乌克兰老年人的残疾趋势在战争条件下:一项10年的回顾性研究
Alla Kyrychenko1, Inna Khanyukova1, Olena Moroz1
1State Institution, Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine, Dnipro, Ukraine.
Aging clinical and experimental research
|October 26, 2024
概括
自2013年以来,乌克兰战争显著增加了老年人非传染性疾病 (NCD) 的2.8倍. 心血管,瘤和肌肉骨疾病是主要的驱动因素,特别是在前线地区.
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:
- 非传染性疾病 (NCD) 对乌克兰老年人来说是一个重大的健康挑战.
- 预计正在进行的战争将加剧老年人中非传染性疾病的负担.
- 了解与老年人非传染性疾病相关的残疾趋势对于公共卫生规划至关重要.
研究的目的:
- 从2013年到2023年,分析乌克兰新诊断的老年患者与非传染性疾病相关的残疾趋势.
- 为了比较战争期间老年人与劳动年龄人口中非传染性疾病相关残疾的增加.
- 确定在冲突期间导致老年人残疾的特定非传染性疾病.
主要方法:
- 使用乌克兰卫生部"关于残疾原因和医疗,职业和社会康复指示的报告"官方数据的回顾性研究.
- 对2013年至2023年老年患者因非传染性疾病而导致的残疾数据的分析.
- 老年人和工作年龄人口之间的残疾率的比较,以及乌克兰不同地区的残疾率.
主要成果:
- 与非传染性疾病相关的老年人残疾在全面战争的第一年急剧增加2倍,到2023年与2013年相比增加2.8倍.
- 这一老年人群的增长明显高于劳动年龄人口的增长,到2023年,劳动年龄人口将增加1.4倍.
- 心血管疾病 (CVD),癌症和肌肉骨疾病是非传染性疾病相关残疾的主要原因,冠状动脉疾病和骨关节炎的显着增加.
- 前线地区和流离失所者度较高的地区显示,这些非传染性疾病的老年人中残疾率明显更高.
结论:
- 初级残疾数据显示,战争期间乌克兰老年人中非传染性疾病相关残疾人数量大幅增加,超过了劳动人口.
- 心血管疾病,瘤和肌肉骨疾病是导致这种不断升级的残疾的主要非传染性疾病.
- 调查结果强调了战争对老年人的健康造成的不成比例影响,特别是在受冲突影响和流离失所严重的地区.
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