Seedat Y K
Department of Medicine, University of Natal, Durban, South Africa.
Ethn Health. 1996 Dec;1(4):349-57. doi: 10.1080/13557858.1996.9961804.
This paper reviews the impact of race and environment upon hypertension, coronary heart disease and renal diseases in South Africa. Inequalities of socioeconomic status, lifestyle, and access to South African health care have produced striking differences in the prevalence and complications of hypertension. Coronary heart disease is 'epidemic' in the white and Indian population and is still relatively uncommon in blacks. There are different histological patterns of glomerulonephritis among the racial groups, which may lead to end-stage renal disease. Hypertension is an important cause of end-stage renal disease in the black population whilst analgesic nephropathy is important in the white population. Efforts are now being made to comprehend these daunting realities and to minimize the inequalities.
本文综述了种族和环境对南非高血压、冠心病及肾脏疾病的影响。社会经济地位、生活方式以及获得南非医疗保健服务方面的不平等，在高血压的患病率和并发症方面产生了显著差异。冠心病在白人和印度人群体中呈“流行”态势，而在黑人中仍相对不常见。不同种族群体间存在肾小球肾炎的不同组织学类型，这可能导致终末期肾病。高血压是黑人终末期肾病的一个重要病因，而止痛剂肾病在白人中较为重要。目前正在努力理解这些严峻现实，并尽量减少不平等现象。
