亚太地区 (APR) 发展中国家的喘
Duminda Yasaratne1, N Sabrina Idrose2, Shyamali C Dharmage2
1Department of Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Respirology (Carlton, Vic.)
|September 13, 2023
概括
喘负担在低收入和中等收入国家更高,特别是在亚太地区. 解决风险因素和医疗保健挑战对于这些领域更好的喘管理至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 发展中国家对喘流行病学越来越感兴趣,特别是亚太地区 (APR).
- 以前的审查缺乏关于喘负担,风险因素和管理挑战的整体数据的全面综合.
- 专注于低收入和中等收入国家 (LMICs) 在APR中.
研究的目的:
- 综合有关发展中国家喘管理负担,风险因素和挑战的证据,特别强调每年平均风险率.
- 整合到2023年2月之前发表的系统和叙述性审查的调查结果.
- 为制定区域特定的喘控制策略提供信息.
主要方法:
- 来自系统和叙事审查的综合证据.
- 专注于到2023年2月发表的研究.
- 重点是发展中国家,特别是亚太地区 (APR).
主要成果:
- 与高收入国家相比,在LMICs中喘负担要大得多,尽管普遍患病率较低.
- 确定了APR LMICs中的各种风险因素:产前/产后,环境,生活方式,个人和遗传因素.
- 喘管理的重大挑战包括不公平的医疗保健准入,有限的诊断,负担不起的治疗方法,文化信仰和各种疾病表型.
结论:
- 由于多方面的问题,APR LMICs中最佳的喘控制具有挑战性.
- 迫切需要一个特定区域的行动计划,以减轻喘负担.
- 干预措施必须解决医疗保健的不平等,诊断,治疗的可获得性和文化因素.
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