Preux P-M, Ratsimbazafy V, Bhalla D, Ngoungou E, Quet F, Druet-Cabanac M
UMR Inserm 1094, neuroépidémiologie tropicale, 87025 Limoges, France.
Rev Neurol (Paris). 2012 Mar;168(3):211-5. doi: 10.1016/j.neurol.2011.12.003. Epub 2012 Feb 2.
The purpose of this paper is to highlight the difficulties of applying neuroepidemiological methods in low income countries or developing countries, which are mostly tropical countries, taking advantage of the experience of the Institute of Neuroepidemiology and Tropical Neurology, which was created in Limoges in 1982. These difficulties could be related to several aspects: methodological, logistical, political or economical, linked to ethical issues, even difficulties to publish the studies. However, concept and neuroepidemiological methods should stay the same worldwide, even if their translation into practice could sometimes raise some problems in developing countries. Study protocol should be more detailed. Some specific epidemiological methods could be useful. Collection of data should be standardized. True cooperation at every level is needed for these researches to be valid.
本文旨在利用1982年在利摩日成立的神经流行病学与热带神经病学研究所的经验,强调在低收入国家或发展中国家(其中大部分是热带国家)应用神经流行病学方法的困难。这些困难可能涉及几个方面:方法学、后勤、政治或经济方面,与伦理问题相关,甚至还包括研究发表方面的困难。然而,神经流行病学的概念和方法在全球范围内应该是一致的,即使在发展中国家将其应用于实践有时可能会出现一些问题。研究方案应该更加详细。一些特定的流行病学方法可能会有用。数据收集应该标准化。为了使这些研究有效,需要在各个层面进行真正的合作。