Land of promise: challenges and opportunities for research in South Africa
Land of promise: challenges and opportunities for research in South Africa
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充满希望的土地：南非研究的挑战和机遇
DOI：
10.1038/sj.mp.4001572
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发表时间：
2004
影响因子：
11
通讯作者：
Dan J. Stein
中科院分区：
文献类型：
--
作者：
S. Seedat;Robin Emsley;Dan J. Stein
没有关于南非精神障碍患病率的国家数据(SA)；然而，在最近一次全国人口普查(2001年)中，0.6%的南非人报告说，他们患有至少6个月的精神残疾，这使他们无法独立开展日常活动或充分参与教育、经济或社会活动。1全国疾病负担研究是该国进行的第一项此类研究，它发现精神障碍是导致残疾的第13大原因，占所有残疾调整寿命年(残疾调整寿命年)的2%。如果将这一类别包括在内，精神和神经系统疾病加在一起将成为仅次于艾滋病毒/艾滋病的第二大负担。虽然众所周知，如果我们要有效地设计/实施治疗干预措施并优化服务提供，精神病学研究是必不可少的，但疾病负担的大小和资金分配之间仍然存在巨大的差异。在南非，“10/90差距”(全世界分配给疾病和疾病的不到10%的卫生研究资金，占全球负担的90%)这一表述很好地描述了这一情况。
No national data exist on the prevalence of mental disorders in South Africa (SA); however, in the most recent national population census (2001) 0.6% of South Africans reported that they suffered from a mental disability lasting at least 6 months, which prevented carrying out daily activities independently or participating fully in educational, economic or social activities.1 The National Burden of Disease study, the first study of its kind to be undertaken in the country, found that mental disorders were the 13th leading cause of disability and accounted for 2% of all DALYs (disability adjusted life years).2 Unlike the Global Burden of Disease study, the South African study did not include the category of 'neuropsychiatric conditions'. Had this category been included, mental and nervous system disorders combined would rank as the second most burdensome of all medical conditions after HIV/AIDS. While it is a common knowledge that research in psychiatry is essential if we are to effectively design/implement treatment interventions and optimize service delivery, huge discrepancies continue to exist between the magnitude of disease burden and the allocation of funding. In SA, the situation is well described in the expression 'the 10/90 gap' (less than 10% of health research funding worldwide allocated to diseases and conditions responsible for 90% of the global burden).3