of consistency in certification of such deaths. We estimate empirically 2013-17 NCD mortality in
Fiji, by sex and ethnicity, from CVD, diabetes, cancer, and chronic lower respiratory diseases (CRD), and aggregated as NCD4.
UNASSIGNED: UCoD was determined from Medical Certificates of Cause-of-Death (MCCD) from the
Fiji Ministry of Health after pre-processing of mortality data where diabetes and/or hypertension were present in order to generate internationally comparable UCoD. If no potentially fatal complications from diabetes or hypertension accompanied these causes in Part I (direct cause) of the MCCD, these conditions were re-assigned to Part II (contributory cause). The probability of a 30-year-old dying before reaching age 70-years (PoD30-70), by cause, was calculated.
UNASSIGNED: The PoD30-70 from NCD4 over 2013-17 differed by sex and ethnicity: in women, it was 36% (95%CI 35-37%) in i-Taukei and 27% (26-28%) in Fijians of Indian descent (FID); in men, it was 41% (40-42%) in both i-Taukei and FID.PoD30-70 from CVD, diabetes, cancer and CRD in women was: 18%, 10%, 13% and 1·0% in i-Taukei; 13%, 10%, 5·6% and 1·1% in FID; in men was: 28%, 8.4%, 7·6% and 2·2% in i-Taukei; 31%, 8.3%, 3.5% and 3·1% in FID.
UNASSIGNED: To achieve SDG3.4.1 goals in
Fiji by 2030, effective population wide and ethnic-specific interventions targeting multiple NCDs are required to reduce PoD30-70 from NCD4: from 36% to 24% in i-Taukei, and 27% to 18% in FID women; and from 41% to 27% in i-Taukei and FID men.
UNASSIGNED: Not applicable.