世界の貧しい地域における
Charles R Newton1, Hector H Garcia
1Muhimbili-Wellcome Programme, Dar-es-Salam, Tanzania. mail@crjnewton.com
Lancet (London, England)
|October 2, 2012
まとめ
は低所得地域において不釣り合いな影響を及ぼし,死亡率と治療の格差が高くなります. 予防可能な危険因子,汚名,薬物へのアクセスに対処することで,世界的なの負担を大幅に軽減することができます.
科学分野:
- 神経学 神経学とは
- 公衆衛生は公衆衛生である.
- グローバル・ヘルス グローバル・ヘルス
背景:
- は広範囲に広がる神経学的疾患で,高所得国と比較して低所得国での負担が著しく高い.
- エピレプシーの危険因子の有病率は,貧困地域では高く,この格差に寄与しています.
- 低所得者層では,エピレプシーに関連した死亡率はかなり高く,しばしば治療されていない状態によるものです.
研究 の 目的:
- エピレプシーの危険因子の軽減が,疾患の全体的な負担に与える影響を評価する.
- 低所得国におけるエピレプシー関連死亡率に関連するリスク要因を調査する.
- 恵まれない地域におけるエピレプシーの高い治療格差を減らすための戦略を特定する.
主な方法:
- 低所得国におけるの危険因子とその予防に関する既存の研究のレビュー.
- エピレプシーに関連する死亡率データの分析,死亡のリスク要因に焦点を当てた.
- 診断,治療,抗薬へのアクセスを改善することを目的とした介入の評価.
主要な成果:
- 多くのの危険因子は,費用対効果の高い介入によって予防できます.
- 低所得国におけるエピレプシーに伴う重大な汚名は,治療と社会統合の障壁として機能する.
- 恵まれない地域では,の治療の格差が60%を超え,薬の供給と品質の不規則な問題により悪化しています.
結論:
- 低所得地域のの負担を軽減するには,リスク要因の予防,汚名を減らす,ケアへのアクセスを改善し,質の高い抗薬の一貫した利用可能性など,多面的なアプローチが必要です.
- 低コストの介入を実施することで,治療の格差を効果的に縮めることができます.
- エピレプシーにおける死亡リスク要因を完全に理解し,対処するためにさらなる研究が必要である.
関連する概念動画
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