南非多病发病率的流行,模式和决定因素:来自全国代表性调查的见解
Matthew Hazell1, Andre Pascal Kengne2,3, Paramjit Gill1
1Warwick Applied Health, Warwick Medical School, University of Warwick, Coventry, United Kingdom.
PLOS global public health
|May 9, 2025
概括
多种疾病影响了近一半的南非人,老年人,妇女和某些种族群体的患病率更高. 解决个人和社区因素对于减少这种健康负担至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 在撒哈拉以南非洲的多病性研究是有限的,与高收入国家相比,有着不同的疾病模式.
- 了解南非多病症的流行和分布是必不可少的.
研究的目的:
- 确定南非多病症的流行和分布.
- 识别影响多病症的相关个人,区域级和上下文因素.
主要方法:
- 利用了全国代表的2016年南非人口健康调查数据.
- 在691个社区中对5,592个人进行了多层次的物流回归分析.
- 分析了人口,社会经济,生活方式和社区层面的数据.
主要成果:
- 几乎一半的人口 (45.3%) 经历了多病症,区域差异很大.
- 年龄较大 (65-95岁),女性性别和以前的婚姻状况与多发病率更高的几率有关.
- 肥胖和职业烟雾暴露增加了多发病率,而白人和混合种族的人与非洲黑人相比的几率较低.
- 社区层面的因素对多发病率的变化贡献了2.9%.
结论:
- 南非存在着高重的多病症负担,受复杂的因素相互作用的影响.
- 结果强调需要针对个体风险和社区决定因素的多层次干预措施.
- 解决多病症不平等问题需要在个人和社区层面采取全面的战略.
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