ヒスパニック系成人の結核に対するリスク認識 - 米国,2020-2022年
Elise Caruso1, Joan M Mangan1, Allison Maiuri1
1Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA.
American journal of health promotion : AJHP
|September 4, 2025
まとめ
ワクチン接種を受けても受けなくても結核 (TB) の検査を受けた米国のヒスパニック系成人は,結核のリスクが高いと報告した. 危険にさらされている地域において 標的を絞った結核の教育と予防の必要性を強調しています
科学分野:
- 公衆衛生
- 流行病学
- 健康 の 格差
背景:
- 結核 (TB) は依然として世界的な健康問題であり,特定の集団に不均衡な影響を及ぼしています.
- 効果的な結核予防戦略には リスクの認識を理解することが重要です
- 過去の結核検査とワクチン接種は,個人のリスク意識に影響を与える可能性があります.
研究 の 目的:
- アメリカのヒスパニック系成人の結核 (TB) のリスク認識を評価する.
- 過去の結核検査/ワクチン接種と認知された結核リスクとの関連を調べる.
- 標的型結核予防と教育イニシアチブを推進する.
主な方法:
- 2837人の米国ヒスパニック系成人を対象とした2020-2022年のエスティロス調査データの横断分析.
- 結核検査/ワクチン接種の自己報告データ,結核リスクの認識,人口統計データを収集した.
- 分析には加重比例,キ2テスト,多項論理回帰を用いた.
主要な成果:
- 参加者の28. 3%が結核検査とワクチン接種の両方を受け,7. 2%が検査のみを受け,15. 3%がワクチン接種のみを受けていた.
- 結核検査を受けた人 (ワクチン接種を受けた人または接種を受けていない人) は,検査を受けていない人およびワクチン接種を受けていない人と比較して,結核のリスクを認識する確率が著しく高かった.
- 調整された確率比 (aOR) は,テストされたグループのみで2. 79であり,テストとワクチン接種グループでは1. 89であった.
結論:
- 過去の結核検査は,米国のヒスパニック系成人の結核リスクの認識を高めることと関連しています.
- 結核検査がリスク意識を高めることの重要性を強調しています.
- 予防の取り組みを強化するために,介入はリスクのある集団を教育し,TB検査を奨励することに重点を置くべきです.
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