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社会经济因素对疟疾和肝炎感染的影响:来自尼日利亚中北部马库尔迪联邦医疗中心的见解。

Socioeconomic determinants of malaria and hepatitis infections: insights from the Federal Medical Center, Makurdi, North Central, Nigeria.

机构信息

Department of Microbiology, Joseph Sarwuan Tarka University, Benue State, Makurdi, Nigeria.

Faculty of Medicine, Siberian State Medical University, Tomsk, Russian Federation.

出版信息

BMC Public Health. 2024 Nov 16;24(1):3187. doi: 10.1186/s12889-024-20666-8.

DOI:10.1186/s12889-024-20666-8
PMID:39550538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11568671/
Abstract

BACKGROUND

Malaria and hepatitis are prevalent public health issues in Nigeria, significantly impacting health outcomes. Given the importance of the Federal Medical Center, Makurdi, as a key healthcare provider in the region, it is crucial to understand the prevalence and factors associated with these diseases within this setting. This study is designed to address this need, aiming to evaluate the prevalence and risk factors of malaria and hepatitis B and C among patients at the Federal Medical Center, Makurdi.

METHODOLOGY

A cross-sectional study design was employed, involving the meticulous analysis of patient records and diagnostic data from the Federal Medical Center, Makurdi. Data on malaria and hepatitis B and C prevalence were collected from laboratory reports and patient interviews. Socioeconomic information, including income, education level, and healthcare access, was also gathered. Statistical analyses were performed with utmost care to identify associations between disease prevalence and risk factors.

RESULTS

The study examined 248 patients at the Federal Medical Centre, Makurdi, assessing malaria, Hepatitis B surface antigen (HBsAg), and Hepatitis C virus (HCV). Malaria prevalence was 52.4%, with higher rates in males (57.7%) than females (47.2%). HBsAg prevalence was 6.9%, and HCV was 4.8%, with no significant differences by sex or marital status. Income level impacted HCV rates, with middle-income individuals showing higher prevalence (21.4%). Malaria was most common in the 26-40 age group (35.4%).

DISCUSSION

The findings underscore the need for targeted public health interventions. Enhanced access to preventive measures, such as insecticide-treated nets and safer blood transfusion practices, and educational disease prevention programs, are essential. Addressing socioeconomic disparities is crucial for effective disease control.

CONCLUSION

To mitigate the burden of malaria and hepatitis B and C at the Federal Medical Center, Makurdi, a multifaceted approach is required. Improving preventive measures, healthcare access, and addressing socioeconomic determinants will reduce disease prevalence and improve patient outcomes.

摘要

背景

疟疾和肝炎是尼日利亚常见的公共卫生问题,对健康结果有重大影响。鉴于联邦医疗中心(Makurdi)作为该地区主要医疗保健提供者的重要性,了解该环境中这些疾病的患病率和相关因素至关重要。本研究旨在满足这一需求,旨在评估联邦医疗中心(Makurdi)患者中疟疾和乙型肝炎和丙型肝炎的患病率和危险因素。

方法

采用横断面研究设计,对 Makurdi 联邦医疗中心的患者记录和诊断数据进行了细致的分析。从实验室报告和患者访谈中收集了疟疾和乙型肝炎和丙型肝炎患病率的数据。还收集了包括收入、教育水平和医疗保健获取在内的社会经济信息。进行了统计分析,以仔细确定疾病患病率与危险因素之间的关联。

结果

该研究在 Makurdi 联邦医疗中心检查了 248 名患者,评估了疟疾、乙型肝炎表面抗原(HBsAg)和丙型肝炎病毒(HCV)。疟疾患病率为 52.4%,男性(57.7%)高于女性(47.2%)。HBsAg 患病率为 6.9%,HCV 为 4.8%,性别或婚姻状况无显着差异。收入水平影响 HCV 率,中等收入人群的患病率较高(21.4%)。疟疾最常见于 26-40 岁年龄组(35.4%)。

讨论

研究结果强调了需要采取有针对性的公共卫生干预措施。加强获得预防性措施,如驱虫蚊帐和更安全的输血实践,以及开展疾病预防教育计划,是至关重要的。解决社会经济差异对于有效控制疾病至关重要。

结论

为了减轻 Makurdi 联邦医疗中心疟疾和乙型肝炎和丙型肝炎的负担,需要采取多方面的方法。改善预防措施、获得医疗保健和解决社会经济决定因素将降低疾病的患病率并改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/7c2d8c9fb771/12889_2024_20666_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/b8df6c9569de/12889_2024_20666_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/7c2d8c9fb771/12889_2024_20666_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/b8df6c9569de/12889_2024_20666_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/fdcb7529752d/12889_2024_20666_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/960afbdabc8c/12889_2024_20666_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e1/11568671/f4926f3fed54/12889_2024_20666_Fig4_HTML.jpg
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