印度儿科和青少年的流行:系统性审查和元分析
Mamta Patel1, Akhil Dhanesh Goel2, Lokesh Saini1
1Department of Paediatrics, All India Institute of Medical Sciences, Jodhpur, India.
Seizure
|March 6, 2025
概括
影响0.8%的印度儿童和青少年,患病率因地区而异. 解决这一重大公共卫生问题需要改善医疗保健准入和有针对性的干预措施,以弥合治疗差距.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 是一种流行的神经系统疾病,在全球范围内不成比例地影响着儿童.
- 在印度等低收入和中等收入国家,儿童面临着严重的护理障碍,扩大了治疗差距.
研究的目的:
- 确定印度儿科和青少年群体中的综合流行率.
- 分析发病率的区域差异,并确定现有研究中的潜在偏差.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在PubMed,Scopus和Shodhganga搜索了印度0-19岁的患者的社区研究.
- 采用随机效应模型进行数据合成,并根据地理区域和性别进行子组分析.
主要成果:
- 有17个数据集的13项研究符合纳入标准.
- 在印度,儿科和青少年的整体综合患病率为0.8% (95% CI:0.6%-1.0%).
- 观察到显著的区域差异,东北地区患病率最高 (2.3%),中部地区患病率最低 (0.4%). 发现了出版偏见和高度异质性 (I2=93%).
结论:
- 是印度儿童和家庭面临的重大公共卫生挑战.
- 有效的管理需要量身定制的,特定于年龄的干预措施和全面的支持服务.
- 改善医疗保健的可访问性和缩小印度儿科的治疗差距是公共卫生重点.
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