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  • 标题:Non-Communicable Chronic Diseases and Structural Indicators in an Epidemiological Transition Country
  • 本地全文:下载
  • 作者:Natalia Romero-Sandoval ; S. Ramiro Canelos ; Héctor Javier Sánchez-Pérez
  • 期刊名称:Open Journal of Epidemiology
  • 印刷版ISSN:2165-7459
  • 电子版ISSN:2165-7467
  • 出版年度:2020
  • 卷号:10
  • 期号:1
  • 页码:32-42
  • DOI:10.4236/ojepi.2020.101003
  • 出版社:Scientific Research Publishing
  • 摘要:Objective: To determine associations between standardized prevalence ratios of Metabolic Syndrome (MS), High Blood Pressure (HBP), and Obesity (O) with structural factors in ecuadorian population aged 20 to 59. Methods: An ecological study was conducted through data from the Ecuador’s National Health and Nutrition Survey 2013-2014, and National Census. Standardized prevalence ratio (SPR) variability was analyzed with Poisson multiple regression models (adjusted Relative Risk). Results: The SPR variability for the three diseases was associated with non-affiliation to social security, and inversely related to lower urbanization. HBP and O were associated with functional illiteracy and higher rates of primary care physicians/1000 inhabitants. HBP and MS were related to poor housing. Conclusions: Policies of non-communicable chronic diseases control in ecological transition countries need to take structural variations into account.
  • 关键词:Chronic Illness;Social Inequality;Statistical Analysis;Policy Process;Ecuador
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