A review of neurological health disparities in Peru.

A review of neurological health disparities in Peru.
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DOI:
10.3389/fpubh.2023.1210238
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发表时间:
2023
影响因子:
5.2
通讯作者:
Diaz, Monica M.
Diaz, Monica M.
中科院分区:
医学3区
文献类型:
--
作者:
Almubaslat, Faris;Sanchez-Boluarte, Sofia S.;Diaz, Monica M.

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秘鲁是一个历史独特、文化多元化的拉丁美洲国家。作为一个中低收入国家 (LMIC),秘鲁面临着传染病传播和非传染性疾病发病率不断上升所带来的健康影响,最近的 COVID-19 大流行对国家卫生系统的影响加剧了这两种疾病。在过去的二十年里,该国致力于通过本次审查中描述的各种努力改善其人口的医疗服务。尽管如此,当今仍然存在显着的神经系统健康差异。这篇叙述性评论通过导致该国国家疾病负担的主要神经系统因素来调查这种差异,包括偏头痛、脑血管疾病和痴呆。还调查了导致该国其他主要神经系统疾病的公共卫生差异,包括癫痫、神经囊尾蚴病、恰加斯病、多发性硬化症、创伤性脑损伤、创伤性和非创伤性脊髓损伤。我们还探索了克服本次审查中涵盖的各种神经健康差异的潜在解决方案,这些解决方案可以通过公共政策以及拉丁美洲类似的中低收入国家应用。通过克服这些差距,该国或许能够成功解决神经系统疾病负担的主要根源,并创造一个能够可持续、公平地改善秘鲁人民健康状况的医疗保健环境。
Peru is a historically unique and culturally diverse Latin American country. As a low-to-middle-income country (LMIC), Peru faces health implications from the spread of communicable diseases as well as a growing rate of noncommunicable diseases, both of which have been worsened by the recent COVID-19 pandemic’s impact on the national health system. Over the past two decades, the country has aimed to improve health access for its population through various efforts described in this review. Despite this, there are notable neurological health disparities that exist today. This narrative review investigates such disparities through the leading neurological contributors to the national burden of disease in the country, including migraine headaches, cerebrovascular disease, and dementia. Public health disparities that contribute to other major neurological diseases in the country, including epilepsy, neurocysticercosis, Chagas disease, multiple sclerosis, traumatic brain injury, traumatic and non-traumatic spinal cord injuries are also investigated. We also explore potential solutions for overcoming the various neurological health disparities covered in this review that may be applied through public policies, as well as in similar LMICs in Latin America. By overcoming such disparities, the country may be able to successfully address the major contributors of neurological disease burden and create a healthcare environment that can sustainably and equitably improve health outcomes for Peruvian people.
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