Angendu Karl B, Akilimali Pierre Z, Tran Nguyen Toan, Magne Julien
Inserm U1094, IRD UMR270, CHU Limoges, EpiMaCT-Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, University of Limoges, 87000 Limoges, France.
The Democratic Republic of Congo National Public Health Institute, Kinshasa P.O. Box 11850, Democratic Republic of the Congo.
J Clin Med. 2024 Sep 16;13(18):5488. doi: 10.3390/jcm13185488.
The Democratic Republic of Congo (DRC) does not have national prevalence data for arterial hypertension (HTN) or diabetes (type I and II combined) to aid evidence-based decision-making, despite the assumption of epidemiological transition in low- and middle-income countries. The aim of this study was to estimate a proxy of prevalence for HTN and diabetes. This study used routine monthly reported data pertaining to HTN and diabetes from the District Health Information Software 2 (DHIS2), spanning 2019-2023. Data underwent quality assessment and adjustments using standardization before analysis. Equity analyses were carried out at the national and sub-national levels. Epidemiological curves and maps were produced to analyze trends in the prevalence of HTN and diabetes among adults aged 18 and over. Permission to use the data was obtained from the regulatory authority. Over five years, incidence of HTN increased from 13.23% (CI 95%: 13.22-13.24) to 15.23% (CI 95%: 15.22-15.24) (+15.1% relative increase), and diabetes rose from 2.73% (CI 95%: 2.72-2.74) to 3.345% (CI 95%: 3.34-3.35) (+16.3% relative increase), with provincial variations observed. In the DRC, hypertension and diabetes are advancing rapidly. Primary and preventative healthcare services and public health interventions must prioritize these diseases.
尽管人们认为低收入和中等收入国家正在经历流行病学转变，但刚果民主共和国（DRC）却没有动脉高血压（HTN）或糖尿病（I型和II型合并）的全国患病率数据来辅助基于证据的决策。本研究的目的是估计HTN和糖尿病的患病率替代指标。 本研究使用了2019年至2023年期间地区卫生信息软件2（DHIS2）每月定期报告的与HTN和糖尿病相关的数据。在分析之前，数据经过了质量评估并使用标准化进行了调整。在国家和国家以下层面进行了公平性分析。绘制了流行病学曲线和地图，以分析18岁及以上成年人中HTN和糖尿病患病率的趋势。已获得监管机构使用这些数据的许可。 在五年时间里，HTN的发病率从13.23%（95%置信区间：13.22 - 13.24）上升到15.23%（95%置信区间：15.22 - 15.24）（相对增加15.1%），糖尿病发病率从2.73%（95%置信区间：2.72 - 2.74）上升到3.345%（95%置信区间：3.34 - 3.35）（相对增加16.3%），且观察到各省存在差异。 在刚果民主共和国，高血压和糖尿病正在迅速蔓延。初级和预防性医疗服务以及公共卫生干预措施必须将这些疾病作为优先事项。
