土著人口中的多种疾病:系统性审查和元分析
K M Shahunja1, Tolassa W Ushula2, Mohammad Akhtar Hussain3
1UQ Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Australia; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Australia.
Annals of epidemiology
|July 27, 2024
概括
土著人口面临的多重疾病负担显著更高,患多种慢性疾病的可能性增加了两倍. 这突显出严重的健康差异,需要紧急关注和进一步研究.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多病症,即多种慢性疾病的存在,是越来越严重的公共卫生问题.
- 慢性疾病不成比例地影响土著人口,导致多病率更高.
- 关于土著人口中的多病症的流行病学数据是有限的.
研究的目的:
- 审查全球范围,决定因素,后果和预防土著人口中的多病症.
- 为了比较土著人口与非土著人口的多病症发现.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括同行评审的文章和关于土著人口多病症的灰色文献.
- 专注于原始的英语全文文章.
主要成果:
- 13项研究符合纳入标准,主要来自澳大利亚,美国,加拿大,新西兰和印度.
- 原住民群体的多病发病率更高,与非原住民群体相比,这种可能性增加了2倍.
- 在土著人群中注意到严重程度升高和特定的并发症 (例如中风,心脏病,糖尿病).
结论:
- 调查结果证实全球土著人口中存在大量多病症负担.
- 在土著人群中,与非土著人群相比,多病发病率和风险显著更高.
- 未来的研究应该专注于协调的方法来解决健康差异.
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