Gómez-Restrepo Carlos, Rincón Carlos Javier, Medina-Rico Mauricio
Pontificia Universidad Javeriana. Bogotá, Colombia.
Rev Panam Salud Publica. 2018 Feb 19;41:e144. doi: 10.26633/RPSP.2017.144.
The purpose of this study was to identify the most frequent non-mental chronic illnesses in the Colombian population affected by the armed conflict.
A cross-sectional study using data from the National Mental Health Survey 2015. The study population was stratified by sex and age and other general data were extracted, including education and poverty level, measured by the Multidimensional Poverty Index. Data analysis was based on information from people who reported having been victims of the Colombian armed conflict at some time in their lives; the frequency of presentation of non-mental chronic illnesses was reported as a measure of indirect relative risk.
Information on 10,764 people over 18 years of age was described, this being a representative sample at the national level. It was found that 10.4% of subjects affected by the armed conflict have a high educational level (technical school or university), and that 43.6% are living in conditions of poverty or vulnerability. The non-mental chronic illnesses identified were: hypertension 20.4% (CI95%: 15.7-26.1); diabetes 6.7% (CI95%: 4.4-10.3); rheumatologic diseases 10.4% (CI95%: 7.1-14.9); gastrointestinal diseases 19.1% (CI95%: 14.5-24.7); and chronic pain 6.9% (CI95%: 4.2-11).
The population affected by the armed conflict is apparently at greater risk of presenting non-mental chronic illnesses such as hypertension and diabetes, which shows the vulnerability of these communities.
本研究旨在确定受武装冲突影响的哥伦比亚人群中最常见的非精神类慢性疾病。
采用2015年全国心理健康调查数据进行横断面研究。研究人群按性别和年龄分层,并提取其他一般数据,包括教育程度和贫困水平,通过多维贫困指数衡量。数据分析基于报告曾在生活中某个时候成为哥伦比亚武装冲突受害者的人群信息;非精神类慢性疾病的出现频率作为间接相对风险的一种度量进行报告。
描述了10764名18岁以上人群的信息,这是全国层面的代表性样本。发现受武装冲突影响的受试者中有10.4%具有高教育水平(技术学校或大学),43.6%生活在贫困或脆弱状态。确定的非精神类慢性疾病有:高血压20.4%(95%置信区间:15.7 - 26.1);糖尿病6.7%(95%置信区间:4.4 - 10.3);风湿性疾病10.4%(95%置信区间:7.1 - 14.9);胃肠道疾病19.1%(95%置信区间:14.5 - 24.7);慢性疼痛6.9%(95%置信区间:4.2 - 11)。
受武装冲突影响的人群显然患高血压和糖尿病等非精神类慢性疾病的风险更高,这表明这些社区的脆弱性。