Profile: Agincourt health and socio-demographic surveillance system.

Profile: Agincourt health and socio-demographic surveillance system.
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DOI:
10.1093/ije/dys115
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发表时间:
2012-08
影响因子:
7.7
通讯作者:
Tollman SM
Tollman SM
中科院分区:
医学1区
文献类型:
--
作者:
Kahn K;Collinson MA;Gómez-Olivé FX;Mokoena O;Twine R;Mee P;Afolabi SA;Clark BD;Kabudula CW;Khosa A;Khoza S;Shabangu MG;Silaule B;Tibane JB;Wagner RG;Garenne ML;Clark SJ;Tollman SM

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阿金库尔卫生和社会人口监测系统(HDSS)位于南非东北部靠近莫桑比克边境的农村地区,成立于1992年,旨在支持后种族隔离时代卫生部领导的地区卫生系统发展。根据居民状况和生命事件的年度更新,人口健康和安全系统(90 000人)现在支持对复杂的健康、人口和社会转型的原因和后果进行多项调查。观察工作包括以生命历程沿着不同阶段为重点的群组,评价人口、家庭和个人各级的国家政策,审查家庭对冲击和压力的反应以及由此产生的影响健康和福祉的途径。试验针对儿童和青少年,包括促进心理社会健康,预防艾滋病毒传播和降低代谢疾病风险。努力加强研究平台,包括使用自动测量技术,估计死因的死因,死因推断,全面的“和解”的进出移民,后续的移民离开研究区域,记录家庭外的社会关系和个人HDSS记录与街道诊所的链接。优先事项包括促进有效合作(包括INDEPTH在成人保健和老龄化以及移徙和城市化方面的多中心工作),确保共同变量的跨站点兼容性,以及优化公众获取人类发展和社会保障系统数据的途径。
The Agincourt health and socio-demographic surveillance system (HDSS), located in rural northeast South Africa close to the Mozambique border, was established in 1992 to support district health systems development led by the post-apartheid ministry of health. The HDSS (90 000 people), based on an annual update of resident status and vital events, now supports multiple investigations into the causes and consequences of complex health, population and social transitions. Observational work includes cohorts focusing on different stages along the life course, evaluation of national policy at population, household and individual levels and examination of household responses to shocks and stresses and the resulting pathways influencing health and well-being. Trials target children and adolescents, including promoting psycho-social well-being, preventing HIV transmission and reducing metabolic disease risk. Efforts to enhance the research platform include using automated measurement techniques to estimate cause of death by verbal autopsy, full ‘reconciliation’ of in- and out-migrations, follow-up of migrants departing the study area, recording of extra-household social connections and linkage of individual HDSS records with those from sub-district clinics. Fostering effective collaborations (including INDEPTH multi-centre work in adult health and ageing and migration and urbanization), ensuring cross-site compatibility of common variables and optimizing public access to HDSS data are priorities.
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