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Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020 卢旺达儿童贫血的流行率和风险因素:利用2019-2020年卢旺达人口与健康调查
Pub Date : 2024-02-14 DOI: 10.1002/puh2.159
Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye
Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.
儿童贫血是一个全球性的重大健康问题,发展中国家,尤其是非洲,受到的影响尤为严重。贫血会对儿童的神经系统发育造成有害的、不可逆转的影响。尽管贫血与儿童健康息息相关,但有关卢旺达 6-23 个月大儿童贫血患病率和风险因素的研究却十分有限。本研究是一项横断面研究,对2019-2020年卢旺达人口健康调查中1247名6-23个月儿童的称重样本进行了二次数据分析。我们使用了描述性统计和二元逻辑回归来确定贫血与各种因素之间的联系。在 6-23 个月大的贫血儿童中,大多数(52.82%)为轻度贫血,46.12% 为中度贫血,1.06% 为重度贫血。导致儿童贫血的主要因素包括母亲贫血(调整后的几率比 [AOR] = 1.62,95% 置信区间 (95% CI): [1.11,2.33])和调查前两周的咳嗽史(AOR = 1.42,95% CI: [1.12,1.81])。补充维生素 A 和服用抗寄生虫药物分别被认为是保护性因素(AOR = 0.70,95% CI:[0.50, 0.97])和保护性因素(AOR = 0.59,95% CI:[0.45, 0.77])。要减少儿童贫血,整个卫生系统必须采取综合策略,包括解决孕产妇贫血、管理儿童疾病以及加强维生素 A 补充剂和驱虫等现有干预措施。
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引用次数: 0
Extrapulmonary tuberculosis in Africa: Molecular analysis of clinical specimens of suspected cases in Northern Ghana 非洲肺外结核病:加纳北部疑似病例临床标本的分子分析
Pub Date : 2024-02-14 DOI: 10.1002/puh2.160
Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye
Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.
肺外结核病(EPTB)是世界卫生组织报告的结核病病例总数的主要组成部分。涂片显微镜检查和基因型MTBDRplus线探针测定(LiPA)被应用于来自不同解剖部位的浓缩肺外临床标本,以确定是否存在结核分枝杆菌及其对异烟肼(INH)和/或利福平(RIF)的敏感性。共对 251 份标本进行了分析,其中包括 108 份(43%)腹腔积液、54 份(21.5%)胸腔穿刺液、24 份(9.6%)洗胃液、15 份(6.0%)脓液、9 份(3.6%)滑膜液、5 份(2%)脑脊液、2 份(0.8%)乳房穿刺液和 34 份(13.5%)未指定部位的穿刺液,这些标本均取自塔马利教学医院的疑似 EPTB 患者。显微镜下,在一份腹水和一份脓液标本中检测到了酸性快速杆菌(AFB)。使用 LiPA,在四份样本(2.6%)中观察到 MTBC;其中三份是腹水样本,一份是脓液样本。最常见的疑似 EPTB 标本是腹水、胸腔穿刺液和洗胃液。然而,MTBC 主要在腹水中检测到。这一结果表明,LiPA 可以改善该地区和全球类似地区对 EPTB 的检测。
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引用次数: 0
Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020 卢旺达儿童贫血的流行率和风险因素:利用2019-2020年卢旺达人口与健康调查
Pub Date : 2024-02-14 DOI: 10.1002/puh2.159
Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye
Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.
儿童贫血是一个全球性的重大健康问题,发展中国家,尤其是非洲,受到的影响尤为严重。贫血会对儿童的神经系统发育造成有害的、不可逆转的影响。尽管贫血与儿童健康息息相关,但有关卢旺达 6-23 个月大儿童贫血患病率和风险因素的研究却十分有限。本研究是一项横断面研究,对2019-2020年卢旺达人口健康调查中1247名6-23个月儿童的称重样本进行了二次数据分析。我们使用了描述性统计和二元逻辑回归来确定贫血与各种因素之间的联系。在 6-23 个月大的贫血儿童中,大多数(52.82%)为轻度贫血,46.12% 为中度贫血,1.06% 为重度贫血。导致儿童贫血的主要因素包括母亲贫血(调整后的几率比 [AOR] = 1.62,95% 置信区间 (95% CI): [1.11,2.33])和调查前两周的咳嗽史(AOR = 1.42,95% CI: [1.12,1.81])。补充维生素 A 和服用抗寄生虫药物分别被认为是保护性因素(AOR = 0.70,95% CI:[0.50, 0.97])和保护性因素(AOR = 0.59,95% CI:[0.45, 0.77])。要减少儿童贫血,整个卫生系统必须采取综合策略,包括解决孕产妇贫血、管理儿童疾病以及加强维生素 A 补充剂和驱虫等现有干预措施。
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引用次数: 0
Extrapulmonary tuberculosis in Africa: Molecular analysis of clinical specimens of suspected cases in Northern Ghana 非洲肺外结核病:加纳北部疑似病例临床标本的分子分析
Pub Date : 2024-02-14 DOI: 10.1002/puh2.160
Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye
Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.
肺外结核病(EPTB)是世界卫生组织报告的结核病病例总数的主要组成部分。涂片显微镜检查和基因型MTBDRplus线探针测定(LiPA)被应用于来自不同解剖部位的浓缩肺外临床标本,以确定是否存在结核分枝杆菌及其对异烟肼(INH)和/或利福平(RIF)的敏感性。共对 251 份标本进行了分析,其中包括 108 份(43%)腹腔积液、54 份(21.5%)胸腔穿刺液、24 份(9.6%)洗胃液、15 份(6.0%)脓液、9 份(3.6%)滑膜液、5 份(2%)脑脊液、2 份(0.8%)乳房穿刺液和 34 份(13.5%)未指定部位的穿刺液,这些标本均取自塔马利教学医院的疑似 EPTB 患者。显微镜下,在一份腹水和一份脓液标本中检测到了酸性快速杆菌(AFB)。使用 LiPA,在四份样本(2.6%)中观察到 MTBC;其中三份是腹水样本,一份是脓液样本。最常见的疑似 EPTB 标本是腹水、胸腔穿刺液和洗胃液。然而,MTBC 主要在腹水中检测到。这一结果表明,LiPA 可以改善该地区和全球类似地区对 EPTB 的检测。
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引用次数: 0
Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region 加纳的子痫前期:关于阿散蒂地区产后再入院的发生率和风险因素的研究
Pub Date : 2024-01-24 DOI: 10.1002/puh2.154
E. Anto, W. I. O. Boadu, Lovelace Kwaku Gyamfi, E. E. Korsah, Ezekiel Ansah, Joseph Frimpong, V. C. K. T. Tamakloe, A. Tawiah, Elizabeth Aboagye, Albright Etwi‐Mensah, Agartha Odame Anto, C. Obirikorang
Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population.This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant.A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission.The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.
尽管子痫前期的治疗有了很大的改进,但它仍然是导致产后再次入院的常见原因之一。为了减少产后再入院的发生率和相关并发症,需要提高对产后再入院风险因素的认识。这项基于医院的回顾性研究在加纳 Komfo Anokye 教学医院的妇产科进行。我们查阅了子痫前期患者的病历,包括社会人口学特征和产科特征。使用社会科学统计软件包 26.0 版和 GraphPad Prism 8.0 版进行了统计分析,P 值小于 0.05 视为具有统计学意义。子痫前期妇女产后因高血压疾病再次入院的比例为 46%。在多变量逻辑模型中对多种混杂因素进行调整后,有高血压家族史[aOR = 3.512,95% CI (1.669-7.394),p = 0.0028]与产后再入院的几率增加有关。然而,无子宫[aOR = 0.321,95% CI (0.116-0.887),p = 0.0028]与产后再入院几率降低独立相关。我们的研究结果突出表明,必须继续努力改善母亲和新生儿的健康状况,包括加强对加纳高危患者的监测。
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引用次数: 0
Chronic kidney disease in Sri Lanka: Health systems challenges of patients on hemodialysis 斯里兰卡的慢性肾病:血液透析患者面临的卫生系统挑战
Pub Date : 2024-01-24 DOI: 10.1002/puh2.155
D. Weerakoon, E. P. E. D. Z. Siriwardana, J. Jayasekara, H. Damayanthi, T. Dorji, D. Lucero‐Prisno
Chronic kidney disease has now attained epidemic proportions, placing a significant strain on Sri Lanka's healthcare system. The North Central Province of Sri Lanka has been afflicted by this disease for decades, confronting multiple challenges. Hemodialysis is the primary form of renal replacement therapy available to end‐stage renal disease patients in Sri Lanka. Providing hemodialysis sessions free of cost in the government health sector comes with major costs on the healthcare system. As a country with a low‐to‐middle income status undergoing through reeling economic crisis, providing free healthcare in government hospitals and increasing the capacity and quality of treatment facilities for the growing number of patients with chronic kidney disease will remain a major challenge for the coming decade. The high cost for a single dialysis session, lack of resources and workforce to meet demand, occupational barriers of patients, and the economic burdens including out‐of‐pocket expenditures significant barriers in achieving quality treatment sessions and the quality of life of patients. In addition, the absence of a consistent screening program has contributed to the progression of the disease ending up requiring renal replacement therapy. This article suggests potential strategies that can be implemented to mitigate the aforementioned problems and enhance the overall health, quality of life, and survival of patients with chronic kidney disease and those who receive hemodialysis.
慢性肾病现已达到流行病的程度,给斯里兰卡的医疗保健系统造成了巨大压力。几十年来,斯里兰卡中北部省一直深受该疾病的困扰,面临着多重挑战。血液透析是斯里兰卡终末期肾病患者可采用的主要肾脏替代疗法。在政府卫生部门免费提供血液透析治疗的同时,医疗系统也付出了高昂的成本。作为一个正在经历经济危机的中低收入国家,在政府医院提供免费医疗服务并提高治疗设施的能力和质量,以应对日益增多的慢性肾病患者,仍将是未来十年的一项重大挑战。单次透析费用高昂、缺乏满足需求的资源和劳动力、患者的职业障碍以及包括自费支出在内的经济负担,都是提高治疗质量和患者生活质量的重大障碍。此外,由于缺乏统一的筛查计划,导致病情不断恶化,最终需要进行肾脏替代治疗。本文提出了一些可以实施的潜在策略,以缓解上述问题,提高慢性肾病患者和血液透析患者的整体健康水平、生活质量和生存率。
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引用次数: 0
Long covid and mental and physical health: A cross‐sectional study of adults in California 长期同居与身心健康:对加利福尼亚州成年人的横断面研究
Pub Date : 2024-01-15 DOI: 10.1002/puh2.152
Tyler B. Mason, Tara K. Knight, Ryan Lee, Shirin E Herzig, Daniella Meeker, Jason N. Doctor
Most people recover from COVID‐19 infection over a short period of time, but a minority of individuals experience symptoms over a longer duration (≥28 days), termed “long covid.” The purpose of the current study was to examine differences between individuals with a long covid diagnosis (i.e., diagnosed long covid), who believe they do or might have long covid (i.e., self‐reported long covid), and people without long covid.Adults who had been diagnosed with COVID‐19 completed survey questions about COVID‐19 history, long covid, and mental and physical health. Analysis of covariance models showed an effect of long covid group (i.e., diagnosed, self‐reported, and no long covid) with anxiety, depression, physical function, fatigue, social roles/activity limitations, and pain interference.Analyses demonstrated that the self‐reported long covid group had significantly greater anxiety and depression than the no long covid group. The diagnosed long covid group had significantly greater physical function problems than the no long covid group. Both diagnosed and self‐reported long covid groups had significantly greater fatigue, social roles/activity limitations, and pain interference as compared to the no long covid group.Overall, physical health challenges were reported by individuals with long covid, with fatigue being the most significant symptom. In addition, negative mental health was only experienced by individuals with self‐reported long covid, suggesting the importance of long covid diagnosis and treatment.
大多数人从 COVID-19 感染中恢复的时间很短,但也有少数人的症状持续时间较长(≥28 天),被称为 "长 COVID"。本研究的目的是考察已确诊感染长效COVID-19(即已确诊感染长效COVID)、认为自己感染或可能感染长效COVID(即自我报告感染长效COVID)的人与未感染长效COVID的人之间的差异。协方差分析模型显示,长期慢性阻塞性肺病组(即确诊组、自我报告组和无长期慢性阻塞性肺病组)对焦虑、抑郁、身体功能、疲劳、社会角色/活动限制和疼痛干扰有影响。已确诊长期慢性阻塞性肺病组的身体功能问题明显多于未确诊长期慢性阻塞性肺病组。与无长期慢性阻塞性肺病组相比,诊断为长期慢性阻塞性肺病组和自我报告为长期慢性阻塞性肺病组的患者在疲劳、社会角色/活动限制和疼痛干扰方面都明显更严重。此外,只有自我报告患有长期慢性乙型肝炎的患者才会出现消极的心理健康问题,这表明长期慢性乙型肝炎诊断和治疗的重要性。
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引用次数: 0
Prevalence, trends, and inequality in noncommunicable diseases in Bangladesh: Evidence from Bangladesh Demographic and Health Surveys 2011 and 2017–2018 孟加拉国非传染性疾病的流行率、趋势和不平等:来自 2011 年和 2017-2018 年孟加拉国人口与健康调查的证据
Pub Date : 2024-01-15 DOI: 10.1002/puh2.148
Masum Ali, Md. Ruhul Amin, Johan Jarl, Sanjib Saha
We investigated the change of the prevalence of noncommunicable diseases (NCDs) in Bangladesh from 2011 to 2018 across different socioeconomic groups as well as the factors associated with the changes in prevalence. We used the two waves of the Bangladesh Demographic and Health Surveys conducted in 2011 and 2017–2018. Modified Poisson regression model was used to estimate the prevalence rate and ratio of NCDs and to test the association with different demographic and socioeconomic variables. The study found an upward trend of NCDs from 2011 to 2017 in which overweight and obesity, hypertension, and diabetes increased by 1.8, 1.5, and 1.1 times, respectively. In 2011, people from the richest households had 5.6 higher odds of being overweight compared to the poorest, which was reduced to 3.0 in 2017. However, the increment for overweight and hypertension was the highest among the poor and manual workers from 2011 to 2017. The age‐adjusted prevalence ratio of overweight increased 4.4 times for the poorest, compared to 1.7 times for the richest. For manual workers, overweight increased 3.8 times, whereas hypertension increased by 2.4 times. The pooled analysis revealed that participants from the richest households have the highest risk of NCDs, with 3.3 times for overweight, 2.3 times for diabetes, and 1.3 times for hypertension, compared to the poorest. However, the prevalence of NCDs is rising quickly among the low socioeconomic groups in Bangladesh, narrowing the gap with higher socioeconomic groups. Our findings call for immediate policy interventions and targeted programs to curb NCD escalation in Bangladesh.
我们调查了 2011 年至 2018 年孟加拉国不同社会经济群体非传染性疾病(NCDs)患病率的变化以及与患病率变化相关的因素。我们使用了 2011 年和 2017-2018 年进行的两波孟加拉国人口与健康调查。我们使用了修正的泊松回归模型来估算非传染性疾病的患病率和比率,并检验其与不同人口和社会经济变量之间的关联。研究发现,从2011年到2017年,非传染性疾病呈上升趋势,其中超重和肥胖、高血压和糖尿病分别增加了1.8倍、1.5倍和1.1倍。2011年,最富裕家庭的人超重几率比最贫困家庭的人高5.6倍,2017年降至3.0倍。然而,从2011年到2017年,贫困人口和体力劳动者的超重和高血压发病率增幅最大。经年龄调整后,最贫困人口的超重患病率增加了4.4倍,而最富裕人口则增加了1.7倍。对于体力劳动者来说,超重增加了3.8倍,而高血压增加了2.4倍。汇总分析显示,最富有家庭的参与者罹患非传染性疾病的风险最高,超重是最贫穷家庭的 3.3 倍,糖尿病是 2.3 倍,高血压是 1.3 倍。然而,孟加拉国社会经济地位较低群体的非传染性疾病患病率正在迅速上升,缩小了与社会经济地位较高群体的差距。我们的研究结果呼吁立即采取政策干预措施和有针对性的计划,以遏制非传染性疾病在孟加拉国的蔓延。
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引用次数: 0
Beyond the Holodomor: Current hunger in Ukraine and global food insecurity 超越大饥荒:乌克兰当前的饥饿与全球粮食不安全问题
Pub Date : 2024-01-10 DOI: 10.1002/puh2.149
N. S. George, Faith Ohunene Okeji, Lucky Iseghehi
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引用次数: 0
Healthcare setting staff satisfaction in Ethiopia: Systematic review and meta‐analysis 埃塞俄比亚医疗机构工作人员的满意度:系统回顾和荟萃分析
Pub Date : 2024-01-10 DOI: 10.1002/puh2.143
G. Asres, Yeshiwork Kebede Gessesse
Job satisfaction means how happy and content people are with their job. Workers who are satisfied with their jobs tend to get more work done and give better care. When workers are not happy at work, they are also not productive as well and many of them leave their jobs. This study aimed to address the level of job satisfaction and associated factors among healthcare setting staff in Ethiopia from 2012 to 2022.PubMed, Scopus, Cochrane, Google Scholar and African Index Medicus databases have been searched based on preferred reporting items for systematic review and meta‐analysis. Pooled estimate of job satisfaction level was done using the random effects model after significant heterogeneities have been checked by subgroup analysis. Publication bias was checked using funnel plot.Pooled satisfaction level of healthcare workers in Ethiopia was 50.31%. Factors associated were autonomy (pooled odds ratio (POR) = 5.79, 95% CI: 1.99–16.90), training (POR = 3.09, 95% CI: 1.69–5.67), organizational policy (POR = 4.71, 95% CI: 2.09–10.61), reward (POR = 4.58,95% CI: 1.51–13.84), payment (POR = 3.89, 95% CI: 1.77–8.54), supervision (POR = 5.34, 95% CI: 3.72–7.67) and work environment (POR = 5.44, 95% CI: 2.80–10.58).About half of healthcare staff in Ethiopia's healthcare settings were satisfied with their job. This result was lower than the job satisfaction level of other parts of the world, even in African countries. Healthcare settings should strive to provide a good working environment, with training opportunities, adequate payment, supportive supervision and conducive organizational policy.
工作满意度是指人们对工作的满意程度。对工作满意的工人往往能完成更多的工作,提供更好的护理。如果员工对工作不满意,他们的工作效率也会降低,很多人因此离职。本研究旨在探讨 2012 年至 2022 年埃塞俄比亚医疗机构工作人员的工作满意度及其相关因素。研究人员根据系统综述和荟萃分析的首选报告项目,检索了 PubMed、Scopus、Cochrane、Google Scholar 和 African Index Medicus 等数据库。通过亚组分析检查了显著的异质性后,使用随机效应模型对工作满意度水平进行了汇总估算。埃塞俄比亚医护人员的总体满意度为 50.31%。与之相关的因素有:自主权(汇总几率比(POR)= 5.79,95% CI:1.99-16.90)、培训(POR=3.09,95% CI:1.69-5.67)、组织政策(POR=4.71,95% CI:2.09-10.61)、奖励(POR=4.58,95% CI:1.51-13.84)、薪酬(POR=4.71,95% CI:2.09-10.61)。埃塞俄比亚医疗机构中约有一半的医护人员对其工作表示满意。这一结果低于世界其他地区,甚至非洲国家的工作满意度水平。医疗机构应努力提供良好的工作环境,包括培训机会、充足的薪酬、支持性监督和有利的组织政策。
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Public health challenges
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