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1427回历(公元2007年)朝觐期间前往米纳医院的朝圣者的疾病流行模式及风险行为

Epidemiological pattern of diseases and risk behaviors of pilgrims attending mina hospitals, hajj 1427 h (2007 g).

作者信息

Khamis Nahla K

机构信息

Department of Epidemiology, High Institute of Public Health, Alexandria University, Eypt.

出版信息

J Egypt Public Health Assoc. 2008;83(1-2):15-33.

Abstract

UNLABELLED

Hajj is a unique Islamic ritual where around 2.5 million Muslims gather annually in the Kingdom of Saudi Arabia. The objective of this work was to determine epidemiological pattern of diseases and risk behaviors of pilgrim patients during Hajj 1427 H. A cross sectional study was conducted at two randomly chosen Mina hospitals and a total of 248 patients were selected using systematic random sample method. Results show that about two-fifths (39.1%) of patients had chronic diseases and only 34.4 % received health education before Hajj. The commonest patients' complaints were cough, dyspnea and fever (28.2 %, 27.4% and 25 % respectively). Acute respiratory infections and gastrointestinal illnesses were the commonest diagnosed diseases. Analgesics and antibiotics were the most commonly prescribed drugs. Regarding risky behaviors, 24.6 % of pilgrims were unvaccinated against meningococcal meningitis, 87.9 % didn't wear protective masks and 43.1 % had their hair shaved or cut by re-used razors or scissors. Pilgrims who followed organized camps and who received health education before hajj conducted significantly lower risky behaviors compared to others.

RECOMMENDATIONS

Intensified health education campaigns should be conducted for all pilgrims in their mother countries & KSA. Surveillance of behavioral risk factors, formulating intervention strategies and proposing new policies and regulations are urgently needed.

摘要

未标注

朝觐是一项独特的伊斯兰仪式,每年约有250万穆斯林聚集在沙特阿拉伯王国。这项工作的目的是确定1427回历朝觐期间朝圣患者的疾病流行病学模式和风险行为。在两家随机选择的米纳医院进行了一项横断面研究,使用系统随机抽样方法共选取了248名患者。结果显示,约五分之二(39.1%)的患者患有慢性病,只有34.4%的患者在朝觐前接受过健康教育。患者最常见的症状是咳嗽、呼吸困难和发热(分别为28.2%、27.4%和25%)。急性呼吸道感染和胃肠道疾病是最常见的诊断疾病。镇痛药和抗生素是最常用的处方药。关于风险行为,24.6%的朝圣者未接种脑膜炎球菌性脑膜炎疫苗,87.9%的人未佩戴防护口罩,43.1%的人使用重复使用的剃须刀或剪刀剃须或理发。与其他人相比,参加有组织营地的朝圣者和在朝觐前接受过健康教育的朝圣者的风险行为明显较低。

建议

应在朝圣者的母国和沙特阿拉伯对所有朝圣者开展强化健康教育活动。迫切需要对行为风险因素进行监测、制定干预策略并提出新的政策和法规。

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