克鲁茨菲尔特-雅各布病变体在英国的地理分布,1994-2000年
1Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, UK. simon.cousens@lshtm.ac.uk
Lancet (London, England)
|April 11, 2001
概括
在英国观察到克鲁茨菲尔特-雅各布病 (vCJD) 发病率的地理差异. 较高的vCJD发病率与肉类消费相关,这表明潜在的饮食与这种病的联系.
科学领域:
- 流行病学 流行病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 克鲁茨菲尔特-雅各布病 (vCJD) 变种的地理分布可能表明传播途径.
- 研究了区域性vCJD发病率与饮食模式之间的相关性.
研究的目的:
- 为了探索vCJD分布的地理差异.
- 评估英国地区vCJD发病率与饮食习惯之间的关系.
主要方法:
- 截至2000年11月,国家CJD监督部门对84起vCJD案件的前景识别.
- 对终身居住历史和1991年居住数据的分析,以计算累计的区域发病率并确定地理集群.
- 区域性vCJD发病率与20世纪80年代的饮食数据的相关性以及社会经济地位的比较.
主要成果:
- 与南部相比,英国北部的vCJD发病率明显高于南部 (病率比率为1.94).
- 区域性vCJD发病率与肉制品消费有正相关性 (r=0.72).
- 在莱斯特郡确定了五个vCJD病例的统计学上显著的集群 (p=0.004).
结论:
- 区域性vCJD发病率差异不太可能仅仅是由于确定偏差.
- 不一致的饮食分析结果使确定区域饮食变化与vCJD发病率之间的明确联系变得复杂.
- 需要进一步调查以澄清饮食在vCJD地理分布中的作用.
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