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尼日利亚西南部镰状细胞贫血患者的社会经济参数和健康状况。

Socioeconomic Parameters and Well Being of Sickle Cell Anaemic Patients in Southwestern Nigeria.

机构信息

Department of Health Policy and Management, Faculty of Public Health, College of Medicine, University of Ibadan, Oyo State, Nigeria, Email:

Department of Community Medicine, Family Medicine Unit, Faculty of Clinical Services, College of Medicine, University of Ibadan, Oyo State, Nigeria.

出版信息

West Afr J Med. 2023 Mar 31;40(3):284-291.

Abstract

BACKGROUND

The financial and educational status of individuals living with sickle-cell anaemia contributes to their general well-being. It is widely known that education is closely linked with positive health-seeking behaviors i.e., the more educated a person is, the better the person is likely to seek medical attention when needed, and take care of themselves before the crisis. It is considered that a relatively well-educated person with a means of livelihood would purchase the required drugs for prophylactic use. In most African countries where poverty is acute, it becomes a problem when the resource for education and finance needed for the treatment is not available. This study assessed the socioeconomic parameters (financial and educational status) of individuals living with the disorder within the Ibadan metropolis, southwest Nigeria.

METHODS

This study is a descriptive cross-sectional study using quantitative methods that assessed individuals' financial and educational status with sickle cell anaemia. Respondents were recruited from federal and state hospitals, non-governmental foundations, worship centers, and schools. The individuals' educational and financial statuses were accessed using standardized data collection and assessment tools, while the data were analyzed using SPSS (v22). Presentation of inferential statistics was done at a 5% level of significance.

RESULTS

The study recruited 253 participants, of which more than half (58.1%) were females. Those between 12-28 years were 64.4%, and the mean age was approximately 27.7±10.3 years. Also, 67.2% had tertiary education, 74.7% were neither engaged nor married at the time of this study, 88.5% were Yoruba, 73.5% of the participants were from a monogamous family, and 73.1% were Christians. A significant directly proportional association was found between financial status, educational status, and general well-being.

CONCLUSION

Sociodemographic, as well as educational factors, contributed to the general well-being of the individual participants. Thus, finance, level of exposure, and the environment were found to contribute significantly to well-being. More than half of the participants had tertiary education or are currently in school compared to those without tertiary education. There is an association between those with tertiary education and the number of hospital visits in the selected participants. While no association exists between those with buoyant financial status compared to those without a stable source of income.

摘要

背景

患有镰状细胞贫血症的个人的财务和教育状况与其整体健康状况有关。众所周知,教育与积极的健康寻求行为密切相关,即一个人受教育程度越高,在需要时就越有可能寻求医疗帮助,并且在危机发生之前就会照顾好自己。人们认为,有生计来源的受过相对良好教育的人会购买预防性用药所需的药物。在大多数非洲国家,贫困问题十分严重,而这些国家的教育和治疗资源都很匮乏。本研究评估了尼日利亚西南部伊巴丹大都市中患有该疾病的个体的社会经济参数(财务和教育状况)。

方法

这是一项描述性的横断面研究,使用定量方法评估了个体的镰状细胞贫血症的财务和教育状况。研究对象是从联邦和州立医院、非政府基金会、礼拜中心和学校招募而来。使用标准化的数据收集和评估工具来评估个人的教育和财务状况,而使用 SPSS(v22)分析数据。在 5%的显著性水平下进行了推断性统计分析。

结果

本研究共招募了 253 名参与者,其中超过一半(58.1%)为女性。12-28 岁的参与者占 64.4%,平均年龄约为 27.7±10.3 岁。此外,67.2%的参与者拥有高等教育学历,74.7%在研究时未婚,88.5%为约鲁巴人,73.5%的参与者来自于一夫一妻制家庭,73.1%为基督教徒。研究发现,财务状况、教育状况和整体幸福感之间存在显著的正相关关系。

结论

社会人口统计学和教育因素对个体参与者的整体幸福感有贡献。因此,财务状况、接触水平和环境被认为对幸福感有重要影响。与没有高等教育学历的参与者相比,超过一半的参与者拥有高等教育学历或正在上学。在选定的参与者中,具有高等教育学历的人与医院就诊次数之间存在关联。而在有稳定收入来源的人与没有稳定收入来源的人之间没有关联。

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