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.
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。