Renal Division, Cairo University Hospital, Cairo, Egypt.
Curr Opin Nephrol Hypertens. 2024 Nov 1;33(6):652-657. doi: 10.1097/MNH.0000000000001026. Epub 2024 Sep 11.
Chronic kidney disease and hypertension, two widely prevalent conditions worldwide, present an urgent and pressing need for immediate action. The review describes how social conditions and humanitarian issues can influence hypertension and kidney disease.
Undoubtedly, social determinants of health (SDoH) are key influencers in the development of many noncommunicable diseases, including hypertension and kidney disease. Healthcare professionals, including public health workers, play a crucial role in addressing these issues. Poverty, low education level, poor nutrition, housing, exposure to environmental hazards, and stress-related disorders are all factors that can be addressed, either directly or indirectly, through improved awareness and access to proper healthcare services. Besides personal factors, national, regional, or global factors cause serious apprehension. Disasters, whether natural or man-made, can lead to significant aftermaths on the healthy person and certainly on kidney disease and hypertensive patients. A Global Overview Report, 2023 turned out to be one of the most violent years since the end of the Cold War. In 2023, 59 state-based conflicts were recorded in 34 countries, the highest number registered since 1946. The wars in Ukraine and Gaza were the primary contributors with a significant impact on the kidney population, especially people living on dialysis and transplantation patients. They also yielded many refugees or displaced persons with ongoing suffering.
It is crucial to recognize that social and humanitarian conditions can quickly exacerbate the health of vulnerable populations, particularly those with noncommunicable diseases like hypertension and chronic kidney disease. These patients, who often require continuous follow-up, especially those on dialysis, are particularly vulnerable during difficult times. Their lives depend on uninterrupted access to dialysis or transplantation medications, making the need for special attention and care more pressing. Further research and advocacy are needed to address these issues and ensure the health and well being of these populations.
慢性肾脏病和高血压是全球范围内广泛存在的两种疾病，迫切需要立即采取行动。本文描述了社会状况和人道主义问题如何影响高血压和肾脏病。
毫无疑问，健康的社会决定因素（SDoH）是许多非传染性疾病（包括高血压和肾脏病）发展的关键影响因素。医疗保健专业人员，包括公共卫生工作者，在解决这些问题方面发挥着至关重要的作用。贫困、低教育水平、营养不良、住房条件差、暴露于环境危害以及与压力相关的疾病等因素，都可以通过提高认识和获得适当的医疗保健服务来直接或间接地解决。除了个人因素外，国家、地区或全球因素也会引起严重的关注。无论是自然还是人为灾害，都会对健康人，当然也会对肾脏病和高血压患者造成严重影响。2023 年全球概况报告显示，这是自冷战结束以来最暴力的年份之一。2023 年，在 34 个国家记录了 59 场以国家为基础的冲突，这是自 1946 年以来登记的最高数字。乌克兰和加沙的战争是主要原因，对肾脏病患者群体，特别是接受透析和移植的患者产生了重大影响。它们还导致了许多难民或流离失所者持续遭受苦难。
必须认识到，社会和人道主义状况会迅速恶化弱势群体的健康状况，特别是那些患有非传染性疾病（如高血压和慢性肾脏病）的人。这些患者通常需要持续随访，特别是那些接受透析治疗的患者，在困难时期尤其脆弱。他们的生命依赖于不间断地获得透析或移植药物，因此更需要特别关注和照顾。需要进一步研究和宣传，以解决这些问题，确保这些人群的健康和福祉。
