Multimorbidity in African ancestry populations: a scoping review.
Multimorbidity in African ancestry populations: a scoping review.
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DOI：
10.1136/bmjgh-2023-013509
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发表时间：
2023-12-07
影响因子：
8.1
通讯作者：
Ramsay, Michele
中科院分区：
文献类型：
--
作者：
Kamp, Michelle;Achilonu, Okechinyere;Kisiangani, Isaac;Nderitu, Daniel Maina;Mpangase, Phelelani Thokozani;Tadesse, Girmaw Abebe;Adetunji, Kayode;Iddi, Samuel;Speakman, Skyler;Hazelhurst, Scott;Asiki, Gershim;Ramsay, Michele
多发性疾病(MM)是一个越来越令人担忧的问题，与不良的结果和更高的医疗费用有关。虽然大多数MM研究针对的是欧洲血统人群，但非洲血统群体的流行率和模式仍未得到充分研究。这项研究的目的是在非洲血统的人群、非洲大陆和散居海外的人中识别和总结关于MM的现有文献。2022年7月，在五个数据库(PubMed、Web of Science、Scope us、Science Direct和JSTOR)中进行了范围审查。研究是根据预先定义的标准选择的，数据提取侧重于方法和结果。描述性统计总结了数据，叙述性综合突出了关键主题。在2010年至2022年6月期间关于非洲血统群体中MM的232份出版物中，113份研究了非洲大陆人口，其中100份是散居侨民，19份是两者兼而有之。研究结果揭示了非洲大陆内外多发性骨髓瘤的不同模式。心血管和代谢性疾病在两组中占主导地位(80%是大陆人，70%是散居海外的人)。传染病更多地出现在大陆研究中(58%在大陆，16%在海外)。尽管许多论文没有像以前的研究那样具体讨论这些特征，但除重要的例外情况外，年龄较大、女性和社会经济地位较低的人与多发性骨髓瘤的发病率较高有关。查明的研究差距包括关于非洲裔个人的数据有限、代表性不足、疾病群体代表性不足、方法不标准化、需要创新的数据战略以及转化研究不足。不断增长的全球多发性骨髓瘤流行在非洲血统人口中得到了反映。在处理MM的负担时，认识到非洲裔人口的独特背景是至关重要的。这项审查强调，需要进行额外的研究，以指导和加强非洲裔人口的保健方法，无论他们的地理位置如何。
Multimorbidity (MM) is a growing concern linked to poor outcomes and higher healthcare costs. While most MM research targets European ancestry populations, the prevalence and patterns in African ancestry groups remain underexplored. This study aimed to identify and summarise the available literature on MM in populations with African ancestry, on the continent, and in the diaspora. A scoping review was conducted in five databases (PubMed, Web of Science, Scopus, Science Direct and JSTOR) in July 2022. Studies were selected based on predefined criteria, with data extraction focusing on methodology and findings. Descriptive statistics summarised the data, and a narrative synthesis highlighted key themes. Of the 232 publications on MM in African-ancestry groups from 2010 to June 2022—113 examined continental African populations, 100 the diaspora and 19 both. Findings revealed diverse MM patterns within and beyond continental Africa. Cardiovascular and metabolic diseases are predominant in both groups (80% continental and 70% diaspora). Infectious diseases featured more in continental studies (58% continental and 16% diaspora). Although many papers did not specifically address these features, as in previous studies, older age, being women and having a lower socioeconomic status were associated with a higher prevalence of MM, with important exceptions. Research gaps identified included limited data on African-ancestry individuals, inadequate representation, under-represented disease groups, non-standardised methodologies, the need for innovative data strategies, and insufficient translational research. The growing global MM prevalence is mirrored in African-ancestry populations. Recognising the unique contexts of African-ancestry populations is essential when addressing the burden of MM. This review emphasises the need for additional research to guide and enhance healthcare approaches for African-ancestry populations, regardless of their geographic location.
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影响因子：
7
作者：
Cheng, Greta Jianjia;Wagner, Abram L.;O'Shea, Brendan Q.;Joseph, Carly A.;Finlay, Jessica M.;Kobayashi, Lindsay C.
通讯作者：
Kobayashi, Lindsay C.
影响因子：
4.8
作者：
Ataguba JE
通讯作者：
Ataguba JE
影响因子：
6.4
作者：
Ayeni OA;Norris SA;Joffe M;Cubasch H;Nietz S;Buccimazza I;Singh U;Čačala S;Stopforth L;Chen WC;McCormack VA;O'Neil DS;Jacobson JS;Neugut AI;Ruff P;Micklesfield LK
通讯作者：
Micklesfield LK
影响因子：
4.8
作者：
Alaba, Olufunke;Chola, Lumbwe
通讯作者：
Chola, Lumbwe
影响因子：
4.5
作者：
Adjei, Kwame K.;Kikuchi, Kimiyo;Agyekum, Enoch Oti
通讯作者：
Agyekum, Enoch Oti