PDF(Pubmed)
Abstract：
UNASSIGNED: Non-communicable diseases (NCDs), the leading cause of death globally, are estimated to overtake communicable diseases in sub-Sahara Africa, where healthcare workers (HCWs) play a crucial role in prevention and treatment, but are in extreme shortage, thereby increasing the burden of NCDs among this specific population. To provide evidence for policy-making, we assessed the NCD burden, associated factors and treatment among HCWs in four sub-Saharan African countries.
UNASSIGNED: We conducted a cross-sectional study across four sub-Saharan African countries [Côte d\'Ivoire (CIV), Democratic Republic of the Congo (DRC), Madagascar (MDG), and Nigeria (NIG)] between February and December 2022. In a standardized questionnaire, sociodemographic, chronic disease and treatment data were self-reported. We estimated the prevalence of (1) at least one chronic disease, (2) hypertension, and used backward elimination logistic regression model to identify risk factors.
UNASSIGNED: We recruited a total of 6,848 HCWs. The prevalence of at least one chronic disease ranged between 9.7% in NIG and 20.6% in MDG, the prevalence of hypertension between 5.4% in CIV and 11.3% in MDG. At most, reported treatment rates reached 36.5%. The odds of each of both outcomes increased with age (at least one chronic disease adjusted odds ratio: CIV: 1.04; DRC: 1.09; MDG: 1.06; NIG: 1.10; hypertension: CIV: 1.10; DRC: 1.31; MDG: 1.11; NIG: 1.11) and with BMI (at least one chronic disease: CIV: 1.10; DRC: 1.07; MDG: 1.06; NIG: 1.08; hypertension: CIV: 1.10; DRC: 1.66; MDG: 1.13; NIG: 1.07). Odds of both outcomes were lower among males, except in CIV. In NIG, the odds of both outcomes were higher among medical doctors and odds of hypertension were higher among those working in secondary care. In MDG, working in secondary care increased and working as auxiliary staff decreased the odds of at least one chronic disease.
UNASSIGNED: The prevalence of self-reported chronic disease varied across the four sub-Saharan countries with potentially very low treatment rates. We identified several individual (age, sex, and BMI) and occupational (profession, level of healthcare) factors that influence the odds of NCDs. These factors should be taken into account when developing interventions addressing the burden and management of NCDs among HCWs.
UNASSIGNED: We conducted a cross-sectional study across four sub-Saharan African countries [Côte d\'Ivoire (CIV), Democratic Republic of the Congo (DRC), Madagascar (MDG), and Nigeria (NIG)] between February and December 2022. In a standardized questionnaire, sociodemographic, chronic disease and treatment data were self-reported. We estimated the prevalence of (1) at least one chronic disease, (2) hypertension, and used backward elimination logistic regression model to identify risk factors.
UNASSIGNED: We recruited a total of 6,848 HCWs. The prevalence of at least one chronic disease ranged between 9.7% in NIG and 20.6% in MDG, the prevalence of hypertension between 5.4% in CIV and 11.3% in MDG. At most, reported treatment rates reached 36.5%. The odds of each of both outcomes increased with age (at least one chronic disease adjusted odds ratio: CIV: 1.04; DRC: 1.09; MDG: 1.06; NIG: 1.10; hypertension: CIV: 1.10; DRC: 1.31; MDG: 1.11; NIG: 1.11) and with BMI (at least one chronic disease: CIV: 1.10; DRC: 1.07; MDG: 1.06; NIG: 1.08; hypertension: CIV: 1.10; DRC: 1.66; MDG: 1.13; NIG: 1.07). Odds of both outcomes were lower among males, except in CIV. In NIG, the odds of both outcomes were higher among medical doctors and odds of hypertension were higher among those working in secondary care. In MDG, working in secondary care increased and working as auxiliary staff decreased the odds of at least one chronic disease.
UNASSIGNED: The prevalence of self-reported chronic disease varied across the four sub-Saharan countries with potentially very low treatment rates. We identified several individual (age, sex, and BMI) and occupational (profession, level of healthcare) factors that influence the odds of NCDs. These factors should be taken into account when developing interventions addressing the burden and management of NCDs among HCWs.
摘要：
■非传染性疾病全球死亡的主要原因，估计将超过撒哈拉以南非洲的传染病，医护人员（HCWs）在预防和治疗中起着至关重要的作用，但是极度短缺，从而增加了这一特定人群的非传染性疾病负担。为决策提供证据,我们评估了非传染性疾病的负担,四个撒哈拉以南非洲国家的HCWs的相关因素和治疗。
■我们在四个撒哈拉以南非洲国家[科特迪瓦（CIV），刚果民主共和国(DRC)马达加斯加(MDG),和尼日利亚（NIG）]2022年2月至12月。在标准化问卷中，社会人口统计学，慢性病和治疗数据为自我报告.我们估计（1）至少一种慢性疾病的患病率，（2）高血压，并采用反向消除logistic回归模型识别危险因素。
■我们总共招募了6848名医务人员。至少一种慢性病的患病率在NIG的9.7%和MDG的20.6%之间,高血压的患病率在CIV的5.4%和MDG的11.3%之间。最多,报告的治疗率达到36.5%。两种结局的赔率均随年龄增加（至少一种慢性疾病调整的赔率比：CIV：1.04;DRC：1.09;MDG：1.06;NIG：1.10;高血压：CIV：1.10;DRC：1.31;MDG：1.11;NIG：1.11）和BMI（至少一种慢性疾病：CIV：1.10;DRC：1.07;MDG：1.66;NIG：1.两种结果的几率在男性中都较低，除了在CIV.在NIG,在医生中,两种结局的几率较高,在二级保健工作者中,高血压的几率较高.在千年发展目标中，在二级保健中的工作增加，而作为辅助人员的工作减少了至少一种慢性疾病的几率。
■在四个撒哈拉以南的国家中，自我报告的慢性病的患病率各不相同，治疗率可能非常低。我们确定了几个人(年龄，性别,和BMI)和职业(职业，医疗保健水平)影响非传染性疾病几率的因素。在制定干预措施时，应考虑到这些因素，以解决HCWs中的非传染性疾病的负担和管理。
■我们在四个撒哈拉以南非洲国家[科特迪瓦（CIV），刚果民主共和国(DRC)马达加斯加(MDG),和尼日利亚（NIG）]2022年2月至12月。在标准化问卷中，社会人口统计学，慢性病和治疗数据为自我报告.我们估计（1）至少一种慢性疾病的患病率，（2）高血压，并采用反向消除logistic回归模型识别危险因素。
■我们总共招募了6848名医务人员。至少一种慢性病的患病率在NIG的9.7%和MDG的20.6%之间,高血压的患病率在CIV的5.4%和MDG的11.3%之间。最多,报告的治疗率达到36.5%。两种结局的赔率均随年龄增加（至少一种慢性疾病调整的赔率比：CIV：1.04;DRC：1.09;MDG：1.06;NIG：1.10;高血压：CIV：1.10;DRC：1.31;MDG：1.11;NIG：1.11）和BMI（至少一种慢性疾病：CIV：1.10;DRC：1.07;MDG：1.66;NIG：1.两种结果的几率在男性中都较低，除了在CIV.在NIG,在医生中,两种结局的几率较高,在二级保健工作者中,高血压的几率较高.在千年发展目标中，在二级保健中的工作增加，而作为辅助人员的工作减少了至少一种慢性疾病的几率。
■在四个撒哈拉以南的国家中，自我报告的慢性病的患病率各不相同，治疗率可能非常低。我们确定了几个人(年龄，性别,和BMI)和职业(职业，医疗保健水平)影响非传染性疾病几率的因素。在制定干预措施时，应考虑到这些因素，以解决HCWs中的非传染性疾病的负担和管理。
