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尼日利亚西南部居民中按性别划分的肾病患病率、诱发风险的生活方式及感知易感性

Prevalence, risk-inducing lifestyle, and perceived susceptibility to kidney diseases by gender among Nigerians residents in South Western Nigeria.

作者信息

Akokuwebe Monica Ewomazino, Odimegwu Clifford, Omololu Femi

机构信息

University of the Witwatersrand, Demography and Population Studies Programme.

University of Ibadan Faculty of Social Sciences, Sociology.

出版信息

Afr Health Sci. 2020 Jun;20(2):860-870. doi: 10.4314/ahs.v20i2.40.

Abstract

BACKGROUND

Kidney disease (KD) is increasingly recognized as a major public health problem worldwide with rising incidence and prevalence. Early identification of KD risk factors will slow down progression to kidney failure and death.

OBJECTIVE

To determine the prevalence, risk-inducing lifestyle and perceived susceptibility among Nigerians in South-western Nigeria.

METHODS

A pretested structured questionnaire was employed to draw information on socio-demographic, knowledge, risk-inducing lifestyle and perceived susceptibility to conventional risk factors of KD from 1757 residents aged ≥15 years.

RESULTS

The mean age of the respondents was 47.61±13.0 years with a male-female ratio of 1.13:1. Knowledge of KD was low (mean score 2.29; 95% CI: 2.18, 2.32). The prevalence of some established KD risk factors was regular use of herbal medications, 26.8% and physical inactivity, 70.0%. Females with factors such as use of herbal drink [RRR: 1.56; CI=1.06-2.30; p=0.02] and smoking [RRR: 2.72; CI=1.37-5.37; p=0.00] predicted increased odds of perceived susceptibility to KD than their male counterparts.

CONCLUSION

The prevalence of KD risk-inducing lifestyles was high. More emphasis should be placed on effective public health programmes towards behavioural change in order to adopt lifestyle modification as well as to reduce the tendency to develop KD.

摘要

背景

随着发病率和患病率的上升,肾脏疾病(KD)日益被视为全球主要的公共卫生问题。早期识别KD风险因素将减缓肾衰竭和死亡的进程。

目的

确定尼日利亚西南部人群中KD的患病率、诱发风险的生活方式以及感知易感性。

方法

采用经过预测试的结构化问卷,从1757名年龄≥15岁的居民中获取有关社会人口统计学、知识、诱发风险的生活方式以及对KD传统风险因素的感知易感性的信息。

结果

受访者的平均年龄为47.61±13.0岁,男女比例为1.13:1。对KD的知晓率较低(平均得分2.29;95%置信区间:2.18,2.32)。一些已确定的KD风险因素的患病率为经常使用草药,26.8%;身体活动不足,70.0%。具有使用草药饮料[相对风险比(RRR):1.56;置信区间=1.06 - 2.30;p = 0.02]和吸烟[RRR:2.72;置信区间=1.37 - 5.37;p = 0.00]等因素的女性比男性更易感知KD易感性增加。

结论

KD诱发风险的生活方式患病率较高。应更加强调有效的公共卫生计划以促进行为改变,从而采用生活方式调整并降低患KD的倾向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7425/7609101/7f839234864f/AFHS2002-0860Fig1.jpg

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