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尼日利亚拉各斯州尼日利亚社区居民肾脏疾病知识的社会经济决定因素

Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria.

作者信息

Akokuwebe Monica Ewomazino, Odimegwu Clifford

机构信息

Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of Witwatersrand, Johannesburg, South Africa.

出版信息

Oman Med J. 2019 Sep;34(5):444-455. doi: 10.5001/omj.2019.81.

Abstract

OBJECTIVES

We sought to estimate the knowledge, sociodemographic determinants, and risk-inducing lifestyles of kidney disease (KD) among Nigerians living in Lagos State.

METHODS

We conducted a cross-sectional descriptive study to assess the level of knowledge of KD and its associated sociodemographic factors of individuals living in urban and semi-urban communities of Lagos State, Nigeria. It is hoped that the results of this study will help to inform preventive modalities. We used a pretested, structured questionnaire to draw information from 1171 Nigerians aged ≥ 15 years.

RESULTS

The mean age of respondents was 33.5±11.1 years. In our cohort, 72.4% of respondents were knowledgeable of KD, with media as their major source of information (41.6%). Knowledge of KD was significantly associated with age ( 0.044), education ( < 0.001), marital status ( < 0.001), and place of residence ( 0.048). The established KD risk-inducing lifestyle factors were habitual use of herbal supplements, significant alcohol consumption, and diabetes ( < 0.050). Significant predictors of knowledge of KD included primary education (Odds ratio (OR) = 0.367, 95% confidence interval (CI): 0.11-1.22; =0.102), secondary education (OR = 0.296, 95% CI: 0.17-0.51; < 0.001), Igbo ethnic group (OR = 1.471, 95% CI: 0.99-2.17; 0.047), and place of residence (OR = 1.332, 95% CI: 1.00-1.77; 0.048). Age 30-39 years (OR = 0.749, 95% CI: 0.48-1.18; 0.214), 40-49 years (OR = 1.083, 95% CI: 0.69-1.69; 0.727), and not working (OR = 1.178, 95% CI: 0.88-1.57; < 0.269) were non-significant predictors of knowledge of KD.

CONCLUSIONS

Our cohort had inadequate knowledge of linking risk-inducing lifestyles to KD development. Effective measures and efforts should be made to create awareness and educate the general population on KD and prevention measures related to risk-inducing lifestyles to reduce the burden of KD among Nigerians.

摘要

目的

我们试图评估居住在拉各斯州的尼日利亚人对肾脏疾病(KD)的了解程度、社会人口学决定因素以及诱发风险的生活方式。

方法

我们进行了一项横断面描述性研究,以评估居住在尼日利亚拉各斯州城市和半城市社区的个人对KD的了解程度及其相关的社会人口学因素。希望本研究结果将有助于为预防方式提供信息。我们使用经过预测试的结构化问卷,从1171名年龄≥15岁的尼日利亚人那里获取信息。

结果

受访者的平均年龄为33.5±11.1岁。在我们的队列中,72.4%的受访者了解KD,其中媒体是他们的主要信息来源(41.6%)。对KD的了解与年龄(0.044)、教育程度(<0.001)、婚姻状况(<0.001)和居住地点(0.048)显著相关。已确定的诱发KD风险的生活方式因素包括习惯性使用草药补充剂、大量饮酒和糖尿病(<0.050)。KD知识的重要预测因素包括小学教育(优势比(OR)=0.367,95%置信区间(CI):0.11 - 1.22;=0.102)、中学教育(OR = 0.296,95% CI:0.17 - 0.51;<0.001)、伊博族(OR = 1.471,95% CI:0.99 - 2.17;0.047)和居住地点(OR = 1.332,95% CI:1.00 - 1.77;0.048)。30 - 39岁(OR = 0.749,95% CI:0.48 - 1.18;0.214)、40 - 49岁(OR = 1.083,95% CI:0.69 - 1.69;0.727)以及无工作(OR = 1.178,95% CI:0.88 - 1.57;<0.269)并非KD知识的显著预测因素。

结论

我们的队列对将诱发风险的生活方式与KD发展联系起来的了解不足。应采取有效措施并做出努力,提高公众对KD以及与诱发风险生活方式相关的预防措施的认识,以减轻尼日利亚人KD的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ee/6745423/00d6dfa5d629/OMJ-D-18-00178-f1.jpg

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