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尼日利亚缺血性心脏病:探索挑战、现状及生活方式干预对其初级医疗保健系统的影响。

Ischemic Heart Disease in Nigeria: Exploring the Challenges, Current Status, and Impact of Lifestyle Interventions on Its Primary Healthcare System.

机构信息

Department of Nursing and Community Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK.

Department of Public Health, Faculty of Health and Social Care, University of Chester, Chester CH1 1SL, UK.

出版信息

Int J Environ Res Public Health. 2021 Dec 25;19(1):211. doi: 10.3390/ijerph19010211.

DOI:10.3390/ijerph19010211
PMID:35010468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8751082/
Abstract

The burden of ischemic heart disease in Nigeria calls for an evidence-based, innovative, and interdisciplinary approach towards decreasing health inequalities resulting from individual lifestyle and poor socioeconomic status in order to uphold the holistic health of individuals to achieve global sustainability and health equity. The poor diagnosis and management of ischemic heart disease in Nigeria contributes to the inadequate knowledge of its prognosis among individuals, which often results in a decreased ability to seek help and self-care. Hence, current policies aimed at altering lifestyle behaviour to minimize exposure to cardiovascular risk factors may be less suitable for Nigeria's diverse culture. Mitigating the burden of ischemic heart disease through the equitable access to health services and respect for the autonomy and beliefs of individuals in view of achieving Universal Health Coverage (UHC) requires comprehensive measures to accommodate, as much as possible, every individual, notwithstanding their values and socioeconomic status.

摘要

尼日利亚缺血性心脏病负担需要采取基于证据、创新和跨学科的方法,以减少因个人生活方式和贫困社会经济地位导致的健康不平等,从而维护个人的整体健康,实现全球可持续性和健康公平。尼日利亚对缺血性心脏病的诊断和管理不足,导致人们对其预后的认识不足,这往往导致人们寻求帮助和自我护理的能力下降。因此,目前旨在改变生活方式行为以尽量减少心血管危险因素暴露的政策可能不太适合尼日利亚的多元文化。通过公平获得卫生服务和尊重个人的自主权和信仰来减轻缺血性心脏病负担,以实现全民健康覆盖(UHC),需要采取全面措施,尽可能照顾到每一个人,无论其价值观和社会经济地位如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9884/8751082/a117691e51cd/ijerph-19-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9884/8751082/742e9238febf/ijerph-19-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9884/8751082/a117691e51cd/ijerph-19-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9884/8751082/742e9238febf/ijerph-19-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9884/8751082/a117691e51cd/ijerph-19-00211-g002.jpg

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Int J Behav Med. 2021 Jun;28(3):308-317. doi: 10.1007/s12529-020-09920-6.
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Cardiovascular Disease Burden in Rural Africa: Does HIV and Antiretroviral Treatment Play a Role?: Baseline Analysis of the Ndlovu Cohort Study.
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J Am Heart Assoc. 2020 Apr 7;9(7):e013466. doi: 10.1161/JAHA.119.013466. Epub 2020 Mar 30.
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Prevalence of Pre-Diabetes, Diabetes and Associated Cardiovascular Risk Amongst Healthcare Workers in Ahmadu Bello University Teaching Hospital (ABUTH), Zaria using Glycated Haemoglobin.使用糖化血红蛋白评估扎里亚阿马杜·贝洛大学教学医院(ABUTH)医护人员中糖尿病前期、糖尿病及相关心血管风险的患病率
West Afr J Med. 2020 Apr-Jun;37(2):91-99.
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