Arodiwe E B, Okoli C, Anyabolu E N, Nwobodo U, Arodiwe I O, Ijoma C K, Ulasi I I
Nephrology unit, Department of Medicine, College of Medicine, University of Nigeria, Enugu campus/Department of Health Administration and Management, College of Medicine, University of Nigeria, Enugu campus,Nigeria.
Department of Health Administration and Management, College of Medicine, University of Nigeria, Enugu campus, Nigeria.
West Afr J Med. 2020 Apr-Jun;37(2):107-112.
There are few reports on socioeconomic status (SES) of patients with chronic kidney disease (CKD) in Nigeria and indeed Africa, South of the Sahara. Identifying SES as an important factor for disability in people with CKD would provide a means for early identification of those at risk and, possible intervention.
To determine the SES of CKD patients attending renal clinic in the University of Nigeria Teaching Hospital.
Cross-sectional descriptive design was adopted using pretested questionnaire to elicit data on SES (age, place of residence, household asset ownership, source of drinking water; source of cooking energy; and type of toilet facility) from one hundred and forty-five (145) CKD patients attending renal clinic in the University of Nigeria Teaching Hospital. Principal component analysis was used to classify the SES into five quintiles.
Majority of the respondents (patients) in stages 4 and 5 CKD, constituting 17.2% and 39.3% respectively were from the lower SES. There was significant correlation between SES and age of the patients; place of residence; hypertension history; ownership of some household assets; source of drinking water; source of cooking energy; and type of toilet facility.
This study demonstrated that many of our patients were from the lower SES. It is recommended that both governmental and non-governmental agencies should help these patients with some form of health insurance to alleviate their healthcare cost burden.
关于尼日利亚以及撒哈拉以南非洲地区慢性肾脏病（CKD）患者社会经济地位（SES）的报道很少。将SES确定为CKD患者残疾的一个重要因素，将为早期识别高危人群以及可能的干预提供一种方法。
确定在尼日利亚大学教学医院肾科门诊就诊的CKD患者的SES。
采用横断面描述性设计，使用预先测试的问卷，从在尼日利亚大学教学医院肾科门诊就诊的145例CKD患者中获取有关SES的数据（年龄、居住地点、家庭资产拥有情况、饮用水来源、烹饪能源来源和厕所设施类型）。采用主成分分析将SES分为五个五分位数。
4期和5期CKD的大多数受访者（患者）分别占17.2%和39.3%，来自较低的SES。SES与患者年龄、居住地点、高血压病史、一些家庭资产的拥有情况、饮用水来源、烹饪能源来源和厕所设施类型之间存在显著相关性。
本研究表明，我们的许多患者来自较低的SES。建议政府和非政府机构应以某种形式的健康保险帮助这些患者，以减轻他们的医疗费用负担。
