全球非传染性疾病患者的健康寻求行为,系统性审查和元分析
Tadele Fentabil Anagaw1, Elyas Melaku Mazengia2, Eyob Ketema Bogale1
1Department of Health Promotion and Behavioral Science, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
SAGE open medicine
|December 11, 2023
概括
在全球范围内,56%的非传染性疾病患者表现出寻求健康的行为. 改善这种行为对于减少过早死亡和减少卫生系统负担至关重要.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 非传染性疾病 (NCD) 每年造成超过4200万人的死亡,其中86%发生在低收入和中等收入国家.
- 有效的NCD管理取决于及时和一致的健康寻求行为.
- 了解全球寻求健康的行为对于NCD控制至关重要.
研究的目的:
- 进行系统审查和元分析.
- 评估全球NCD寻求健康行为的综合流行率.
- 为了确定与NCD健康寻求行为相关的因素.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed,EMBASE,Medline,Web of Science,Google Scholar和Science Direct搜索了自2018年以来的英语研究.
- 包括10项涉及63,498名NCD患者的研究;使用Stata 17分析数据.
主要成果:
- 在非传染性疾病中,寻求健康行为的综合流行率为56% (95%CI:44-68).
- 寻求健康行为的积极关联包括年龄较大 (>60岁),城市居住,女性性别,高等教育,社会支持,非传染性疾病知识,多种非传染性疾病,医疗保险和更高的经济地位.
- 诸如年龄较大,城市居住,女性性别,高等教育,社会支持,非传染性疾病知识,多种非传染性疾病,医疗保险和更高的经济地位等因素与寻求健康的行为有关.
结论:
- 超过一半的NCD患者表现出寻求健康的行为,但很大一部分没有.
- 需要加强寻求健康行为的策略,以减少非传染性疾病的负担和过早死亡率.
- 干预措施应针对改善寻求健康的行为,以减轻卫生系统的压力,防止可预防的死亡.
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