印度减轻和预防糖尿病的脆弱性指数 印度糖尿病的增长:分类分析
Sujata Sujata1, Gayathri B1, Ramna Thakur1
1School of Humanities and Social Sciences, Indian Institute of Technology Mandi, Kamand Campus, Himachal Pradesh, India.
Value in health regional issues
|December 7, 2023
概括
一个新的脆弱性指数 (VI) 确定了印度糖尿病风险较高的地区. 该工具有助于优先考虑用于预防和控制糖尿病的资源,特别是在脆弱地区.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗信息学 医疗信息学
背景情况:
- 糖尿病是印度日益严重的公共卫生问题.
- 鉴定糖尿病患病率和风险因素的区域差异对于有针对性的干预措施至关重要.
- 现有的工具可能无法充分捕捉到在次国家层面对糖尿病脆弱性的多方面的性质.
研究的目的:
- 开发一个全面的脆弱性指数 (VI) 以确定印度糖尿病高风险地区.
- 为国家和地区层面的糖尿病缓解和预防规划提供一个工具.
- 分析社会经济地位与糖尿病之间的关联,跨不同区域脆弱程度.
主要方法:
- 使用13个指标在州和地区层面的4个领域生成域特定和整体VI.
- 在VI计算中采用百分位排名方法.
- 利用多变量后勤回归来检查糖尿病与社会经济因素和区域脆弱性的关联.
主要成果:
- 确定了13个总体VI>0.70的州,其中5个位于印度南部;社会经济落后的州一般具有较低的VI.
- 地区层面的分析表明,最脆弱的地区往往是沿海地区,而最脆弱的地区则是社会经济落后的地区.
- 后勤回归表明,农村成年人和女性患糖尿病的可能性较低,而年龄较大,穆斯林族裔,财富较高,寡妇地位和教育程度较低 (≤12岁) 与糖尿病风险增加有关.
结论:
- 开发的VI是确定易患糖尿病的地区的重要工具.
- 规划者和政策制定者可以利用VI及其特定领域的组件来战略性地分配用于糖尿病控制的资源.
- 该指数为旨在制印度糖尿病增长的公共卫生倡议提供以证据为基础的决策.
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