PDF(Pubmed)
Abstract：
BACKGROUND: Southeast Asia is undergoing an epidemiological transition with non-communicable illnesses becoming increasingly important, yet infectious diseases (tuberculosis, HIV, hepatitis B, malaria) remain widely prevalent in some populations, while emerging and zoonotic diseases threaten. There are also limited population-level estimates of many important heath conditions. This restricts evidence-based decision-making for disease control and prevention priorities. Cross-sectional surveys can be efficient epidemiological tools to measure the prevalence of a wide range of diseases, but no systematic assessment of their coverage of different health conditions has been produced for the region.
METHODS: We conducted a systematic search in Medline, Embase, Global Health, CINAHL, Scopus, Web of Science Core Collection, and Global Index Medicus, and additionally Google Scholar. Our inclusion criteria were cross-sectional surveys conducted with community-based recruitment, in Bangladesh, Cambodia, Laos, Myanmar, and Thailand, published between January 1, 2010 and January 27, 2021, and reporting the prevalence of any health condition.
RESULTS: 542 publications from 337 surveys were included. Non-communicable conditions (n = 205) were reported by more surveys than infectious conditions (n = 124). Disability (n = 49), self-report history of any disease or symptoms (n = 35), and self-perceived health status (n = 34), which reflect a holistic picture of health, were studied by many fewer surveys. In addition, 45 surveys studied symptomatic conditions which overlap between non-communicable and infectious conditions. The most surveyed conditions were undernutrition, obesity, hypertension, diabetes, intestinal parasites, malaria, anemia, diarrhea, fever, and acute respiratory infections. These conditions overlap with the most important causes of death and disability in the Global Burden of Disease study. However, other high-burden conditions (e.g. hearing loss, headache disorder, low back pain, chronic liver and kidney diseases, and cancers) were rarely studied.
CONCLUSIONS: There were relatively few recent surveys from which to estimate representative prevalences and trends of health conditions beyond those known to be high burden. Expanding the spectrum of health conditions in cross-sectional surveys could improve understanding of evolving disease patterns in the region.
METHODS: We conducted a systematic search in Medline, Embase, Global Health, CINAHL, Scopus, Web of Science Core Collection, and Global Index Medicus, and additionally Google Scholar. Our inclusion criteria were cross-sectional surveys conducted with community-based recruitment, in Bangladesh, Cambodia, Laos, Myanmar, and Thailand, published between January 1, 2010 and January 27, 2021, and reporting the prevalence of any health condition.
RESULTS: 542 publications from 337 surveys were included. Non-communicable conditions (n = 205) were reported by more surveys than infectious conditions (n = 124). Disability (n = 49), self-report history of any disease or symptoms (n = 35), and self-perceived health status (n = 34), which reflect a holistic picture of health, were studied by many fewer surveys. In addition, 45 surveys studied symptomatic conditions which overlap between non-communicable and infectious conditions. The most surveyed conditions were undernutrition, obesity, hypertension, diabetes, intestinal parasites, malaria, anemia, diarrhea, fever, and acute respiratory infections. These conditions overlap with the most important causes of death and disability in the Global Burden of Disease study. However, other high-burden conditions (e.g. hearing loss, headache disorder, low back pain, chronic liver and kidney diseases, and cancers) were rarely studied.
CONCLUSIONS: There were relatively few recent surveys from which to estimate representative prevalences and trends of health conditions beyond those known to be high burden. Expanding the spectrum of health conditions in cross-sectional surveys could improve understanding of evolving disease patterns in the region.
摘要：
背景：东南亚正在经历流行病学转变，非传染性疾病变得越来越重要，然而传染病(结核病，艾滋病毒,乙型肝炎，疟疾)在一些人群中仍然广泛流行，而新兴和人畜共患疾病威胁着。对许多重要的健康状况的人口水平估计也有限。这限制了疾病控制和预防优先事项的循证决策。横断面调查可以成为有效的流行病学工具来衡量广泛的疾病的流行,但是该地区没有对他们对不同健康状况的覆盖率进行系统评估。
方法：我们在Medline进行了系统的搜索，Embase,全球卫生,CINAHL,Scopus,WebofScience核心合集,和全球指数药物，还有谷歌学者。我们的纳入标准是以社区为基础的招募进行的横断面调查，在孟加拉国,柬埔寨,老挝,缅甸,泰国,在2010年1月1日至2021年1月27日之间发布，并报告任何健康状况的患病率。
结果：纳入了337项调查的542份出版物。非传染性疾病（n=205）的调查报告多于传染性疾病（n=124）。残疾（n=49），自我报告任何疾病或症状史（n=35），和自我感知的健康状况(n=34)，这反映了健康的整体状况，很少有调查研究。此外,45项调查研究了非传染性和传染性疾病之间重叠的症状状况。调查最多的情况是营养不良，肥胖，高血压,糖尿病,肠道寄生虫,疟疾,贫血,腹泻,发烧,和急性呼吸道感染。这些情况与全球疾病负担研究中最重要的死亡和残疾原因重叠。然而,其他高负担条件(例如听力损失，头痛症,腰痛,慢性肝肾疾病,和癌症）很少被研究。
结论：除了已知的高负担外，最近的调查相对较少，可以估计有代表性的健康状况的患病率和趋势。在横断面调查中扩大健康状况的范围可以增进对该地区不断变化的疾病模式的了解。
方法：我们在Medline进行了系统的搜索，Embase,全球卫生,CINAHL,Scopus,WebofScience核心合集,和全球指数药物，还有谷歌学者。我们的纳入标准是以社区为基础的招募进行的横断面调查，在孟加拉国,柬埔寨,老挝,缅甸,泰国,在2010年1月1日至2021年1月27日之间发布，并报告任何健康状况的患病率。
结果：纳入了337项调查的542份出版物。非传染性疾病（n=205）的调查报告多于传染性疾病（n=124）。残疾（n=49），自我报告任何疾病或症状史（n=35），和自我感知的健康状况(n=34)，这反映了健康的整体状况，很少有调查研究。此外,45项调查研究了非传染性和传染性疾病之间重叠的症状状况。调查最多的情况是营养不良，肥胖，高血压,糖尿病,肠道寄生虫,疟疾,贫血,腹泻,发烧,和急性呼吸道感染。这些情况与全球疾病负担研究中最重要的死亡和残疾原因重叠。然而,其他高负担条件(例如听力损失，头痛症,腰痛,慢性肝肾疾病,和癌症）很少被研究。
结论：除了已知的高负担外，最近的调查相对较少，可以估计有代表性的健康状况的患病率和趋势。在横断面调查中扩大健康状况的范围可以增进对该地区不断变化的疾病模式的了解。
