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Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study
- Source :
- International Journal of Environmental Research and Public Health, Volume 17, Issue 11, International Journal of Environmental Research and Public Health, Vol 17, Iss 4139, p 4139 (2020)
- Publication Year :
- 2020
-
Abstract
- Background: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Secondary, cross-national analyses of data on Years Lived with Disability (YLDs) were extracted from the Global Burden of Disease Study 2017. Total physical rehabilitation needs, and those stratified per major condition groups are analyzed for the year 2017 (current needs), and for every year since 1990 (evolution over time). ANOVAs are used to detect significant yearly changes. Results: Total physical rehabilitation needs have increased significantly from 1990 to 2017 in each of the BRICS nations, in every metric analyzed (YLD Counts, YLDs per 100,000 people, and percentage of YLDs relevant to physical rehabilitation<br />all p &lt<br />0.01). Musculoskeletal &amp<br />pain conditions were leading cause of physical rehabilitation needs across the BRICS nations but to varying degrees: from 36% in South Africa to 60% in Brazil. Country-specific trends include: 25% of South African needs were from HIV-related conditions (no other BRICS nation had more than 1%)<br />India had both absolute and relative growths of pediatric rehabilitation needs (p &lt<br />0.01)<br />China had an exponential growth in the per-capita needs from neurological and neoplastic conditions (p &lt<br />0.01<br />r2 = 0.97)<br />Brazil had a both absolute and relative growth of needs coming from musculoskeletal &amp<br />pain conditions (p &lt<br />and the Russian Federation had the highest neurological rehabilitation needs per capita in 2017 (over than three times those of India, South Africa or Brazil). Conclusions: total physical rehabilitation needs have been increasing in each of the BRICS nations, both in absolute and relative values. Apart from the common growing trend, each of the BRICS nations had own patterns for the amount, typology, and evolution of their physical rehabilitation needs, which must be taken into account while planning for health and physical rehabilitation programs, policies and resources.
- Subjects :
- Burden of disease
Typology
medicine.medical_specialty
China
Health, Toxicology and Mutagenesis
medicine.medical_treatment
030231 tropical medicine
lcsh:Medicine
B100
India
global health
Article
B800
Russia
rehabilitation
03 medical and health sciences
South Africa
0302 clinical medicine
Global health
Per capita
Neurological rehabilitation
medicine
Humans
030212 general & internal medicine
Child
Rehabilitation
global burden of disease
lcsh:R
Public Health, Environmental and Occupational Health
A300
Geography
health services needs and demand
BRICS
Physical therapy
Brazil
Cross national
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 17
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....37a95291d7473d189ba7c7291d024c3e