对日本喉外体的调查:使用全国索赔数据进行的生态研究
Shintaro Tanaka1, Kensuke Uraguchi2, Etsuji Suzuki3
1Department of Otolaryngology-Head and Neck Surgery, Kagawa Rosai Hospital, Kagawa, Japan.
International journal of pediatric otorhinolaryngology
|August 13, 2024
概括
在日本,喉外体 (PFB) 事件在7月达到峰值,在儿童中更为常见. PFB病例的区域差异与当地食品文化和鱼类消费有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 喉外体 (PFB),主要是鱼骨,在全球范围内很常见.
- 之前对日本PFB的研究缺乏全国范围,这限制了对区域和时间模式的理解.
研究的目的:
- 对日本的门诊PFB病例进行全面的全国性分析.
- 调查季节性趋势,年龄和性别分层的发病率,以及PFB发生的区域差异.
- 探索饮食习惯,食物文化和日本各县的PFB发病率之间的关系.
主要方法:
- 利用了日本国家健康保险索赔和特定健康检查数据库 (2019年4月-2022年3月).
- 分析了PFB病例数据,按月份,年龄,性别和县划分.
- 计算了每个县的标准化索赔比率 (SCR),并采用了两级线性回归模型来评估与饮食因素的关联.
主要成果:
- 总共有164,337例门诊PFB病例被分析,平均发病率为每10万人中45.6例.
- 从2019年到2021年,每年在7月份观察到PFB事件的明显季节性峰值.
- 在儿童,日本西部和鱼类和贝类支出较高的地区,发现PFB发病率较高.
结论:
- 全国数据显示,日本国内的PFB发病率存在显著的区域差异,受当地食物文化和饮食习惯的影响.
- 儿童占有较高PFB发病率的人口,这强调了有针对性的预防教育的必要性.
- 该研究强调了在减少PFB发生的战略中考虑区域饮食实践的重要性.
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