一项针对结核病家庭接触者非传染性疾病的试点横截面研究
Y Hamada1, A Lugendo2, T Ntshiqa3
1Institute for Global Health, University College London, London, UK.
IJTLD open
|July 11, 2024
概括
在结核病 (TB) 家庭接触者中对非传染性疾病 (NCD) 的查显示,未被诊断的疾病的患病率很高. 将非传染性疾病查整合到结核病接触调查中可能有利于公共卫生.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 关于非传染性疾病 (NCD) 在结核病 (TB) 家庭接触者 (HHC) 中的流行率的数据有限.
- 了解HHC中NCD流行率对于综合查和护理策略至关重要.
- 目前尚不清楚HHC查是否比一般社区查更能发现NCD病例.
研究的目的:
- 调查结核病家庭接触者 (HHC) 中非传染性疾病的流行率.
- 为了比较HHCs中的NCD流行率与一般社区中的个人.
- 评估将非传染性疾病查纳入结核病接触调查的可能性.
主要方法:
- 在南非和坦桑尼亚进行的试点横截面研究.
- 结核病患者的成年HHC和邻里对照被纳入.
- 查包括血压,斑点血糖和血红蛋白A1c测量.
主要成果:
- 203个HHC和160个对照被注册.
- 糖尿病和高血压的患病率在两组中都很高,HHC和对照组之间没有显著差异.
- 超过一半的已确定的非传染性疾病是新诊断的.
结论:
- 在结核病家庭接触者中,未被诊断的非传染性疾病的患病率很高.
- 将非传染性疾病查整合到结核病接触调查中显示出潜在的好处.
- 基于社区的查也可以有效地确定未被诊断的非传染性疾病.
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