Waukulu >> Nkhani >> 62% amakhala ndi nkhawa, malinga ndi kafukufuku watsopano wa SingleCare

62% amakhala ndi nkhawa, malinga ndi kafukufuku watsopano wa SingleCare

Nkhani

Kuda nkhawa ndikumvetsetsa kwa zomwe zikuchitika masiku ano. Pakati pa mliri wa coronavirus, nkhani zachitetezo cha chikhalidwe cha anthu, komanso zisankho zamtsogolo zamtsogoleri, sizowona kuti nkhawa ikhoza kukulirakulira. SingleCare inafufuza anthu 2,000 kuti adziwe zambiri za nkhawa ku America lero. Zotsatira izi zikuwonetsa kuti kuchuluka kwa nkhawa kukukulira ku America poyerekeza ndi ziwerengero zam'mbuyomu za nkhawa , makamaka kutchulidwanso kwa National Comorbidity Survey Replication (NCS-R) ya 2001-2003.

Chidule cha zomwe tapeza:

62% amakhala ndi nkhawa.
Pafupifupi theka la omwe amafunsidwa amakhala ndi nkhawa.
Matenda amisala ndi omwe amafala kwambiri.
Nkhawa imafala kwambiri pakati pa akazi kuposa amuna.
Zaka zapakati pazomwe amapezeka ndi zaka 24 mpaka 35.
Kuchuluka kwa matenda opatsirana kumakhala kochepa kwa magulu ochepa.
Kupsinjika kwanu ndikomwe kumayambitsa nkhawa.
Kugona, maubale, komanso thanzi lathu zimakhudzidwa kwambiri ndi nkhawa.
75% ya omwe amafunsidwa ndi nkhawa amakhalanso ndi thanzi labwino.
Oyankha omwe ali ndi zaka 55-64 ndi omwe samada nkhawa kwambiri za mliri wa COVID-19.
Mtengo wazachuma ndiye cholepheretsa kwambiri kupeza chithandizo chamankhwala.

62% amakhala ndi nkhawa

Zomwe tapeza zikuwonetsa kuwonjezeka kwa matenda azachipatala omwe ali ndi nkhawa poyerekeza ndi 2001-2003 NCS-R . Kafukufuku wathu adawonetsa kuti 21% ya omwe anafunsidwa amakhala ndi nkhawa mu 2020 pomwe 19% ya akulu aku US omwe adaphatikizidwa mu NCS-R anali ndi vuto lililonse mu 2001-2003. Tidapezanso kuti ambiri omwe amafunsidwa ku America (62%) amakhala ndi nkhawa zina ngati ali ndi matenda kapena ayi.

21% ya omwe anafunsidwa amapezeka kuti ali ndi nkhawa.
21% ya omwe amafunsidwa alibe vuto la nkhawa komabe amakhala ndi nkhawa nthawi zina.
20% ya omwe amafunsidwa amakhulupirira kuti ali ndi nkhawa koma sanapezeke ndi chipatala.
38% ya omwe adayankha akuti sakhala ndi nkhawa.

Pafupifupi theka la omwe amafunsidwa amakhala ndi nkhawa

Pafupifupi theka (47%) ya omwe amafunsidwa nawo amakhala ndi nkhawa nthawi zambiri. Ambiri mwa iwo (75%) adakhalapo ndi nkhawa m'miyezi isanu ndi umodzi yapitayi.

Mwa omwe adayankha omwe akuti ali ndi nkhawa:

47% ya omwe amafunsidwa omwe amakhala ndi nkhawa amakumana nawo pafupipafupi.
28% ya omwe adayankha omwe ali ndi nkhawa adakumana nawo miyezi isanu ndi umodzi yapitayo.
9% ya omwe adayankha omwe ali ndi nkhawa adakhalapo chaka chatha.
5% ya omwe amafunsidwa omwe amakhala ndi nkhawa adakumana nawo zaka ziwiri zapitazo.
4% ya omwe adayankha omwe amakhala ndi nkhawa adakumana nawo zaka zitatu kapena zisanu zapitazo.
7% ya omwe adayankha omwe ali ndi nkhawa adakumana nazo zaka zoposa zisanu zapitazo.

Matenda amisala ndi omwe amafala kwambiri

Malinga ndi NCS-R, phobias enieni anali matenda ofala kwambiri, omwe amakhudza akulu oposa 19 miliyoni ku US pakati pa 2001-2003. Phobias enieni ndiwo mantha owopsa, osaganizira chinthu china kapena zomwe zimayambitsa kupewa. Komabe, kafukufuku wathu adapeza kuti vuto lofala kwambiri la nkhawa ndi matenda amisala (GAD), matenda omwe NCS-R imanena kuti ndi ochepera 3% mwa akuluakulu aku US mu 2001-2003. GAD imadziwika ndikumangokhala ndi nkhawa kapena nkhawa yomwe nthawi zambiri imakhala yopanda tanthauzo.

Mwa omwe adayankha omwe akuti ali ndi nkhawa:

50% adakwanitsa kuda nkhawa.
39% ali ndi nkhawa komanso nkhawa.
32% ali ndi phobia kapena nkhawa zamagulu.
29% ali ndi mantha amantha .
21% ali ndi vuto lopwetekedwa mtima pambuyo pake ( PTSD ).
15% ali ndi matenda osokoneza bongo ( OCD ).
9% alibe matenda ovutika maganizo.
3% ali ndi mitundu ina yamavuto monga phobias, nkhawa zopatukana, ndi zina zambiri.

M'malingaliro a anthu onse aku America:

31% adakwanitsa kuda nkhawa.
24% ali ndi nkhawa ndi nkhawa.
20% ali ndi phobia kapena nkhawa zamagulu.
18% ali ndi vuto lamantha.
13% ali ndi vuto lopwetekedwa mtima pambuyo pake (PTSD).
9% ali ndi matenda osokoneza bongo (OCD).

Kuda nkhawa kumakhala kofala pakati pa akazi kuposa amuna

Kafukufuku wathu adalumikizidwa ndi kafukufuku wakale yemwe apeza kuti zovuta zamatenda zimachitika kwambiri mwa akazi kuposa amuna. Mogwirizana ndi zomwe tapeza pazakuwunika kwathu kuti matenda akuchulukirachulukira akuwonjezeka, kafukufuku wathu adapezanso kuchuluka kwa nkhawa kwa 4% mwa omwe amayankha akazi ndi 1% pamlingo woyankha mwa amuna omwe amafunsidwa kuposa NCS-R. Pulogalamu ya Maganizo a NCS-R adapeza kuti 23% ya akazi achikulire ndi 14% ya amuna akulu anali ndi vuto la nkhawa mu 2001-2003. Pomwe, kafukufuku wathu adapeza kuti 27% ya akazi omwe amafunsidwa komanso 15% ya amuna omwe adafunsidwapo amapezeka kuti ali ndi vuto la nkhawa ku 2020. Tidapezanso kuti 52% ya akazi ndi 39% ya amuna akuti amakhala ndi nkhawa nthawi zonse .

Adanenedwa kuda nkhawa pakati pa akazi ndi amuna
	Akazi	Matenda
Amadziwika kuti ali ndi nkhawa	27%	khumi ndi zisanu%
Khalani ndi nkhawa pafupipafupi	52%	39%
Ndakhala ndikuchita mantha	78%	61%

Kuphatikiza apo, zisonyezo zakukhumudwa pakati pa omwe amafunsidwa zimaperekedwa mwa akazi posachedwa kuposa amuna. M'modzi mwa akazi 5 adanenanso zodandaula kuyambira ali mwana (5 mpaka 12 wazaka) pomwe amuna nthawi zambiri amazindikira zizindikilo zakukula.

Palinso zosiyana pazomwe amafunsidwa amakhulupirira kuti zimayambitsa nkhawa zawo pakati pa amuna ndi akazi. Mwachitsanzo, amuna owirikiza kawiri kuposa akazi amakhulupirira kukhumudwa monga zotsatira zamankhwala. Kutetezeka kwachuma komanso kupsinjika pantchito kunanenedwanso kuti zimayambitsa nkhawa pakati pa amuna kuposa akazi. Kumbali inayi, zoopsa ndi ma genetics ndizofala kwambiri zomwe zimayambitsa nkhawa pakati pa akazi kuposa amuna.

Adanenedwa zomwe zimayambitsa nkhawa pakati pa akazi ndi amuna
	Akazi	Matenda
Zowopsa	30%	17%
Chibadwa / mbiri ya banja	26%	18%
Zotsatira zoyipa za mankhwala	3%	6%
Kupsinjika pantchito	28%	3. 4%

Kuda nkhawa kumakhudzanso amuna ndi akazi mosiyanasiyana. Mwachitsanzo, akazi ambiri kuposa amuna omwe ali ndi nkhawa adanenanso zakukhumudwa komanso kupweteka mutu / migraines kuposa amuna. Pakadali pano, amuna omwe ali ndi nkhawa adanenanso zovuta kugona kuposa akazi.

Kuponderezedwa kwa nkhawa pakati pa akazi ndi amuna
	Akazi	Matenda
Matenda okhumudwa	53%	43%
Mutu / migraines	30%	19%
Matenda atulo	2. 3%	31%

Amuna ndi akazi amalimbana ndi nkhawa mosiyanasiyana. Amayi ambiri kuposa amuna adanena kuti samamwa mowa pang'ono, kudya, kuchita masewera olimbitsa thupi, komanso kucheza pang'ono pomwe ali ndi nkhawa.

Adanenanso njira zothetsera nkhawa pakati pa akazi ndi amuna
Zochita mukakhala ndi nkhawa	Akazi	Matenda
Imwani mowa wambiri	16%	makumi awiri ndi mphambu imodzi%
Idyani pang'ono	2. 3%	18%
Muzichita masewera olimbitsa thupi pang'ono	40%	30%
Muzicheza pang'ono	59%	51%

ZOKHUDZA: Momwe mungazindikire nkhawa mwa amuna

Zaka zapakati pazomwe amapezeka ndi zaka 24 mpaka 35

Kafukufuku wolemba Msonkhano wa American Psychiatric mu 2017 adapeza kuti zaka zikwizikwi (azaka 24 mpaka 39 lero) ndi m'badwo wodetsa nkhawa kwambiri.Kafukufuku wathu adagwirizana ndi ndondomekoyi popeza nkhawa zazikulu kwambiri zimapezeka pakati pa 18- mpaka 35 azaka poyerekeza ndi omwe akutenga nawo mbali. Wachitatu mwa omwe anafunsidwa adanena kuti nkhawa zawo zidayamba azaka zapakati pa 13 ndi 19. Omwe adafunsidwa azaka zapakati pa 18 - 24 azaka zambiri amatha kukhala ndi zizindikilo za nkhawa koma samapezeka ndi matenda pomwe matenda anali ofala pakati pa 25 mpaka 34 -azaka zambiri. Ambiri mwa achikulire omwe adayankha ndikuyankha omwe ali ndi zaka zopitilira 65 sananene chilichonse, malinga ndi kafukufuku wathu.

Kutengera ndi kafukufuku wathu:

Gawo limodzi mwa atatu mwa omwe anafunsidwa (33%) adanenanso kuti zovuta zawo zidayamba pakati pa 13 ndi 19.
Amodzi mwa atatu mwa azaka 18 mpaka 24 (34%) amakhulupirira kuti ali ndi nkhawa koma sanapezeke ndi matendawa.
Mwa omwe adayankha omwe ali ndi matenda azachipatala, 28% ali ndi zaka 25 mpaka 34. Pafupifupi 60% ya omwe amafunsidwa mgulu lino amakhala ndi nkhawa pafupipafupi.
Anthu makumi asanu ndi anayi mphambu asanu mwa anthu achikulire omwe anafunsidwa azaka 55 mpaka 64 azaka zakubadwa ndipo 53% ya omwe amafunsidwa akulu azaka 65+ sananene kuti ali ndi nkhawa.
Ndi 5% okha mwa omwe anafunsidwa omwe akuti nkhawa zawo zidayamba ali ndi zaka 65, ndipo 13% yokha ya okalamba ndiomwe adazindikira kuti ali ndi nkhawa.

Chidziwitso: Ndi akulu okha (azaka 18+) omwe adaphatikizidwa pazofufuza zathu za nkhawa.

Kuchuluka kwa matenda opatsirana kumakhala kochepa kwa magulu ochepa

Azungu aku America ndi omwe amatha kuthana ndi vuto la nkhawa, nkhawa zamagulu, komanso mantha, malinga ndi kafukufuku wa 2010 wofalitsidwa mu Journal of Nervous and Mental Disease . Phunziroli, anthu aku Africa America nthawi zambiri amakwaniritsa zomwe zimachitika pambuyo pa zoopsa. Anthu aku Asia aku America anali ndi mavuto ochepera kuposa mitundu ina.

Zotsatira zotsatirazi kuchokera kufukufuku wathu zikugwirizana ndi izi:

Kotala (25%) azungu aku America apezeka kuti ali ndi nkhawa. Owonjezera 18% amakhulupirira kuti ali ndi nkhawa koma sanapezeke.
Pafupifupi kotala la gulu lililonse laling'ono-Black American (24%), Asia-America (27%), ndi Puerto Rico America (23%) - amakhulupirira kuti ali ndi nkhawa koma sanapezeke.
Komabe, kuchuluka kwa matendawa ndikotsika kwa magulu ochepa. Ndi 13% okha aku Black American ndi 6% aku Asia-America omwe adapezeka ndi matenda.

Kupsinjika kunyumba ndikomwe kumayambitsa nkhawa ku America

Kuphatikizika kwa ziwopsezo zamtundu ndi chilengedwe kumayambitsa nkhawa. Zomwe zimayambitsa chibadwa zimatha kukhala ndi mbiri yakukhala ndi nkhawa m'banjamo, zamanyazi zomwe zimawonetsedwa adakali achichepere, kapena matenda. Zinthu zachilengedwe zitha kuphatikizira kukumana ndi zoopsa.

48% ya omwe adayankha adanenanso kuti kupsinjika kunyumba kumabweretsa nkhawa.
32% adatinso kudzidalira kumawachititsa nkhawa. Kudzidalira kunali kofala kwambiri (46%) pakati pa omwe amafunsidwa azaka za 18- mpaka 24.
30% amafotokoza kupsinjika kuntchito kumayambitsa nkhawa. Pafupifupi theka (46%) la omwe amafunsidwa omwe amakhulupirira kuti kupsinjika pantchito kumapangitsa kuti nkhawa zawo zizigwiritsidwa ntchito nthawi zonse. Kupsinjika pantchito kumakulanso pamene malipiro akuwonjezeka. Mwachitsanzo, 57% ya omwe amafunsidwa omwe amakhala ndi nkhawa kuntchito amapanga $ 200,000- $ 500,000 pachaka poyerekeza ndi 22% omwe amalandira ndalama zosakwana $ 25,000.
30% akuti amakhulupirira kuti matenda amisala omwe amapezeka nawo amachititsa nkhawa zawo. Matenda okhumudwa ndimatenda omwe amapezeka kwambiri pakati pa omwe amafunsidwa omwe akuti ali ndi nkhawa.
28% amafotokoza za chitetezo chachuma zimayambitsa nkhawa.
26% akuti mliri wa COVID-19 umayambitsa nkhawa.
25% amafotokoza zoopsa zomwe zimayambitsa nkhawa.
23% adatinso mbiri yakubadwa ndi nkhawa.
14% amafotokoza kuti thanzi limayambitsa nkhawa.
12% amafotokoza zovuta zachitukuko zomwe zimabweretsa nkhawa. 20% ya omwe adayankha omwe amakhulupirira kuti milandu yokhudza chikhalidwe cha anthu imayambitsa nkhawa zawo anali ophunzira.
9% amafotokoza zina zomwe zimayambitsa nkhawa, monga kusowa kwa mankhwala, nkhawa zathanzi, komanso maubale.
4% amafotokoza nkhawa ndi zotsatira zoyipa zamankhwala.
4% amafotokoza kuti kugwiritsa ntchito mankhwala osokoneza bongo kumayambitsa nkhawa.

Kugona, maubale, komanso thanzi lathu zimakhudzidwa kwambiri ndi nkhawa

Kuda nkhawa kumatha kusokoneza chikhalidwe cha tsiku ndi tsiku m'njira zosiyanasiyana kutengera mtundu wamavuto. Mwachitsanzo, anthu omwe ali ndi vuto lamantha amatha kusiya kuchita masewera olimbitsa thupi kapena kugonana kuti apewe kuwonjezeka kwa zizindikilo zolakwika za thupi; anthu omwe ali ndi agoraphobia amatha kupewa malo ogulitsira, kuchuluka kwa anthu, kuyendetsa galimoto, kapena kuwuluka - pena paliponse pomwe atha kukhala ndi mantha ndipo sangathe kuthawa kapena kupeza thandizo, atero Jill Stoddard ,Ph.D., katswiri wama psychology ku San Diego.

61% akuti nkhawa yawo imakhudza kugona kwawo; 47% akuti sagona pang'ono akakhala ndi nkhawa.
52% akuti nkhawa yawo imakhudza ubale wawo; 56% akuti amakhala ocheperako akakhala ndi nkhawa.
40% akuti nkhawa yawo imakhudza thanzi lawo; 36% akuti samachita zochepa akakhala ndi nkhawa.
39% akuti nkhawa yawo imakhudza magwiridwe antchito kusukulu kapena kuntchito; 67% ya ophunzira akuti nkhawa imakhudza magwiridwe antchito awo pasukulu.
32% akuti nkhawa yawo imakhudza kusintha kwa njala; 33% akuti amadya kwambiri akakhala ndi nkhawa.
29% akuti nkhawa yawo imakhudza moyo wawo wonse.
12% akuti nkhawa yawo imakhudza kugwiritsa ntchito mankhwala osokoneza bongo / nkhanza; komabe, ambiri omwe amafunsidwa amagwiritsa ntchito mankhwala osokoneza bongo mocheperako (53%), samamwa mowa wocheperako (38.2%), ndikusuta pang'ono (46%) akakhala ndi nkhawa.
9% akuti nkhawa sikukhudza moyo wawo watsiku ndi tsiku.
3% ya omwe anafunsidwa amafotokoza zovuta zina, kuphatikizapo kuyendetsa galimoto, zochitika pagulu, ndi kulandira chithandizo chamankhwala.

75% ya omwe amafunsidwa ndi nkhawa amakhala ndi thanzi labwino

Omwe amakhala ndi nkhawa nthawi zambiri amakhala ndi matenda amisala kapena amisala (omwe amatchedwa comorbidity), omwe amatha kupangitsa zizindikilo za nkhawa kukhala zovuta kuthana nazo. Matenda okhumudwa ndi omwe amafala kwambiri m'maganizo kuti azichitika ndi nkhawa . Zomwe zimachitika kwambiri pakukhumudwa komanso kuda nkhawa zili pakati pa akazi (53%) ndi azaka 25- mpaka 34 (55%). Pansipa pali zochitika zonse zomwe anthu omwe adafufuza nawo ali ndi nkhawa.

49% adanenanso zakukhumudwa
26% adanenanso za vuto la kugona
25% adanenanso mutu / migraine
20% adanena zowawa zosatha
11% adanenanso za matenda akulu, osatha, kapena osachiritsika (matenda ashuga, nyamakazi, khansa, ndi zina zambiri)
10% adanenanso za matumbo osakwiya (IBS)
9% adanenanso za vuto lakudya
8% adanenanso za nkhawa zaumoyo (hypochondria)
7% adanenanso za kuchepa kwa chidwi (ADHD)
5% adanenanso za fibromyalgia
5% adanenanso za matenda osokoneza bongo
4% adanenanso zaumoyo wina, monga matenda amthupi okha, kusinthasintha kwa maganizo, ndi multiple sclerosis
3% idanenanso zakusokonekera
2% adanenanso za schizophrenia
25% sanafotokozere zomwe zimachitika ndi thanzi ndi nkhawa

Oyankha omwe ali ndi zaka 55-64 ndi omwe samada nkhawa kwambiri za mliri wa COVID-19

Mliri wa COVID-19 wadzetsa mavuto ochulukirapo komanso nkhawa. Wathu Kafukufuku wa coronavirus mu Marichi 2020 adawulula kuti pafupifupi theka (40%) ya omwe anafunsidwa anali ndi nkhawa kuti malangizo atsopano okhudza kusokoneza chikhalidwe chawo angakhudze thanzi lawo lamaganizidwe. Kumayambiriro kwa kutsekedwa, 27% ya omwe anafunsidwa adamva kuti ali kutali, 15% adakhala ndi nkhawa zambiri, ndipo 14% adamva kupsinjika.

Kuyambira Marichi, manambalawa akula. Pakafukufuku wathu wamavuto omwe adachitika mu Ogasiti 2020, tidapeza zotsatirazi smawonekedwe:

43% akuda nkhawa kwambiri ndi thanzi lawo.
35% akuti kudzipatula kwawonjezera nkhawa zawo.
23% akuti kusakhazikika pagulu kwawonjezera nkhawa zawo.

Komabe, si aliyense amene anena kuti ali ndi nkhawa ndi mliri wa coronavirus:

Kudzipatula akuti kuchepa nkhawa pafupifupi pafupifupi khumi (9%) ya omwe adayankha azaka 35 mpaka 44.
Ngakhale okalamba omwe ali ndi zaka 65 amawerengedwa kuti ali pachiwopsezo chachikulu cha matenda a coronavirus, 31% akuti mliriwu sunakhudze nkhawa zawo ndipo 15% akuti nkhawa zawo sizinasinthe.
Owonjezera 28% omwe adayankha omwe ali ndi zaka 55 mpaka 64 adatinso mliriwu sunakhudze nkhawa zawo. Pafupifupi kotala (21%) a iwo akuti amagwiritsa ntchito njira zothanirana ndi nkhawa.
Amuna ambiri (27%) kuposa akazi (20%) ati mliriwu sunakhudze nkhawa zawo.

Mtengo wazachuma ndiye cholepheretsa kwambiri kupeza chithandizo chamankhwala

Matenda oda nkhawa amachiritsidwa kwambiri, komabe ndi 36.9% yokha ya omwe akuvutika amalandila chithandizo, atero Sanam Hafeez ,Psy.D, katswiri wokhudzana ndi ubongo ku New York City komanso membala waukadaulo ku University University. Komabe, kafukufuku wathu adapeza kuti anthu ambiri akufuna chithandizo cha nkhawa zawo, popeza 47% ya omwe adayankha ali ndi nkhawa adanenanso kuti agwiritsa ntchito mankhwala kapena chithandizo chazovuta. Tidayang'ana zopinga zomwe zingalepheretse anthu kupeza chithandizo chamankhwala ndipo tidapeza kuti pakati pa omwe adachita nawo kafukufuku mtengo wamankhwala kapena chithandizo chake ndi womwe umalemetsa kwambiri.

27% imanenanso kuti mtengo wamankhwala amathandizidwe komanso / kapena mankhwala ndiye cholepheretsa chachikulu kuchiza nkhawa.
26% akuti safuna chithandizo chamankhwala.
24% akuti alibe zopinga kuchipatala.
17% amafotokoza kuti sakudziwa zomwe ali nazo kapena zosankha zawo. Kotala la iwo omwe amakhulupirira kuti ali ndi nkhawa koma sanapezeke ndi chipatala sakudziwa zomwe ali nazo kapena zomwe angasankhe.
13% akuti manyazi omwe amakhala nawo chifukwa cha zovuta zamatenda amawalepheretsa kupeza thandizo. Manyazi pagulu amasunga 22% ya azaka zapakati pa 18 mpaka 24 kuti asalandire chithandizo.
12% akuti malo azachipatala ndi ovuta.
10% amafotokoza kuti inshuwaransi yawo sikuphatikiza chithandizo chazovuta.
5% amafotokoza zopinga zina, monga mliri wa COVID-19. Mwachitsanzo, 11% ya achinyamata azaka zapakati pa 18 mpaka 24 awona othandizira awo kapena akatswiri azamisala ochepa panthawi ya mliriwu ndipo 6% asiya kumwa mankhwalawa nkhawa.

Kuphatikiza apo, kwa iwo omwe amalandila chithandizo cha nkhawa, ndi 12% yokha omwe amawauza kuti mankhwalawa ndi othandiza kwambiri, kutanthauza kuti amachepetsa nkhawa kwathunthu kapena pafupifupi kwathunthu. Makumi awiri mphambu asanu ndi atatu mphambu zisanu ndi ziwirizi akuti chithandizo chawo ndi chothandiza pang'ono ndipo 7% akuti chithandizo chawo sichothandiza. Ambiri (53%) sagwiritsa ntchito mankhwala kapena mankhwala.

Njira zathu:

SingleCare idachita kafukufukuyu pa intaneti kudzera pa AYTM pa Ogasiti 4, 2020. Kafukufukuyu akuphatikiza nzika 2,000 ku United States okalamba azaka 18+. Zaka ndi jenda zinali zowerengera anthu kuti zifanane ndi anthu aku US azaka, zaka, ndi dera la US.