基于地区的社会人口统计因素与低患病率环境中的潜伏性结核病感染有关
Jeffrey I Campbell1,2, Mary Tabatneck3, Grete E Wilt4
1Section of Pediatric Infectious Diseases, Boston Medical Center, Boston, Massachusetts.
The American journal of tropical medicine and hygiene
|August 14, 2023
概括
基于地区的贫困和疾病预防控制中心.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 儿童传染病 儿童传染病
背景情况:
- 基于地区的社会人口统计学标记被用于识别结核病 (TB) 风险.
- 这些标志物尚未被评估为儿童结核病感染的独立风险因素.
研究的目的:
- 评估人口普查区贫困,拥挤,外国出生的人口以及CDC的社会脆弱性指数 (CDC-SVI) 排名和儿童结核病感染之间的关联.
- 评估以区域为基础的社会人口统计学因素对儿童结核病感染风险在低负担环境中的特征的有用性.
主要方法:
- 在马萨诸塞州波士顿对儿童进行结核病感染测试的回顾性分析.
- 统计评估人口普查区贫困,拥挤,外国出生的人口,CDC-SVI和结核病感染之间的关联,以年龄,拥挤,外国出生的百分比和首选语言进行调整.
主要成果:
- 人口普查通道贫困增加与结核病感染的几率增加有关 (每10%的aOR增加:1.20;P=0.01),在语言调整后减弱.
- 增加CDC-SVI排名与增加结核病感染的几率有关,即使根据年龄和语言偏好进行调整 (每增加10个点的aOR为1.08;P=0.01).
结论:
- 包括贫困和CDC-SVI在内的基于地区的社会人口统计因素对于描述儿科结核病感染风险非常有价值.
- 这些因素有助于定义儿童结核病感染的社会生态在低患病率地区.
相关概念视频
Pulmonary Tuberculosis I
268
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
268
Pulmonary Tuberculosis IV
162
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
162
Pulmonary Tuberculosis III
365
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
365
Pulmonary Tuberculosis II
263
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
263
Pulmonary Tuberculosis V
201
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
201
Bias in Epidemiological Studies
352
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
352


