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南非东开普农村的损伤和相关风险因素:一个横截面研究
Ernesto Rosales Gonzalez1, Parimalanie Yogeswaran1, Jimmy Chandia1
1Department of Family Medicine and Rural Health, Faculty of Medicine and Health Sciences, Mthatha, South Africa.
PloS one
|September 9, 2024
概括
在南非农村进行的一项研究发现,损伤的患病率为17.2%,蛋白尿尿率为7.2%. 晚年和高血压被确定为慢性病 (CKD) 的关键风险因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 南非面临着传染性和非传染性疾病的双重负担,可能会增加病的患病率.
- 这项研究调查了东开普的一个农村社区的损伤及其危险因素.
研究的目的:
- 为了确定损伤和蛋白尿的患病率.
- 在南非农村人口中确定与损伤相关的重大风险因素.
主要方法:
- 在Mbekweni社区卫生中心进行了一项观察性,横截面研究.
- 使用CKD-EPIC创造氨酸和MDRD方程估计了淋巴膜过率 (GFR).
- 后勤回归分析确定了损伤的独立风险因素.
主要成果:
- 严重损伤的患病率为17.2% (CKD-EPICreatinine) 和17.7% (MDRD).
- 蛋白尿尿的流行率为7.2%.
- 年龄较大是CKD的显著风险因素 (OR=1.08),高血压与蛋白尿严重相关 (OR=4.17).
结论:
- 在这个农村社区,损伤和蛋白尿的患病率很高.
- 高龄和高血压是导致损伤和蛋白尿的关键因素.
- 早期检测和社区卫生中心的转诊对于管理病至关重要.
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