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马来西亚低收入人群的健康、获取途径和营养问题:引言。

Health, access and nutritional issues among low-income population in Malaysia: introductory note.

机构信息

Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A. Aziz, 50300, Kuala Lumpur, Malaysia.

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

出版信息

BMC Public Health. 2019 Jun 13;19(Suppl 4):552. doi: 10.1186/s12889-019-6852-8.

Abstract

The current issue of BMC Public Health presents work by the Consortium of Low Income Population Research (CB40R), highlighting a comprehensive aspect of health, i.e., physical health, mental health, health behaviour and health financing; and also nutrition involving all stages of lifespan of the socioeconomic deprived group in Malaysia.Consortium of B40 Research (CB40R) reposited and harmonised shared, non-identifiable data from epidemiological studies involving low income population (B40) in Malaysia. CB40R also performed joint or mega-analyses using combined, harmonised data sets that yield collated results with enhanced statistical power, more variabilities (study population, geographical regions, ethnicities and sociocultural groups) to better understand the needs, characteristics and issues of B40 groups in Malaysia. It also aimed to develope a system/framework of minimum/standard variables to be collected in research involving B40 in future. For this special issues, members of the consortium have been invited to contribute an original article involving analysis of the health aspects, access to health and nutritional issues of the B40 samples.All the papers in this special issue have successfully highlighted the health and nutritional issues (i.e., non-communicable disease (NCD), inflammatory bowel disease (IBD), knowledge towards sexually transmitted disease (STD), low birth weight, Motoric Cognitive Risk (MCR) syndrome, urinary incontinence), mental health, oral health and inequalities among the low-income group in Malaysia, including the rural population and also the urban poor. The low-income population in Malaysia is also at risk of both under- and over nutrition, of which specific cost effective strategies are indeed needed to improve their quality of life.The low income population in Malaysia is facing various health challenges, particularly related to NCD and poor mental health, nutritional and physical function. There is a need for a sustainable intervention model to tackle the issues. It is also important to highlight that reducing SES disparities in health will require policy initiatives addressing the components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health.

摘要

本期 BMC 公共卫生杂志发表了低收入人群研究联盟 (CB40R) 的工作成果,重点介绍了健康的一个综合方面,即身体健康、心理健康、健康行为和健康融资;以及涉及马来西亚社会经济贫困群体生命周期所有阶段的营养。CB40R 还对涉及马来西亚低收入人群 (B40) 的流行病学研究的共享、不可识别数据进行了存储和协调。CB40R 还使用联合的、协调的数据集进行了联合或大型分析,这些数据集产生了汇总结果,提高了统计能力,增加了更多的可变性(研究人群、地理区域、种族和社会文化群体),以更好地了解马来西亚 B40 群体的需求、特征和问题。它还旨在为未来涉及 B40 的研究开发一个最低/标准变量的系统/框架。本期特刊邀请了联盟成员撰写一篇涉及 B40 人群健康方面、获得健康和营养问题的分析的原创文章。

本特刊中的所有论文都成功地强调了马来西亚低收入群体的健康和营养问题(即非传染性疾病 (NCD)、炎症性肠病 (IBD)、对性传播疾病 (STD) 的认识、低出生体重、运动认知风险 (MCR) 综合征、尿失禁)、心理健康、口腔健康和不平等问题,包括农村人口和城市贫困人口。马来西亚的低收入人群也面临着营养不足和营养过剩的双重风险,确实需要采取具体的、具有成本效益的策略来提高他们的生活质量。

马来西亚的低收入人群面临着各种健康挑战,特别是与非传染性疾病和心理健康不良、营养和身体功能有关的挑战。需要有一个可持续的干预模式来解决这些问题。此外,需要强调的是,减少社会经济地位方面的健康差异,需要采取政策举措来解决社会经济地位的组成部分(收入、教育和职业)以及这些因素影响健康的途径。

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