The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review

Background: Southeast Asia is undergoing an epidemiological transition with non-communicable illnesses becoming increasingly important, yet infectious diseases (tuberculosis, HIV, hepatitis B, malaria) remain widely prevalent in some populations, while emerging and zoonotic diseases threaten. There...

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Main Authors: Zhang, M, Kozlowski, H, Chew, R, Htun, NSN, Morris, SK, Akladious, C, Sarker, AR, Lubell, Y, Peto, TJ
Format: Journal article
Language:English
Published: BioMed Central 2024
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author Zhang, M
Kozlowski, H
Chew, R
Htun, NSN
Morris, SK
Akladious, C
Sarker, AR
Lubell, Y
Peto, TJ
author_facet Zhang, M
Kozlowski, H
Chew, R
Htun, NSN
Morris, SK
Akladious, C
Sarker, AR
Lubell, Y
Peto, TJ
author_sort Zhang, M
collection OXFORD
description Background: Southeast Asia is undergoing an epidemiological transition with non-communicable illnesses becoming increasingly important, yet infectious diseases (tuberculosis, HIV, hepatitis B, malaria) remain widely prevalent in some populations, while emerging and zoonotic diseases threaten. There are also limited population-level estimates of many important heath conditions. This restricts evidence-based decision-making for disease control and prevention priorities. Cross-sectional surveys can be efficient epidemiological tools to measure the prevalence of a wide range of diseases, but no systematic assessment of their coverage of different health conditions has been produced for the region. Methods: We conducted a systematic search in Medline, Embase, Global Health, CINAHL, Scopus, Web of Science Core Collection, and Global Index Medicus, and additionally Google Scholar. Our inclusion criteria were cross-sectional surveys conducted with community-based recruitment, in Bangladesh, Cambodia, Laos, Myanmar, and Thailand, published between January 1, 2010 and January 27, 2021, and reporting the prevalence of any health condition. Results: 542 publications from 337 surveys were included. Non-communicable conditions (n = 205) were reported by more surveys than infectious conditions (n = 124). Disability (n = 49), self-report history of any disease or symptoms (n = 35), and self-perceived health status (n = 34), which reflect a holistic picture of health, were studied by many fewer surveys. In addition, 45 surveys studied symptomatic conditions which overlap between non-communicable and infectious conditions. The most surveyed conditions were undernutrition, obesity, hypertension, diabetes, intestinal parasites, malaria, anemia, diarrhea, fever, and acute respiratory infections. These conditions overlap with the most important causes of death and disability in the Global Burden of Disease study. However, other high-burden conditions (e.g. hearing loss, headache disorder, low back pain, chronic liver and kidney diseases, and cancers) were rarely studied. Conclusion: There were relatively few recent surveys from which to estimate representative prevalences and trends of health conditions beyond those known to be high burden. Expanding the spectrum of health conditions in cross-sectional surveys could improve understanding of evolving disease patterns in the region.
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spelling oxford-uuid:d031f065-ff39-4f3a-a2be-fa744188db972024-07-11T20:11:13ZThe spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d031f065-ff39-4f3a-a2be-fa744188db97EnglishJisc Publications RouterBioMed Central2024Zhang, MKozlowski, HChew, RHtun, NSNMorris, SKAkladious, CSarker, ARLubell, YPeto, TJBackground: Southeast Asia is undergoing an epidemiological transition with non-communicable illnesses becoming increasingly important, yet infectious diseases (tuberculosis, HIV, hepatitis B, malaria) remain widely prevalent in some populations, while emerging and zoonotic diseases threaten. There are also limited population-level estimates of many important heath conditions. This restricts evidence-based decision-making for disease control and prevention priorities. Cross-sectional surveys can be efficient epidemiological tools to measure the prevalence of a wide range of diseases, but no systematic assessment of their coverage of different health conditions has been produced for the region. Methods: We conducted a systematic search in Medline, Embase, Global Health, CINAHL, Scopus, Web of Science Core Collection, and Global Index Medicus, and additionally Google Scholar. Our inclusion criteria were cross-sectional surveys conducted with community-based recruitment, in Bangladesh, Cambodia, Laos, Myanmar, and Thailand, published between January 1, 2010 and January 27, 2021, and reporting the prevalence of any health condition. Results: 542 publications from 337 surveys were included. Non-communicable conditions (n = 205) were reported by more surveys than infectious conditions (n = 124). Disability (n = 49), self-report history of any disease or symptoms (n = 35), and self-perceived health status (n = 34), which reflect a holistic picture of health, were studied by many fewer surveys. In addition, 45 surveys studied symptomatic conditions which overlap between non-communicable and infectious conditions. The most surveyed conditions were undernutrition, obesity, hypertension, diabetes, intestinal parasites, malaria, anemia, diarrhea, fever, and acute respiratory infections. These conditions overlap with the most important causes of death and disability in the Global Burden of Disease study. However, other high-burden conditions (e.g. hearing loss, headache disorder, low back pain, chronic liver and kidney diseases, and cancers) were rarely studied. Conclusion: There were relatively few recent surveys from which to estimate representative prevalences and trends of health conditions beyond those known to be high burden. Expanding the spectrum of health conditions in cross-sectional surveys could improve understanding of evolving disease patterns in the region.
spellingShingle Zhang, M
Kozlowski, H
Chew, R
Htun, NSN
Morris, SK
Akladious, C
Sarker, AR
Lubell, Y
Peto, TJ
The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title_full The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title_fullStr The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title_full_unstemmed The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title_short The spectrum of health conditions in community-based cross-sectional surveys in Southeast Asia 2010-21: a scoping review
title_sort spectrum of health conditions in community based cross sectional surveys in southeast asia 2010 21 a scoping review
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