脆弱性:一个全球性的健康挑战,需要地方行动
Schenelle Dayna Dlima1,2,3, Alex Hall4,3, Abodunrin Quadri Aminu4,3
1School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK schenelle.dlima@postgrad.manchester.ac.uk.
BMJ global health
|August 9, 2024
概括
脆弱性研究集中在高收入国家,但低收入国家面临着与年龄相关的疾病带来的越来越大的挑战. 需要更多的特定背景研究来解决全球脆弱性问题.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 虚弱是一种复杂的,与年龄相关的疾病,在老年人中增加了不良结果.
- 全球人口老龄化对全球医疗保健系统构成重大挑战.
- 关于脆弱性查和管理的研究在高收入国家中占有不成比例.
研究的目的:
- 审查全球脆弱性研究的现状.
- 突出需要在低收入国家开展更多特定背景的脆弱性研究.
- 建议考虑在低收入环境中研究和实践中的脆弱性.
主要方法:
- 文献综述侧重于来自高收入和低收入国家的脆弱性研究.
- 对脆弱性研究的流行和发病率趋势的分析.
- 讨论影响脆弱性表现和管理的因素.
主要成果:
- 脆弱性研究主要来自高收入国家,尽管低收入国家预计老年人口较多.
- 来自低收入国家的新兴研究正在为特定上下文的指导方针和验证的评估工具铺平道路.
- 不同质的脆弱表现需要地理上多样化的研究,反映出各种人群和卫生系统.
结论:
- 脆弱性研究和实践需要对低收入国家进行上下文化,考虑到健康和社会经济影响的社会决定因素.
- 需要重新评估围绕脆弱和衰老的全球叙事,并纳入诸如内在能力等概念.
- 高收入国家和低收入国家之间的协作系统可以推动更具包容性和相关的脆弱性研究和干预.
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