High Burden of Non-communicable Diseases among a Young Slum Population in Haiti.
The objective of this study was to characterize the demographics and population health of four slum communities in Port-au-Prince, Haiti, including population density and the burden of communicable and non-communicable diseases. Four urban slums were surveyed using a population-representative design...
| Publicado en: | Journal of Urban Health Vol. 96; no. 6; pp. 797 - 813 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | journal article |
| Publicado: |
Springer Nature
Dec2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=140292832&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 140292832 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Dec2019 vid: 96 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 140292832 10.1007/s11524-019-00368-y ppf: 797 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P size: 3.2MB tig: atl: High Burden of Non-communicable Diseases among a Young Slum Population in Haiti. aug: au: McNairy, Margaret L. Tymejczyk, Olga Rivera, Vanessa Seo, Grace Dorélien, Audrey Peck, Mireille Petion, Jacky Walsh, Kathleen Bolgrien, Anna Nash, Denis Pape, Jean Fitzgerald, Daniel W. affil: Center for Global Health, Weill Cornell Medicine, New York, NY, USA Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA Institute for Implementation Science in Population Health, City University of New York, New York, NY, USA Humphrey School of Public Affairs, University of Minnesota, Minneapolis, MN, USA Haitian Group for the Study of Kaposi Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti su: Haiti Port-au-Prince (Haiti) Slums Child health services Communicable diseases Household surveys Psychological distress Non-communicable diseases Population health management sug: subj: Slums Child health services Communicable diseases Household surveys Psychological distress Haiti Port-au-Prince (Haiti) Non-communicable diseases Population health management keyword: Slums, Non-communicable disease, Urban health Slums, Non-communicable disease, Urban health ab: The objective of this study was to characterize the demographics and population health of four slum communities in Port-au-Prince, Haiti, including population density and the burden of communicable and non-communicable diseases. Four urban slums were surveyed using a population-representative design between July and October 2016. A multistage cluster area random sampling process was used to identify households and individuals for the survey. Household surveys included rosters of residents, household characteristics, adult and child deaths in the past year, child health, and healthcare access and utilization. Individual surveys of two randomly sampled adults from each household included sociodemographic data, maternal health, and adult health. Additionally, blood pressure, height, weight, and psychological distress were measured by study staff. Data were weighted for complex survey design and non-response. A total of 525 households and 894 individuals completed the survey (96% household and 90% individual response rate, respectively). The estimated population density was 58,000 persons/km2. Across slums, 55% of all residents were female, and 38% were adolescents and youth 10-24 years. Among adults, 58% were female with median age 29 years (22-38). The most common adult illnesses were severe psychological distress (24%), hypertension (20%), history of physical injury/trauma (10%), asthma (7%), history of cholera (4%), and history of tuberculosis (3%). Ten percent of adults had obesity (BMI > 30 kg/m2), and 7% currently smoked. The most common under-5 diseases during the last 3 months were respiratory and gastrointestinal illnesses (50% and 28%, respectively). One-third of households reported needing medical care for a child in the past year but not being able to access it, largely due to financial constraints. Unique features of these slums are a population structure dominated by adolescents and youth, a high proportion of females, and a high burden of non-communicable diseases including hypertension and psychological distress. Screening, diagnostic, and disease management interventions are urgently needed to protect and promote improved population health outcomes in these slum communities. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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