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中亚地区心血管疾病、2 型糖尿病和中风的卫生政策影响:对育龄期妇女影响的十年预测。

Health policy implications for cardiovascular disease, type 2 diabetes mellitus, and stroke in Central Asia: a decadal forecast of their impact on women of reproductive age.

机构信息

Department of Science and Consulting, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.

Department of Economics of Healthcare and Insurance Medicine, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.

出版信息

Front Public Health. 2024 Aug 22;12:1456187. doi: 10.3389/fpubh.2024.1456187. eCollection 2024.

DOI:10.3389/fpubh.2024.1456187
PMID:39238535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376345/
Abstract

INTRODUCTION

Cardiovascular disease, type 2 diabetes, and stroke are significant global health concerns. However, gaps persist in understanding the impact of these disorders on women of reproductive age in Central Asia. This study aimed to analyze the health policies implemented in Central Asian countries to address the healthcare needs of this demographic and to forecast future trends in prevalence rates.

METHODOLOGY

We forecasted future trends in prevalence rates, years of life lost, years lived with disability, and disability-adjusted life years for cardiovascular disease, type 2 diabetes, and stroke using publicly available data. Two data sources were utilized: health policy documents issued by the governments of Kazakhstan, Kyrgyzstan, Uzbekistan, Tajikistan, and Turkmenistan, and data from the Institute for Health Metrics and Evaluation. Forecasting models, including ARIMA, were employed to predict trends until 2030.

RESULTS

The results indicate an anticipated increase in cardiovascular disease prevalence from 1856.55 in 2020 to 2007.07 by 2029 in Kazakhstan, a subtle increase in Kyrgyzstan from 2492.22 to 2558.69 over 10 years, and similar trends in other countries.

CONCLUSION

The analysis of policy documents revealed a lack of specific focus on addressing cardiovascular disease, stroke, or type 2 diabetes outside the contexts of pregnancy and childbirth. Understanding these trends is crucial for informing targeted health interventions and resource allocation to mitigate the impact of these diseases on women's health in Central Asia.

摘要

简介

心血管疾病、2 型糖尿病和中风是全球重大健康问题。然而,人们对于这些疾病在中亚育龄女性中的影响仍存在认识上的差距。本研究旨在分析中亚国家实施的卫生政策,以满足这一年龄段人群的医疗需求,并预测未来这些疾病的流行趋势。

方法

我们利用公开数据预测心血管疾病、2 型糖尿病和中风的未来流行趋势、生命损失年、残疾生存年和残疾调整生命年。使用了两个数据源:哈萨克斯坦、吉尔吉斯斯坦、乌兹别克斯坦、塔吉克斯坦和土库曼斯坦政府发布的卫生政策文件以及健康计量与评估研究所的数据。使用 ARIMA 等预测模型预测到 2030 年的趋势。

结果

结果表明,哈萨克斯坦的心血管疾病患病率预计从 2020 年的 1856.55 增加到 2029 年的 2007.07;吉尔吉斯斯坦在 10 年内从 2492.22 略微增加到 2558.69;其他国家也呈现类似趋势。

结论

对政策文件的分析表明,除了妊娠和分娩背景外,各国政策缺乏针对心血管疾病、中风或 2 型糖尿病的具体关注。了解这些趋势对于制定有针对性的卫生干预措施和资源分配至关重要,以减轻这些疾病对中亚女性健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/a9a2fc811152/fpubh-12-1456187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/4192462bc1a1/fpubh-12-1456187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/8e3a0c16c2fd/fpubh-12-1456187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/063d41039408/fpubh-12-1456187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/a9a2fc811152/fpubh-12-1456187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/4192462bc1a1/fpubh-12-1456187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/8e3a0c16c2fd/fpubh-12-1456187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/063d41039408/fpubh-12-1456187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/11376345/a9a2fc811152/fpubh-12-1456187-g004.jpg

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