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在LMICs中,预期寿命是否因残疾状况而有所不同? : 一个系统的审查和元分析
Desta Debalkie Atnafu1,2, Femke Bannink Mbazzi1,3, Mezgebu Yitayal2
1International Centre for Evidence in Disability, Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
African journal of disability
|April 4, 2025
概括
低收入和中等收入国家的残疾人预期寿命 (LE) 显著降低,失去了生命年数 (YLL) 较高. 卫生系统必须改进以解决这些差异.
科学领域:
- 全球健康 全球健康
- 健康差异 在健康上的差异
- 关于残疾人的研究.
背景情况:
- 残疾人面临着严重的医疗保健障碍,导致健康状况较差,死亡率增加.
- 现有的卫生系统往往无法充分满足残疾人的需求.
研究的目的:
- 系统地审查和综合有关残疾人与无残疾人的预期寿命 (LE) 和失去了生命年数 (YLL) 的数据.
- 分析这些差异,特别是在低收入和中等收入国家 (LMICs) 内.
主要方法:
- 对六个数据库进行了纵向研究的系统审查.
- 数据提取和偏差风险评估由两个审稿人独立进行.
- 用R 4.3.3进行了元分析,包括异质性和出版偏差评估.
主要成果:
- 包括12项研究,显示残疾人的综合平均LE为57.98年,而没有残疾人的平均LE为70.86年.
- 对于残疾人来说,总体加权的失去了生命年 (YLL) 为15.84年.
- 在残疾男性和残疾女性之间没有发现YLL的显著差异.
结论:
- 在LMIC中,残疾人和没有残疾人之间存在着相当大的LE差异.
- 目前的卫生系统和公共卫生计划不足,需要紧急改善包容性.
- 调查结果强调了对包容性政策和进一步研究的关键需求,以解决残疾人的健康不平等问题.
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