Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq
Prevalence of non-communicable diseases and access to health care and medications among Yazidis and other minority groups displaced by ISIS into the Kurdistan Region of Iraq
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DOI：
10.1186/s13031-017-0106-0
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发表时间：
2017-04-06
影响因子：
3.6
通讯作者：
Shabila, Nazar
中科院分区：
文献类型：
--
作者：
Cetorelli, Valeria;Burnham, Gilbert;Shabila, Nazar
背景资料：流离失所人口中非传染性疾病病例的增加，给人道主义机构和东道国政府在提供保健、诊断和药物方面带来了新的挑战。本研究旨在评估非传染性疾病的患病率，并更好地了解与获得护理的雅兹人和其他少数民族群体之间的ISIS流离失所，目前居住在伊拉克库尔德斯坦地区的难民营。方法：本研究涵盖了13个难民营由库尔德委员会的救济和人道主义事务管理。在2015年11月至12月期间，对1300个家庭进行了系统随机抽样，共访问了8360名成员。受访者被问及是否有任何家庭成员先前被医疗服务提供者诊断患有四种常见非传染性疾病中的一种或多种：高血压，糖尿病，心血管疾病和肌肉骨骼疾病。对于每个家庭成员与非传染性疾病的诊断，获得医疗保健和药物question.Results：近三分之一的家庭有至少一个成员谁曾被诊断为一个或多个的四个非传染性疾病包括在这项研究中。高血压患病率最高（19.4%; CI：17.0-22.0），其次是肌肉骨骼疾病（13.5%; CI：11.4-15.8）、糖尿病（9.7%; CI：8.0-11.7）和心血管疾病（6.3%; CI：4.8-8.1）。个体NCD患病率和多发病率随年龄增长而显著增加。在被诊断为非传染性疾病的人中，92.9%（CI：88.9-95.5）的人在调查前3个月内曾因这种情况而看过医疗服务提供者。在大多数情况下，他们都是到私人诊所或医院就诊，而不是到难民营的初级保健诊所。尽管经常获得医疗服务提供者，40.0%（CI：34.4-46.0）不服用处方药，成本是引用的主要原因。结论：需要新的战略，以加强非传染性疾病流离失所者的医疗保健提供，并确保获得负担得起的药物。
Background: The increasing caseload of non-communicable diseases (NCDs) in displaced populations poses new challenges for humanitarian agencies and host country governments in the provision of health care, diagnostics and medications. This study aimed to characterise the prevalence of NCDs and better understand issues related to accessing care among Yazidis and other minority groups displaced by ISIS and currently residing in camps in the Kurdistan Region of Iraq.Methods: The study covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs. A systematic random sample of 1300 households with a total of 8360 members were interviewed between November and December 2015. Respondents were asked whether any household members had been previously diagnosed by a health provider with one or more of four common NCDs: hypertension, diabetes, cardiovascular disease and musculoskeletal conditions. For each household member with an NCD diagnosis, access to health care and medications were queried.Results: Nearly one-third of households had at least one member who had been previously diagnosed with one or more of the four NCDs included in this study. Hypertension had the highest prevalence (19.4%; CI: 17.0-22.0), followed by musculoskeletal conditions (13.5%; CI: 11.4-15.8), diabetes (9.7%; CI: 8.0-11.7) and cardiovascular disease (6.3%; CI: 4.8-8.1). Individual NCD prevalence and multimorbidity increased significantly with age. Of those with an NCD diagnosis, 92.9% (CI: 88.9-95.5) had seen a health provider for this condition in the 3 months preceding the survey. In the majority of cases, care was sought from private clinics or hospitals rather than from the camp primary health care clinics. Despite the frequent access to health providers, 40.0% (CI: 34.4-46.0) were not taking prescribed medications, costs being the primary reason cited.Conclusion: New strategies are needed to strengthen health care provision for displaced persons with NCDs and ensure access to affordable medications.