摘要
在未来几年,糖尿病(DM)的患病率预计将在全球范围内大幅上升,但大多数病例将发生在中低收入国家。糖尿病的一些主要风险因素加速了非裔美国人痴呆症的发展,从而导致痴呆症的发病率高于高加索人。撒哈拉以南非洲地区妇女的痴呆症患病率不成比例地增加了二到八倍。在关注焦点中,尼日利亚是非洲大陆糖尿病患者人数最多的国家,其患病率与肥胖、高血压和人口老龄化同时上升。正如发达国家公认的那样,对于尼日利亚的医疗保健系统而言,糖尿病和痴呆症发病率上升引起的社会经济影响将是巨大和不可持续的。在这里,我们分析了尼日利亚妇女的健康现状,并探讨了未来的前景和方向。尼日利亚妇女糖尿病和痴呆症复杂相互作用的相关因素包括关键生物因子(代谢综合征、血管损伤、炎症、氧化应激、胰岛素抵抗)、营养习惯、生活方式和贫血,这些因素会随着并发症的加重而恶化。此外,由于资源有限、缺乏知名度和管理不善导致痛苦的延续,增加了尼日利亚妇女从青年到老年的疾病风险和负担。为了实现可持续发展目标,迫切需要制定卫生政策,提高心理健康专业人员人数与患者人数之间的比例,主要在农村地区,建立积极主动的初级保健中心,以及采取针对青少年和成年妇女以及其他特定母婴对的干预措施。
关键词: 糖尿病,痴呆症,风险因素,LMIC,撒哈拉沙漠以南非洲地区,妇女,卫生政策
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