The Lancet Regional Health: Western Pacific最新文献

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Population attributable fractions for modifiable risk factors of dementia in China: an updated analysis 中国痴呆症可改变风险因素的人群可归因分数：最新分析

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101247

Jiazhou Yu , Shanquan Chen

引用次数: 0

Racism and health in South Korea: history, concept, and systematic review 韩国的种族主义与健康：历史、概念和系统回顾

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101228

Hayoung Lee , Eun-Ji Paeng , Delanjathan Devakumar , Mita Huq , Garin Lee , Seung-Sup Kim

To understand racism and its impact on health in South Korea, it is essential to consider the political and social context of the migrant population, including ethnic Korean migrants, marriage migrants, migrant workers, and bi-ethnic adolescents. This paper has two goals. First, we examined the increasing trends of the foreign population in South Korea, with a focus on the growth of migrant workers and marriage migrants. Following this, we reviewed the historical contexts and discussed the characteristics of racism in South Korea: ‘ethnic homogeneity’, ‘White supremacy’, and ‘ethnic discrimination against ethnic Koreans’. Second, we conducted a systematic review of 43 articles on the association between discrimination and health among racially and ethnically minoritized populations in South Korea. The review revealed statistically significant associations across various migrant groups but highlighted several limitations: all studies were cross-sectional, many used non-standardized discrimination measures, all focused on interpersonal discrimination, most examined mental health outcomes, and certain migrant groups were neglected in the research. Future research is needed to address these gaps.

Funding

This work was supported by the New Faculty Startup Fund from Seoul National University.

要了解韩国的种族主义及其对健康的影响，就必须考虑移民人口的政治和社会背景，包括朝鲜族移民、婚姻移民、移民工人和双种族青少年。本文有两个目标。首先，我们研究了韩国外来人口的增长趋势，重点关注外来务工人员和婚姻移民的增长。随后，我们回顾了历史背景，并讨论了韩国种族主义的特征："种族同一性"、"白人至上 "和 "对朝鲜族的种族歧视"。其次，我们对 43 篇文章进行了系统性回顾，这些文章涉及韩国少数种族和民族人口中歧视与健康之间的关系。综述显示，不同移民群体之间存在统计学意义上的显著关联，但也强调了一些局限性：所有研究都是横断面研究，许多研究使用了非标准化的歧视测量方法，所有研究都侧重于人际歧视，大多数研究考察了心理健康结果，某些移民群体在研究中被忽视。未来的研究需要弥补这些不足。

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引用次数: 0

Why I decide to leave South Korea healthcare system 我为何决定离开韩国医疗系统

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101232

Jounggi Moon , Joo-Young Lee

引用次数: 0

Corrigendum to “Dementia diagnostic and treatment services in the Western Pacific: challenges, preparedness and opportunities in the face of amyloid-targeting therapies” [The Lancet Regional Health–Western Pacific, Volume 50, September 2024, 101183] 西太平洋地区痴呆症诊断和治疗服务：面对淀粉样蛋白靶向疗法的挑战、准备情况和机遇》更正[《柳叶刀区域健康-西太平洋》，第50卷，2024年9月，101183]

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101249

Claire O’Callaghan , Johannes C. Michaelian , Yoko Aihara , Veeda Michelle Anlacan , Christopher Chen , Gary Cheung , Etuini Ma’u , Tuan Anh Nguyen , Ming-Chyi Pai , Anna Palagyi , Maw Pin Tan , Shyh Poh Teo , Yuda Turana , Huali Wang , Gloria Wong , Sharon L. Naismith

引用次数: 0

Corrigendum to “Transforming medical education to strengthen the health professional training in Viet Nam: a case study” [The Lancet Regional Health – Western Pacific, volume 27 (2022)/S2666606522001584] "改革医学教育以加强越南卫生专业人员培训：案例研究"[《柳叶刀区域卫生--西太平洋》，第27卷（2022）/S2666606522001584]更正

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101245

Tuan D. Tran , Phuc M. Vu , Hong T.M. Pham , Luan N. Au , Hung P. Do , Hoa T.T. Doan , Nghia Huynh , Quynh T.V. Huynh , Bao K. Le , Dat Q. Ngo , Hanh T.M. Nguyen , Khanh D. Nguyen , Nghia A. Nguyen , Phong H. Nguyen , Tuan A. Nguyen , Thang C. Tran , Hoa N. Chau , Lan N. Vuong , Nu V. Vu

引用次数: 0

Progress and challenges of confirmatory trials for cancer drugs granted conditional approval in China 中国有条件批准抗癌药物确证试验的进展与挑战

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-11-01 DOI: 10.1016/j.lanwpc.2024.101238

Xingxian Luo , Yang Xu , Xin Du , Xufeng Lv , Si Chen , Yue Yang , Lin Huang , Xiaohong Zhang

引用次数: 0

Towards an agenda of action and research for making health systems responsive to the needs of people with disabilities 制定行动和研究议程，使卫生系统满足残疾人的需求

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-10-24 DOI: 10.1016/j.lanwpc.2024.101225

Thi Vinh Nguyen, Sumit Kane

Ensuring health systems responsiveness is crucial for health equity and outcomes of all individuals, particularly disadvantaged groups such as people with disabilities. However, attention to and discussions on health system responsiveness for people with disabilities remains lacking. This viewpoint highlights the pervasive issues within health systems rooted in ableism and proposes an agenda to tackle ableism, aiming to make health systems responsive to the needs of people with disabilities. Their needs are complex and diverse, varying with the disability, its severity, progression, and intersection with other factors. Ableism creates significant obstacles to identifying and addressing their needs and expectations, damages provider–patient interactions, poses multiple challenges in healthcare, and impacts the overall responsiveness of the health system to the populations it is meant to serve. The proposed agenda outlines areas for action and research across six building blocks of health systems as a way forward to enhance the health system's responsiveness to the needs of people with disabilities.

确保卫生系统的响应能力对于所有人，尤其是残疾人等弱势群体的健康公平和成果至关重要。然而，人们对卫生系统响应残疾人需求的关注和讨论仍然不足。这一观点强调了卫生系统中根植于残障主义的普遍问题，并提出了解决残障主义的议程，旨在使卫生系统对残障人士的需求做出回应。他们的需求复杂多样，因残疾、残疾的严重程度、残疾的发展以及与其他因素的交叉而异。残疾歧视给确定和满足他们的需求和期望造成了巨大障碍，损害了医疗服务提供者与患者之间的互动，给医疗保健带来了多重挑战，并影响了医疗系统对其服务人群的整体响应能力。拟议议程概述了医疗系统六个组成部分的行动和研究领域，以此作为提高医疗系统对残疾人需求的响应能力的前进方向。

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引用次数: 0

Human carcinogen, leisure food, or local specialty: navigating areca nut regulation in China 人类致癌物、休闲食品还是地方特产：中国的马兜铃果监管之路

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-10-23 DOI: 10.1016/j.lanwpc.2024.101230

Jiayi Jiang, Zexing Zheng

引用次数: 0

China's health national adaptation plan for climate change: action framework 2024–2030 中国健康国家适应气候变化规划：2024-2030 年行动框架

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-10-22 DOI: 10.1016/j.lanwpc.2024.101227

John S. Ji

引用次数: 0

Estimating the incidence of dementia in New Zealand: a cohort study applying capture-recapture modelling to routinely collected linked health datasets 估算新西兰痴呆症发病率：将捕获-再捕获模型应用于常规收集的关联健康数据集的队列研究

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2024-10-21 DOI: 10.1016/j.lanwpc.2024.101216

Etuini Ma'u , Sarah Cullum , Naaheed Mukadam , Daniel Davis , Claudia Rivera-Rodriguez , Gary Cheung

Background

Issues of under-diagnosis and under-coding of dementia in routinely collected health data limit their utility for estimating dementia prevalence and incidence in Aotearoa New Zealand (NZ). Capture-recapture techniques can be used to estimate the number of dementia cases missing from health datasets by modelling the relationships and interactions between linked data sources. The aim of this study was to apply this technique to routinely collected and linked health datasets and more accurately estimate the incidence of dementia in NZ.

Methods

All incident cases of dementia in the NZ 60+ population were identified in three linked national health data sets—interRAI, Public hospital discharges, and Pharmacy. Capture-recapture analysis fitted eight loglinear models to the data, with the best fitting model used to estimate the number of cases missing from all three datasets, and thereby estimate the ‘true’ incidence of dementia. Incidence rates were calculated by 5-year age bands, sex and ethnicity.

Findings

Modelled estimates indicate 36% of incident cases are not present in any of the datasets. Modelled incidence rates in the 60+ age group were 19.2 (95% CI 17.3–22.0)/1000py, with an incident rate ratio of 1.9 (95% CI 1.9–2.0) per 5-year age band. There was no difference in incidence rates between males and females. Incidence rates in Asian (p < 0.001) but not Māori (p = 0.974) or Pacific peoples (p = 0.110) were significantly lower compared to Europeans, even after inclusion of missing cases.

Interpretation

This is the first study to provide estimates of age 60+ dementia incidence in NZ and for the four main ethnic groups and suggests over a third of incident dementia cases are undiagnosed. This highlights the need for better access to dementia assessment and diagnosis so that appropriate supports and interventions can be put in place to improve outcomes for people living with dementia and their families.

Funding

Nil.

背景在常规收集的健康数据中，痴呆症诊断不足和编码不足的问题限制了这些数据在估算新西兰奥特亚罗瓦（Aotearoa New Zealand，NZ）痴呆症患病率和发病率方面的实用性。捕获-再捕获技术可以通过模拟关联数据源之间的关系和相互作用来估算健康数据集中缺失的痴呆症病例数。本研究的目的是将这一技术应用于常规收集和关联的健康数据集，并更准确地估算出新西兰的痴呆症发病率。方法从三个关联的国家健康数据集--国际痴呆症研究指数（interRAI）、公立医院出院数据和药房数据中识别出新西兰60岁以上人口中的所有痴呆症病例。捕获-再捕获分析将八个对数线性模型拟合到数据中，用拟合效果最好的模型来估计所有三个数据集中缺失的病例数，从而估计痴呆症的 "真实 "发病率。根据 5 年年龄段、性别和种族计算发病率。60 岁以上年龄组的模型发病率为 19.2（95% CI 17.3-22.0）/1000py，每个 5 年年龄段的发病率比为 1.9（95% CI 1.9-2.0）。男性和女性的发病率没有差异。与欧洲人相比，亚裔（p < 0.001）的发病率明显较低，但毛利人（p = 0.974）和太平洋岛屿族裔（p = 0.110）的发病率却不低，即使在纳入缺失病例后也是如此。这突显出需要更好地进行痴呆症评估和诊断，以便提供适当的支持和干预措施，改善痴呆症患者及其家人的生活质量。

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