尼泊尔多病症流行病学:系统性审查和元分析
Abhinav Sinha1,2, S Shradha Suman1, Narayan Subedi3,4
1ICMR-Regional Medical Research Centre, Bhubaneswar, India.
Journal of multimorbidity and comorbidity
|September 19, 2024
概括
多病症,即多种慢性疾病的存在,影响了尼泊尔25.05%的人. 关键的风险因素包括老年,城市生活和较低的识字率,突出了针对性卫生干预的需要.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生研究 公共卫生研究
背景情况:
- 在包括尼泊尔在内的低收入和中等收入国家,多种疾病的患病率正在增加.
- 尽管尼泊尔的多病症研究影响越来越大,但其研究仍然有限.
- 了解多病症的范围,风险因素和后果对于公共卫生规划至关重要.
研究的目的:
- 系统地审查尼泊尔关于多病症的现有文献.
- 为了估计多病症的综合流行率.
- 识别相关的风险因素和后果.
主要方法:
- 来自PubMed,Embase和CINAHL数据库的研究的系统审查.
- 包含报告尼泊尔多重疾病患病率的原始研究.
- 使用跨部门研究评估工具和对聚合流行病的元分析进行质量评估.
主要成果:
- 包括七项研究,患病率从13.96%到70.1%不等.
- 在尼泊尔,多病症的综合患病率估计为25.05% (95%CI:16.99至34.09).
- 主要确定的风险因素包括年龄增长,城市居住和较低的识字率.
结论:
- 在不同研究中报告的多病发病率存在显著差异.
- 多重病态性评估工具和考虑条件的异质性使比较变得复杂.
- 需要使用标准化方法进行进一步的研究,以更好地了解和管理尼泊尔的多病症.
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