多发性硬化症:一种种族多样化的疾病,具有全球平等挑战 获得护理
1Neurology Department, Baylor College of Medicine, Houston, TX 77030, USA.
Neurology international
|January 27, 2026
概括
多发性硬化症 (MS) 影响全球数以百万计的人,带来了巨大的负担. 全球卫生差异阻碍了对诊断和治疗的获取,特别是对服务不足的人群,需要国际合作,以获得公平的护理.
科学领域:
- 神经学 神经学
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 多发性硬化症 (MS) 影响全球290万人,在所有世卫组织地区,以前不常见的受影响人群中越来越多的鉴定.
- 多发性硬化症的患病率因种族和地区而异,往往与医疗保健系统结构相关.
- 健康差异,包括少数群体和移民对护理的最佳准入不足,加剧了MS相关的发病率和残疾,受健康社会决定因素 (SDOH) 的影响.
研究的目的:
- 突出多发性硬化症 (MS) 的全球影响和分布.
- 在全球范围内识别MS诊断和治疗的关键挑战.
- 倡导国际战略,以改善MS护理和治疗的可访问性.
主要方法:
- 对世卫组织各地区的全球多发性硬化症患病率数据的审查.
- 对医疗保健系统结构和可访问性与MS频率相关的分析.
- 检查导致MS护理健康差异的因素,包括SDOH和地缘政治挑战.
主要成果:
- 多发性硬化在全球范围内影响所有种族,在各大洲和世卫组织地区的流行率各不相同.
- 经济发达的国家与更高的MS患病率往往表现出医疗保健差异,影响服务不足的群体.
- 在许多地区,特别是非洲,拉丁美洲,中东和东南亚人群中,由于神经科医生的可用性和诊断资源有限,对适当的MS诊断和治疗存在重大障碍.
- 战争和难民危机等地缘政治因素进一步加重医疗保健系统的压力,阻碍了MS管理.
结论:
- 全球医疗保健差异显著影响多发性硬化症 (MS) 患者的治疗结果.
- 解决健康的社会决定因素 (SDOH) 和改善对诊断和神经病学家的准入对于公平的MS护理至关重要.
- 国际合作至关重要,以促进获得先进的MS疗法,包括单克隆抗体和B淋巴细胞耗尽剂,以及未来的治疗方法.
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