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埃塞俄比亚南方各族州人民区域非传染性疾病负担:一项回顾性研究。

Burden of NCDs in SNNP region, Ethiopia: a retrospective study.

作者信息

Endriyas Misganu, Mekonnen Emebet, Dana Tadele, Daka Kassa, Misganaw Tebeje, Ayele Sinafikish, Shiferaw Mekonnen, Tessema Tigist, Getachew Tewodros

机构信息

SNNPR Health Bureau, Hawassa, Ethiopia.

College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

出版信息

BMC Health Serv Res. 2018 Jul 4;18(1):520. doi: 10.1186/s12913-018-3298-0.

Abstract

BACKGROUND

Non-communicable diseases (NCDs) are medical conditions or diseases that are non-transmissible. As NCDs are becoming one of major public health problem, providing local description of diseases and injuries is key to health decision- making and planning processes. So, this study aimed to describe caseload of NCDs in Southern Nations Nationalities and People's Region, Ethiopia.

METHODS

A facility based retrospective study was conducted in February 2015 in SNNPR, Ethiopia. A total of 22,320 records of three years retrieved from 23 health facilities using systematic sampling. Data were entered in to Epi-Info 3.5.3 and descriptive analysis was carried out using SPSS version 20.

RESULTS

From 22,320 records reviewed, 6633 (29.7%) clients visited health facilities due to Non-Communicable Diseases (NCDs). Majority (37.2%) of NCD cases were in productive age groups (20-35 year). Near to half (43%) of NCD cases were from rural and 45.8% were females. Digestive disorder (26.7%), cardiovascular diseases (18.8%) and Diabetes Mellitus (13.1%) were the most prevalent types of NCDs.

CONCLUSION

Health facilities are burdened with significant proportion of clients with NCDs. Young population accounts large share and NCDs are becoming public health problem of urban and rural area within a health care system that focus on communicable diseases. There is a need to strengthen the health system to work towards NCDs, and investigate risk factors associated with NCDs at individual level.

摘要

背景

非传染性疾病是指不会传染的医学病症或疾病。随着非传染性疾病正成为主要的公共卫生问题之一,提供疾病和损伤的本地描述是健康决策和规划过程的关键。因此,本研究旨在描述埃塞俄比亚南方各族州的非传染性疾病病例数。

方法

2015年2月在埃塞俄比亚南方各族州开展了一项基于机构的回顾性研究。通过系统抽样从23家医疗机构检索了三年的共计22320份记录。数据录入Epi-Info 3.5.3,并使用SPSS 20版进行描述性分析。

结果

在审查的22320份记录中,6633名(29.7%)患者因非传染性疾病前往医疗机构就诊。大多数(37.2%)非传染性疾病病例处于生产年龄组(20 - 35岁)。近一半(43%)的非传染性疾病病例来自农村,45.8%为女性。消化系统疾病(26.7%)、心血管疾病(18.8%)和糖尿病(13.1%)是非传染性疾病最常见的类型。

结论

医疗机构负担着相当比例的非传染性疾病患者。年轻人群占很大比例,在一个侧重于传染病的医疗保健系统中,非传染性疾病正成为城乡地区的公共卫生问题。有必要加强卫生系统以应对非传染性疾病,并在个体层面调查与非传染性疾病相关的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8cd/6031105/fea62a521813/12913_2018_3298_Fig1_HTML.jpg

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