大城市的多病态模式和相关因素:一个横截面研究
Ricardo Goes de Aguiar1,2, Daniela Simões3,4, Shamyr Sulyvan Castro5
1Universidade Federal de Alfenas. Instituto de Ciências da Motricidade. Alfenas, MG, Brasil.
Revista de saude publica
|July 31, 2024
概括
在巴西圣保罗发现了四种不同的多病态模式. 具有较低社会经济地位的老年人在几个疾病中患病率更高,突出了医疗保健差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多病症,即多种慢性疾病的共存,对全球医疗保健系统构成了重大挑战.
- 了解多病症的特定模式对于有针对性的干预和资源分配至关重要,特别是在大型城市人口中.
研究的目的:
- 为了确定在圣保罗,一个大城市的多病症的经验模式.
- 量化这些多病态模式与社会经济,行为特征和健康结果之间的联系.
主要方法:
- 横截面研究,涉及对3184名20岁及以上的城市居民进行家庭访谈.
- 隐性类分析用于识别22种健康状况的共存模式.
- 根据年龄调整的患病率使用波桑回归估计.
主要成果:
- 确定了四种不同的多病态模式:疾病概率低,心血管疾病,呼吸系统疾病以及类风湿,肌肉骨和情绪状况.
- 58.6%的人属于低疾病概率组.
- 较低学历和家庭收入的老年人在特定模式下表现出更高的多重疾病患病率.
结论:
- 在圣保罗大城市人口中存在四种临床上可识别和理论上可信的多病态模式.
- 识别这些模式之间的趋势对于估计组织医疗保健政策所面临的挑战范围至关重要.
- 调查结果强调,需要制定定制的公共卫生战略,以解决多病症的社会经济差异.
相关概念视频
Dimensions of Health and Illness
7.2K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.2K
Confounding in Epidemiological Studies
157
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This...
157
Introduction to Epidemiology
690
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
690
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Prevalence and Incidence
415
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
415
Observational Studies
8.4K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.4K


