使用地理分类来比较美国印第安人和阿拉斯加土著人的结核病流行病学-美国,2010-2020年
Yuri P Springer1, J Steve Kammerer2, Derrick Felix2
1Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA, USA. vkh3@cdc.gov.
Journal of racial and ethnic health disparities
|February 9, 2024
概括
与其他AI/AN群体相比,阿拉斯加原住民和美洲印第安人 (AI/AN) 群体的结核病 (TB) 发病率高出21倍. 低标准的住房和不同的风险因素有助于这些差异,需要量身定制的公共卫生干预措施.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 人口面临着美国最高的结核病 (TB) 率.
- 在地理上不同的AI/AN亚组之间存在着结核病流行病学的显著差异.
研究的目的:
- 系统地调查不同AI/AN子组的结核病模式及其驱动因素.
- 为了比较阿拉斯加和其他美国州的AI/AN个体之间的结核病流行病学.
主要方法:
- 使用了国家结核病监测系统数据 (2010-2020年).
- 采用地理数据分类来比较结核病发病率和患者特征.
- 分析了美国人口普查数据的住房状况差异.
主要成果:
- 阿拉斯加的AI/AN TB发病率是其他州的21倍.
- 阿拉斯加的AI/AN结核病患者最近的传播率和之前的结核病诊断率较高.
- 阿拉斯加的AI/AN社区的住房条件明显低于标准.
结论:
- 在AI/AN小组中观察到不同的结核病流行病学概况.
- 患者特征和住房条件的差异凸显了定制公共卫生干预措施的必要性.
- 研究结果表明,有针对性的策略可以提高AI/AN群体的结核病控制效率.
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