在韩国,较低的社会经济地位与较高的结核病率有关
Seong-Woo Choi1, Jeong-Ja Im2, Sang-Eun Yoon2
1Department of Preventive Medicine, Chosun University Medical School, 309, Pilmun-daero, Dong-gu, Gwangju, 61452, Republic of Korea. jcsw74@hanmail.net.
BMC pulmonary medicine
|November 1, 2023
概括
韩国的结核病发病率与社会经济地位有很大关系. 较低的收入和教育水平与较高的结核病患病率和治疗率有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 结核病 (TB) 是一种受社会决定因素影响的传染病.
- 社会经济地位 (SES) 越来越被认为是传染病流行病学的关键因素.
- 了解SES和结核病之间的相互作用对于有效的公共卫生干预至关重要.
研究的目的:
- 调查韩国结核病发病率与社会经济地位之间的关联.
- 分析家庭月收入,教育水平和结核病患病率之间的关系.
- 检查SES指标与当前结核病治疗之间的相关性.
主要方法:
- 利用了来自韩国国家健康和营养检查调查 (KNHANES) VI-VIII (2013-2021) 的数据.
- 包括49483名参与者在分析中.
- 采用多变量逻辑回归来评估结核病率与SES四分位数 (收入,教育) 之间的关系.
主要成果:
- 结核病患病率与社会经济地位之间发现了显著的相关性.
- 最低收入四分位数的结核病几率比率 (OR) (OR,6.0;95% CI,1.1-32.0) 与最高收入四分位数相比显著更高.
- 较低的教育水平 (≤6岁和10-12岁) 与13年以上的教育相比,结核病的几率增加 (分别为OR,4.1和3.8).
- 目前的结核病治疗也与收入和教育水平有很大关系.
结论:
- 在韩国的结核病率和社会经济地位之间存在实质性的相关性.
- 这些发现强调了解决结核病控制战略中的社会经济差异的重要性.
- 公共卫生倡议应考虑社会经济因素,以便更有效地预防和管理结核病.
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