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在印度喀拉拉邦土著人口中CKD,印度
Panniyammakal Jeemon1, Sunaib Ismail1, Henna Kondeth1
1Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Kidney international reports
|January 16, 2026
概括
慢性病 (CKD) 影响印度喀拉拉邦22.6%的部落成年人,女性的发病率更高. 关键的危险因素包括年龄,高血压,糖尿病和低学历,这凸显了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 慢性病 (CKD) 在印度是一个重大的公共卫生挑战,不成比例地影响弱势群体.
- 流行病学转变表明部落社区内的代谢风险正在上升,需要集中研究.
研究的目的:
- 确定南印度喀拉拉邦部落社区中CKD的流行率.
- 在这个特定的人口群体中确定与CKD相关的因素.
主要方法:
- 一项基于社区的横截面研究,涉及喀拉拉邦三个地区的2029名部落成年人 (≥30岁).
- 通过采访,人体测量,护理点测试和尿液分析收集的数据,使用KDIGO 2024标准对CKD定义.
- 多变量逻辑回归分析了与CKD独立相关的因素.
主要成果:
- 慢性病的患病率为22.6% (95% CI:20.7%-24.7%),女性 (24.2%) 的患病率高于男性 (20.4%).
- 在CKD和老年,高血压,糖尿病,低教育和低体重指数 (BMI) 之间发现了显著的关联.
- 观察到大量的CKD亚临床负担,大多数病例是在早期风险阶段.
结论:
- 这是第一个报告印度土著部落人口中CKD高患病率的大规模研究.
- 有效的CKD控制需要一个以公平为重点的战略,解决临床和社会决定因素.
- 在初级卫生保健中,文化适应的查和预防干预措施至关重要.
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