萨塔的自我报告疾病:来自巴基斯坦辛德省的一个农村和欠发达地区的证据
Muhammad Ashar Malik1,2, Rahat Batool1, Muhammad Ahmed3
1Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
PloS one
|January 31, 2025
概括
巴基斯坦的自我报告疾病调查显示,患病率高于国家估计,强调需要强有力的疾病监测. 研究结果表明,性别,年轻人和老年人是疾病的预测因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自我报告疾病 (SRI) 调查在低收入和中低收入国家具有弱弱的疾病监测系统至关重要.
- 本研究介绍了巴基斯坦农村地区地区级疾病流行调查,涵盖慢性,传染性,受伤和母婴健康状况.
研究的目的:
- 估计巴基斯坦农村地区各种自我报告疾病 (SRIs) 的流行率.
- 探索社会人口因素对疾病流行率和并发症的影响.
- 为基于证据的卫生部门优先设定提供全面的疾病概况.
主要方法:
- 2019年,在巴基斯坦的Thatta地区进行了7811人的人口代表性调查.
- 收集的数据包括人口统计和自我报告的疾病,分为主要和次要类别.
- 用通用线性模型 (Poisson家族) 和零膨胀的Poisson分布来分析流行率和并发症.
主要成果:
- 36.57%的受访者报告至少有一个SRI.
- 传染性疾病 (20.7%) 是最常见的,其次是非传染性疾病 (4.8%),胃肠道疾病 (4.4%) 和伤害/残疾 (1.9%).
- 城市居民的COPD和糖尿病发病率更高;女性报告更多的受伤,残疾和肌肉骨系统疾病;幼儿和老年人具有更高的并发病率.
结论:
- 估计的SRI患病率明显超过了国家调查数据,强调了这种详细的本地调查的有用性.
- 性别,年轻和年长的年龄组被确定为SRI的积极预测因素,与其他LMIC的发现一致.
- 该研究提供了详细的疾病概况,对卫生政策和优先设定有价值,同时强调需要加强正式的疾病监测系统.
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