Abstract:
Orang Asli, the indigenous people of Peninsular Malaysia, is a minority population and placed behind in terms of socioeconomy, education and health. The Malaysian government has supported Orang Asli since the second Malaysia Plan in the 1970s, resulting in changes in their living standard, access to health, education and occupation. Hence, this review aims to assess the recent prevalence of diseases among Orang Asli in Peninsular Malaysia. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) review protocol guided this systematic review. The research question was formulated based on Population, Interest, Comparison and Outcome (PICO). The selected databases include Web of Science, Scopus, Ovid and EBSCOhost. The process of identification, screening and inclusion identified 33 articles. The mixed methods appraisal tool (MMAT) was then used to rank the quality of the articles. Selangor is the most frequent state involved in this review (12 studies), followed by Perak (10 studies), Pahang (10 studies) and Kedah (one study). We categorised into four categories of diseases, namely neglected tropical disease (n = 20), non-communicable disease (n = 6), nutritional status (n = 5), and hepatic disease (n = 2). The prevalence of diseases among Orang Asli is higher than in the general population, especially for soil-transmitted helminth (STH) and malnutrition. There is increasing research on non-communicable diseases due to an increasing trend in the socioeconomic status and lifestyle of the Orang Asli. Government agencies and private organisations must work together to empower Orang Asli with a healthy lifestyle, improve their socioeconomic status, and enhance food security, all of which will improve Orang Asli\'s health and reduce the prevalence of diseases.
摘要:
OrangAsli,马来西亚半岛的土著人民,是少数民族,在社会经济方面落后,教育与健康。自1970年代第二个马来西亚计划以来,马来西亚政府一直支持OrangAsli,导致他们生活水平的变化,获得健康,教育和职业。因此,这篇综述旨在评估马来西亚半岛的OrangAsli疾病的近期患病率.系统审查和荟萃分析(PRISMA)审查方案的首选报告项目指导了该系统审查。研究问题是基于人口提出的,利息,比较和结果(PICO)。选定的数据库包括WebofScience,Scopus,Ovid和EBSCOhost。识别的过程,筛选和纳入确定了33篇文章。然后使用混合方法评估工具(MMAT)对文章的质量进行排名。Selangor是本综述中最常见的州(12项研究),其次是霹雳(10项研究),彭亨(10项研究)和吉打(一项研究)。我们分为四类疾病,即被忽视的热带病(n=20),非传染性疾病(n=6),营养状况(n=5),和肝病(n=2)。OrangAsli的疾病患病率高于一般人群,特别是土壤传播的蠕虫(STH)和营养不良。由于OrangAsli的社会经济地位和生活方式呈上升趋势,对非传染性疾病的研究越来越多。政府机构和私人组织必须共同努力,赋予OrangAsli健康的生活方式,提高他们的社会经济地位,加强粮食安全,所有这些都将改善OrangAsli的健康并降低疾病的患病率。