流离失所环境中的病负担:强迫流离失所人口的系统审查和元分析
Gelila Yitageasu1, Angwach Abrham Asnake2, Alemayehu Kasu Gebrehana3
1Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS neglected tropical diseases
|December 23, 2025
概括
病对流离失所人口产生重大影响,全球综合流行率为15%. 综合干预对于在脆弱群体中管理这种被忽视的热带疾病至关重要.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 全球有超过1.23亿人被迫流离失所,其中80%在低收入和中等收入国家.
- 是一种被忽视的热带疾病,由于生活条件恶劣和医疗保健获得有限,它不成比例地影响流离失所的人口.
- 在流离失所人口中病的全球流行数据不一致.
研究的目的:
- 估计在被迫流离失所的人口中病的全球综合流行率.
- 根据地区,人口群体和研究环境来确定发病率的变化.
主要方法:
- 对14项涉及76664名参与者的研究进行了系统审查和元分析.
- 在主要数据库 (PubMed,Scopus,Embase) 进行搜索,截至2025年5月.
- 用于聚合流行率计算的随机效应模型,评估异质性和出版偏差.
主要成果:
- 在被迫流离失所的人口中,病的全球综合流行率为15%.
- 患病率因地区 (亚洲最高为25%) 和人口类型 (难民为23%) 而有很大差异.
- 在使用联合临床检查和问卷的研究中报告了更高的患病率 (27%).
结论:
- 在被迫流离失所的人群中,代表着相当大的健康负担 (15%的患病率).
- 迫切需要综合干预措施,包括查,治疗,WASH计划和加强监测.
- 在流离失所环境中改善健康结果需要针对的综合管理策略.
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