An analysis of the health status of the United Arab Emirates: the 'Big 4' public health issues
An analysis of the health status of the United Arab Emirates: the 'Big 4' public health issues
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DOI：
10.3402/gha.v6i0.20100
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发表时间：
2013-01-01
影响因子：
2.6
通讯作者：
El-Obaid, Yusra
中科院分区：
文献类型：
--
作者：
Loney, Tom;Aw, Tar-Ching;El-Obaid, Yusra
背景：阿拉伯联合酋长国（UAE）是一个快速发展的国家，由具有不同教育背景、宗教信仰和文化习俗的多民族人口组成，这对以人口为基础的公共卫生战略构成挑战。一些公共卫生问题在很大程度上导致了阿联酋的发病率和死亡率。本文总结了来自阿联酋大学和各种政府卫生机构的医疗和公共卫生专家小组的调查结果，该小组受委托报告了阿联酋人口的健康状况。方法：通过系统的文献检索，检索阿联酋同行评议的健康文章，并从政府卫生部门和当地医院提供未发表的数据。结果：小组审查和评估了所有现有证据，列出了四大主要公共卫生问题并对其进行了排序（1 =最高优先级）：1)2010年心血管疾病占死亡人数的25%以上；(2) 2010年伤害造成的死亡占所有年龄组死亡的17%；3) 2010年，癌症占所有死亡人数的10%，预计到2020年，所有癌症的发病率将翻一番；4)呼吸系统疾病是2010年第二常见的非致命疾病。结论：与慢性疾病发展相关的某些个人（如种族、家族史）、生活方式、职业和环境因素构成的重大公共卫生挑战并非阿联酋独有；相反，它们构成了全球卫生问题的一部分，需要国际合作和行动。未来的研究应侧重于以人群为基础的公共卫生干预措施，针对与各种慢性疾病发展相关的因素。
Background: The United Arab Emirates (UAE) is a rapidly developing country composed of a multinational population with varying educational backgrounds, religious beliefs, and cultural practices, which pose a challenge for population-based public health strategies. A number of public health issues significantly contribute to morbidity and mortality in the UAE. This article summarises the findings of a panel of medical and public health specialists from UAE University and various government health agencies commissioned to report on the health status of the UAE population.Methods: A systematic literature search was conducted to retrieve peer-reviewed articles on health in the UAE, and unpublished data were provided by government health authorities and local hospitals.Results: The panel reviewed and evaluated all available evidence to list and rank (1 = highest priority) the top four main public health issues: 1) Cardiovascular disease accounted for more than 25% of deaths in 2010; 2) Injury caused 17% of mortality for all age groups in 2010; 3) Cancer accounted for 10% of all deaths in 2010, and the incidence of all cancers is projected to double by 2020; and 4) Respiratory disorders were the second most common non-fatal condition in 2010.Conclusion: The major public health challenges posed by certain personal (e.g. ethnicity, family history), lifestyle, occupational, and environmental factors associated with the development of chronic disease are not isolated to the UAE; rather, they form part of a global health problem, which requires international collaboration and action. Future research should focus on population-based public health interventions that target the factors associated with the development of various chronic diseases.