强迫流离失所者中的非传染性疾病:系统地映射审查
Kyohei Nishino1, Tshewang Gyeltshen1, Mahbubur Rahman1
1Graduate School of Public Health, St. Luke's International University, Tokyo 104-0044, Japan.
International journal of environmental research and public health
|January 25, 2025
概括
强迫流离失所者的非传染性疾病 (NCD) 的研究正在增加,但证据质量仍然很低. 研究主要集中在叙利亚和巴勒斯坦难民的糖尿病和高血压,突出显著的知识差距.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 强迫流离失所的人口
背景情况:
- 非传染性疾病 (NCD) 是全球主要的死亡原因,特别影响低收入和中等收入国家.
- 在人道主义环境中,对被迫流离失所者 (FDP) 的非传染性疾病管理至关重要,但他们的流行病学尚不清楚.
- 显著的知识差距阻碍了FDP有效的NCD干预.
研究的目的:
- 在FDP中系统地绘制和分类有关非传染性疾病的现有研究.
- 为了确定当前的研究趋势,重点领域,以及FDP人群中NCD的证据差距.
- 为未来的研究重点提供信息,以改善FDP中的NCD结果.
主要方法:
- 在FDP中对非传染性疾病的出版物进行系统的映射审查.
- 在五个主要的电子数据库 (PubMed,Cochrane图书馆,Embase,Global Index Medicus,Google Scholar) 进行的搜索.
- 用于人口,研究领域和研究设计的预定义标准;系统地编码和分析证据.
主要成果:
- 包括310篇出版物,显示了自2014年以来研究的增长趋势,但证据水平普遍较低.
- 糖尿病 (26.4%) 和高血压 (19.8%) 是研究最多的非传染性疾病,重点关注健康状况 (43.1%) 和政策 (32.0%).
- 研究主要集中在叙利亚 (45.5%) 和巴勒斯坦 (18.9%) 难民,对其他FDP和地区的范围有限.
结论:
- 这是FDP中NCD的第一个系统映射审查,揭示了关键研究领域和重大差距.
- 尽管研究数量增加,但FDP中非传染性疾病的证据质量仍然很低.
- 未来的研究必须优先考虑更高质量的研究,扩大地理范围,并包括多样化的FPD来解决知识缺陷.
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