Assessment of the health status and risk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan Plateau
Assessment of the health status and risk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan Plateau
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DOI：
10.1016/j.socscimed.2006.06.018
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发表时间：
2006-11-01
影响因子：
5.4
通讯作者：
Torrance, Jane
中科院分区：
文献类型：
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作者：
Foggin, Peter M.;Torrance, Marion E.;Torrance, Jane
本文对青藏高原三江源地区藏族牧民的健康状况进行了评价。2002年，在更广泛的社区发展和研究框架内进行了实地研究，其最终目标是为西藏牧民制定一个有效的针对具体地区的预防性保健和培训方案。具体而言，作者分析了一些潜在的健康相关的环境和生活方式风险因素对自我报告的健康指标的影响，特别强调了母亲和儿童的健康。使用了几个健康状况指标，包括一般发病率指数和抽样家庭因病丧失功能的计量。孕产妇和儿童健康调查结果令人震惊，流产率和婴儿死亡率很高，没有传统的助产士协助怀孕和分娩。儿童易患的疾病也很常见。其他使人衰弱的疾病包括肝炎、肺结核、关节炎（痛风）、胆囊疾病、消化性溃疡和背痛。最后，二元逻辑回归分析表明，一般发病率和取水时间之间存在显著联系。经重点小组验证的调查结果表明，真实的需要增加向妇女和男子提供保健服务的机会和质量，并制定有效的预防性保健战略。(c)2006爱思唯尔有限公司保留所有权利。
The health status of Tibetan herders in the Sanjiangyuan region of the Tibetan Plateau, in southwest Qinghai Province, is assessed in this paper. The field study was conducted in 2002 in the context of a broader community development and research framework, the ultimate goal of which is to achieve an effective region-specific programme of preventative health care and training for Tibetan pastoralists. Specifically, the authors analysed the impact of a number of potentially health-related environmental and lifestyle risk factors on self-reported health indicators, with a special emphasis on mother and child health. Several health status indicators were used, including a general morbidity index and a measurement of functional incapacity due to illness in the sample households. Maternal and child health findings were alarming with high rates of miscarriage and infant loss, with no traditional midwives to assist in pregnancy and delivery. Preventable childhood illnesses were also common. Other debilitating diseases included hepatitis, tuberculosis, arthritis (gout), gall bladder disease, peptic ulcers and back pain. Finally, binary logistic regression analysis showed a significant link between general morbidity and the time it takes to obtain water. The survey findings, validated by the focus groups, indicate a real need for increased accessibility and quality of health service provision to women and men and effective preventative health strategies. (c) 2006 Elsevier Ltd. All rights reserved.