When an individual suffers from two or more long -term health conditions concurrently, he’s referred to as multinational.
World Health Organization They say that multi -faceted patients are at greater risk and complicates basic care. It also increases health care costs.
People with multiple conditions are at greater risk Early death And the poor standard of life. They can also need to get several medicines. Polypharement Increases the chance of harmful drug interaction and uncomfortable side effects, and patients are difficult to stick with treatment.
The situation in African countries is more complicated The burden of multiple diseases changes. Individuals can suffer from non -communication diseases similar to hypertension and diabetes, in addition to infectious diseases similar to HIV and tuberculosis.
Unexpected access to poverty and health care increases the consequences of multilateral.
Most of the research on multilateral Concentrated On the European lineage population. When people from African descent are involved, African -American Americans are sometimes focused. This group doesn’t represent diversity or health challenges in Africa.
As a specialist in genetic epidemiology and chronic diseases, we left Research Differences present in understanding multi -faceted individuals with African lineage.
To indicate the difference
We inspected 232 Medical Research Publications (published from 2010 to June 2022), and included those published in English and French. This is just not much if anyone considers all of the challenges of health that folks from African generation suffer globally.
Of these studies, 113 focused on continental African population and 100 dai. Nineteen were among the many two groups.
In our review, five major educational databases are spread. We used search terms similar to “multi -faceted”, “comorbe” and “African population”. Some studies have been excluded within the searches to limit titles and abstracts and to the texts to which our institutions can access.
Heart diseases dominates
Cardiatabolic diseasesBoth populations, including hypertension, heart disease and diabetes, were probably the most studied conditions in each populations (in Africa and elsewhere).
But significant differences got here out.
In the population of the continent, the trend of cardiometabolic diseases is accompanied by chronic infectious diseases similar to HIV and tuberculosis.
In the Daspura Population, cardioometabolic diseases often occur together with other non -communication diseases and Psychological conditions Such as depression and post -traumatic stress disorder.
Age, sex, poverty
As all the population all over the world, the studies we reviewed are prone to have multiple health condition.
But on the continent, the burden of infectious diseases meant that adults also had a risk of multiple disease.
Women were more prone to have many conditions, especially in relation to conditions like hypertension and diabetes. It potentially reflects each biological aspects, similar to hormonal differences, and Social impact Such as income inequality and differences in a working environment.
Persons with Less social economic status (Which is usually the meaning of ladies) is more prone to be exposed to an unhealthy lifestyle, and there may be less access to precautionary care.
What may be done?
Our review has shown that the technique to mix health conditions is different amongst African people and folks of the continent outside Africa. This implies that medical research should include maximum diversity of participants.
Extended data collection should include genetic and Metabolomic Data
It can be essential to review a big selection of chronic conditions.
The growing mutual existence of the situation implies that the treatment of cardiovascular, metabolic and infectious diseases ought to be integrated.
Some African countries, including South Africa and Kenya, have already introduced Integrated careWith encouraging results. During the identical visit, two or more diseases are treated for a similar facility.