哥伦比亚基于社区的 11 个地区研究：与社会经济和教育因素相关的慢性非传染性疾病自我报告流行率。
Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments.
机构信息
Fundación Oftalmológica de Santander-FOSCAL, Floridablanca, CO.
Universidad Autónoma de Bucaramanga, Bucaramanga, CO.
出版信息
Glob Heart. 2020 Apr 21;15(1):35. doi: 10.5334/gh.792.
BACKGROUND
Chronic non-communicable diseases are prevalent conditions in developing countries, such as Colombia. Several socioeconomic and educational factors have been associated with these pathologies. However, there is little country-specific information regarding the self-reported prevalence of chronic diseases and their association with the aforementioned factors in Colombia.
OBJECTIVES
To evaluate the current situation of chronic non-transmissible diseases in Colombia by self-report and to analyze its potential relationship with sociodemographic, economic and educational factors.
METHODS
This is a cross-sectional baseline sub-analysis from the prospective, standardized collaborative PURE study in Colombia. Participants were recruited between 2005 to 2009, in 11 departments of the country, and included 7,485 subjects of 35 to 70 years old. Questionnaires of self-reported chronic non-communicable diseases, and demographic, socioeconomic and educational variables were applied.
RESULTS
Hypertension was the most prevalent chronic condition reported with a prevalence of 22.2% (21.2%-23.1%, 95% CI), followed by diabetes with a prevalence of 5.7% (5.1%-6.2%, 95% CI), asthma 2.7% (2.2%-3.0%, 95% CI), coronary heart disease 2.4% (2.0%-2.7%, 95% CI), stroke and heart failure 1.5% (1.2%-1.8%, 95% CI) each, chronic obstructive pulmonary disease 1.2% (0.6%-1.5%, 95% CI), and cancer 1.2% (1.0%-1.5%, 95% CI). Among the study sample, 23.3% (22.4%-24.3%, 95% CI) reported having one chronic NCDs, and 6.4% (5.9%-7.0%, 95% CI) reported having multiple chronic NCDs. The prevalence of multiple NCDs increased significantly with age, was more common in those from households with higher income, whereas it was significantly lower in persons with high education.The central and central-east regions of the country are those with the higher prevalence of self-reported NCDs.
CONCLUSION
The results of the current study indicate the presence of socioeconomic and educational inequalities in the distribution of chronic NCDs in the Colombian population.
背景
慢性非传染性疾病在发展中国家（如哥伦比亚）很普遍。有几个社会经济和教育因素与这些疾病有关。然而，关于哥伦比亚慢性疾病的自我报告患病率及其与上述因素的关系，该国的具体信息很少。
目的
通过自我报告评估哥伦比亚目前慢性非传染性疾病的现状，并分析其与社会人口、经济和教育因素的潜在关系。
方法
这是前瞻性、标准化的 PURE 研究在哥伦比亚的横断面基线子分析。参与者于 2005 年至 2009 年在该国 11 个地区招募，包括 7485 名 35 至 70 岁的受试者。应用了自我报告的慢性非传染性疾病问卷以及人口统计学、社会经济和教育变量。
结果
高血压是报告最普遍的慢性疾病，患病率为 22.2%（21.2%-23.1%，95%CI），其次是糖尿病，患病率为 5.7%（5.1%-6.2%，95%CI），哮喘患病率为 2.7%（2.2%-3.0%，95%CI），冠心病患病率为 2.4%（2.0%-2.7%，95%CI），中风和心力衰竭患病率各为 1.5%（1.2%-1.8%，95%CI），慢性阻塞性肺疾病患病率为 1.2%（0.6%-1.5%，95%CI），癌症患病率为 1.2%（1.0%-1.5%，95%CI）。在研究样本中，23.3%（22.4%-24.3%，95%CI）报告有一种慢性非传染性疾病，6.4%（5.9%-7.0%，95%CI）报告有多种慢性非传染性疾病。多种非传染性疾病的患病率随着年龄的增长显著增加，在收入较高的家庭中更为常见，而在受教育程度较高的人群中则显著降低。该国中部和中东部地区报告的自我报告非传染性疾病患病率较高。
结论
当前研究结果表明，哥伦比亚人口中慢性非传染性疾病的分布存在社会经济和教育不平等现象。
Zotero 插件