伊朗涂抹阳性肺结核发病率的空间分布:基于注册表的研究 (2018-2022)
Maryam Rastegar1, Eisa Nazar2, Mohammad Taghi Shakeri1
1Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
International journal of preventive medicine
|September 6, 2024
概括
伊朗的染阳性肺结核 (SPPTB) 发病率在空间上有所不同,较高的发病率与收入不平等有关. 早期诊断是减少SPPTB负担的关键,特别是在西斯坦和巴鲁切斯坦等地区.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 染阳性肺结核 (SPPTB) 仍然是伊朗的重大公共卫生挑战.
- 本研究调查了从2018年到2022年在伊朗的SPPTB发病率.
研究的目的:
- 分析SPPTB发病率的空间分布.
- 检查SPPTB,收入不平等和延迟诊断之间的关系.
- 确定针对性干预的高风险地区.
主要方法:
- 基于注册表的研究分析了2018-2022年的SPPTB病例.
- 应用空间滞后模型来评估空间模式.
- 使用地理信息系统 (GIS) 来绘制地图.
主要成果:
- 在老年男性中,SPPTB的患病率更高.
- 在SPPTB发病率,收入不平等和诊断延迟方面观察到显著的空间变化.
- 西斯坦和巴鲁切斯坦以及戈利斯坦省份的SPPTB发病率最高.
- 较高的收入不平等 (吉尼指数) 与SPPTB发病率呈正相关.
- 与延迟诊断的负相关性表明早期病例识别.
结论:
- 社会经济差异影响健康结果,需要在收入不平等很高的地区采取有针对性的干预措施.
- 尽管总体下降,但某些地区如西斯坦和巴鲁切斯坦需要持续关注.
- 旨在减少收入不平等和延迟诊断的政府政策可以减轻SPPTB的负担.
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