Socioeconomic inequality in the prevalence of noncommunicable diseases in low- and middle-income countries: results from the World Health Survey.
Socioeconomic inequality in the prevalence of noncommunicable diseases in low- and middle-income countries: results from the World Health Survey.
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DOI：
10.1186/1471-2458-12-474
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发表时间：
2012-06-22
影响因子：
4.5
通讯作者：
Chatterji S
中科院分区：
文献类型：
--
作者：
Hosseinpoor AR;Bergen N;Mendis S;Harper S;Verdes E;Kunst A;Chatterji S
非传染性疾病是全世界日益严重的健康问题，特别是在低收入和中等收入国家。这项研究量化并比较了低收入和中等收入国家群体中五种非传染性疾病（心绞痛、关节炎、哮喘、抑郁症和糖尿病）和合并症患病率方面基于教育和财富的不平等。使用2002-04年世界卫生调查41个低收入和中等收入国家的数据，按性别和国家收入组，按财富五分位数和五个教育水平列出了18岁或以上成年人心绞痛、关节炎、哮喘、抑郁症、糖尿病和合并症的患病率估计数。基于症状的分类被用来确定心绞痛、关节炎、哮喘和抑郁症的发生率，糖尿病的诊断是自我报告的。根据财富和教育的社会经济不平等是绝对衡量的，使用不平等的斜率指数，相对地，使用不平等的相对指数。财富和教育不平等在低收入国家组中比在中等收入国家组中更为明显。财富和教育与心绞痛、关节炎、哮喘、抑郁症和合并症的患病率呈负相关，其中心绞痛、哮喘和合并症的患病率最高。糖尿病患病率与财富呈正相关，在较小程度上与教育呈正相关。对混杂变量的调整往往会降低不平等的程度。非传染性疾病不一定是富人的疾病，在低收入和中等收入国家群体中，非传染性疾病在社会经济群体中的分布不平等。有必要进行分类研究，以根据社会经济指标评估各种非传染性疾病的影响。
Noncommunicable diseases are an increasing health concern worldwide, but particularly in low- and middle-income countries. This study quantified and compared education- and wealth-based inequalities in the prevalence of five noncommunicable diseases (angina, arthritis, asthma, depression and diabetes) and comorbidity in low- and middle-income country groups. Using 2002–04 World Health Survey data from 41 low- and middle-income countries, the prevalence estimates of angina, arthritis, asthma, depression, diabetes and comorbidity in adults aged 18 years or above are presented for wealth quintiles and five education levels, by sex and country income group. Symptom-based classification was used to determine angina, arthritis, asthma and depression rates, and diabetes diagnoses were self-reported. Socioeconomic inequalities according to wealth and education were measured absolutely, using the slope index of inequality, and relatively, using the relative index of inequality. Wealth and education inequalities were more pronounced in the low-income country group than the middle-income country group. Both wealth and education were inversely associated with angina, arthritis, asthma, depression and comorbidity prevalence, with strongest inequalities reported for angina, asthma and comorbidity. Diabetes prevalence was positively associated with wealth and, to a lesser extent, education. Adjustments for confounding variables tended to decrease the magnitude of the inequality. Noncommunicable diseases are not necessarily diseases of the wealthy, and showed unequal distribution across socioeconomic groups in low- and middle-income country groups. Disaggregated research is warranted to assess the impact of individual noncommunicable diseases according to socioeconomic indicators.
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影响因子：
4.9
作者：
Callahan LF;Shreffler J;Siaton BC;Helmick CG;Schoster B;Schwartz TA;Chen JC;Renner JB;Jordan JM
通讯作者：
Jordan JM
影响因子：
168.9
作者：
Alwan, Ala;MacLean, David R.;Bettcher, Douglas
通讯作者：
Bettcher, Douglas
影响因子：
4.5
作者：
Acosta, Daisy;Rottbeck, Ruth;Prince, Martin J.
通讯作者：
Prince, Martin J.
DOI：
10.1002/art.23316
发表时间：
2008-03-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Canizares, Mayilee;Power, J. Denise;Badley, Elizabeth M.
通讯作者：
Badley, Elizabeth M.
影响因子：
7.7
作者：
Dalstra, JAA;Kunst, AE;Mackenbach, JP
通讯作者：
Mackenbach, JP