Health disparity toward noncommunicable diseases among residents in rural Cambodia: a descriptive study.
Health disparity toward noncommunicable diseases among residents in rural Cambodia: a descriptive study.
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DOI：
10.2185/jrm.2020-028
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发表时间：
2020-10
期刊：
影响因子：
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通讯作者：
Hayashi Y
中科院分区：
文献类型：
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作者：
Kobashi Y;Chhay H;Savat T;Okawada M;Tsubokura M;Hayashi Y
目标：卫生服务的地区差异是柬埔寨的一个严重问题。特别是，一些非传染性疾病的风险因素在农村贫困人口中更为常见。幸运的是，80%的非传染性疾病是可以预防的，而且存在成本效益高的干预措施。因此，对贫困农村地区非传染性疾病的卫生保健需求进行评估至关重要。这项试点研究的目的是确定柬埔寨贫困农村地区居民对非传染性疾病的卫生保健需求。材料和方法：对甘肃省甘肃省参加免费体检和医生咨询的208名农村居民进行健康体检和问卷调查。结果：208名受试者中，116名(55.8%)为女性，年龄在35岁至65岁之间，占52.9%。25名参与者(12%)是当前吸烟者，44名(21%)是当前饮酒者。80名参与者(38.5%)患有高血压，44名参与者(21.2%)的身体质量指数超过25。饮酒和吸烟习惯在男性中更为常见。最常见的五种内科疾病是头痛(18.3%)、下腰痛(14.4%)、手脚痛(13.9%)、关节痛(10.1%)和呼吸困难(10.1%)。结论：在柬埔寨贫穷的农村地区，对慢性病和慢性疼痛的医生咨询的医疗需求可能更高。
Objective: Regional disparities in health services is a crucial problem in Cambodia. Particularly, a number of NCD risk factors are more common among the rural poor. Fortunately, 80% of NCDs are preventable and cost-effective interventions exist. Therefore, health care needs assessments regarding NCDs in poor rural areas are vital. The object of this pilot study was to identify health care needs regarding NCDs among residents in poor rural areas in Cambodia. Materials and Methods: A medical health check-up and questionnaire survey were conducted with 208 rural residents who participated in a free health check-up and doctor consultation in Kaoh Peam Reang. Results: One hundred sixteen (55.8%) females were included in the total sample size of 208 participants; the majority (52.9%) were between 35 and 65 years of age. Twenty-five participants (12%) were current smokers, and 44 (21%) were current alcohol drinkers. Eighty (38.5%) participants had hypertension and 44 participants (21.2%) had a body mass index over 25. Alcohol drinking and smoking habits were more common among men. The five most frequent medical complaints were headache (18.3%), lower back pain (14.4%), foot and hand pain (13.9%), joint pain (10.1%), and difficulty breathing (10.1%). Conclusions: The medical need for doctor consultations regarding chronic disease and chronic pain might be higher in poor rural areas in Cambodia.