Zeba Augustin Nawidimbasba, Yaméogo Marceline Téné, Tougouma Somnoma Jean-Baptiste, Kassié Daouda, Fournet Florence
Institut de Recherche en Sciences de la Santé, Direction Régionale de l'Ouest, 01 BP 545 Bobo Dioulasso 01, Burkina Faso.
Centre Hospitalier Universitaire Sorou Sanou, Université Polytechnique de Bobo-Dioulasso, 01 BP 676 Bobo-Dioulasso 01, Burkina Faso.
Int J Environ Res Public Health. 2017 Apr 4;14(4):378. doi: 10.3390/ijerph14040378.
: Unplanned urbanization plays a key role in chronic disease growth. This population-based cross-sectional study assessed the occurrence of cardiometabolic risk factors in Bobo-Dioulasso and their association with urbanization conditions. : Through spatial sampling, four Bobo-Dioulasso sub-spaces were selected for a population survey to measure the adult health status. Yéguéré, Dogona, Tounouma and Secteur 25 had very different urbanization conditions (position within the city; time of creation and healthcare structure access). The sample size was estimated at 1000 households (250 for each sub-space) in which one adult (35 to 59-year-old) was randomly selected. Finally, 860 adults were surveyed. Anthropometric, socioeconomic and clinical data were collected. Arterial blood pressure was measured and blood samples were collected to assess glycemia. : Weight, body mass index and waist circumference (mean values) and serum glycemia (83.4 mg/dL ± 4.62 mmol/L) were significantly higher in Tounouma, Dogona, and Secteur 25 than in Yéguéré; the poorest and most rural-like sub-space ( = 0.001). Overall, 43.2%, 40.5%, 5.3% and 60.9% of participants had overweight, hypertension, hyperglycemia and one or more cardiometabolic risk markers, respectively. : Bobo-Dioulasso is unprepared to face this public health issue and urgent responses are needed to reduce the health risks associated with unplanned urbanization.
非计划城市化在慢性病增长中起关键作用。这项基于人群的横断面研究评估了博博迪乌拉索心血管代谢危险因素的发生情况及其与城市化状况的关联。通过空间抽样，选择了博博迪乌拉索的四个子区域进行人群调查，以测量成年人的健康状况。耶盖雷、多戈纳、图努马和25区的城市化状况差异很大（在城市中的位置、创建时间和医疗结构可及性）。样本量估计为1000户家庭（每个子区域250户），从中随机选择一名成年人（35至59岁）。最终，对860名成年人进行了调查。收集了人体测量、社会经济和临床数据。测量了动脉血压并采集了血样以评估血糖水平。图努马、多戈纳和25区的体重、体重指数和腰围（平均值）以及血清血糖水平（83.4毫克/分升±4.62毫摩尔/升）显著高于耶盖雷；耶盖雷是最贫困且最具乡村特征的子区域（P = 0.001）。总体而言，分别有43.2%、40.5%、5.3%和60.9%的参与者超重、患有高血压、高血糖以及有一个或多个心血管代谢风险标志物。博博迪乌拉索未做好应对这一公共卫生问题的准备，需要采取紧急应对措施以降低与非计划城市化相关的健康风险。
