印度喀拉拉邦2017-2020年因肺结核而调整的残疾寿命年 (DALYs) 的国家和地区具体估计
Zinia T Nujum1, Rakesh P Suseela2, G G Lakshmi3
1Department of Community Medicine, Government Medical College, Kollam, India.
The Indian journal of medical research
|October 9, 2024
概括
根据残疾调整的寿命年 (DALY) 提供了喀拉拉邦结核病 (TB) 负担的综合衡量标准. DALY的估计突出了各地区之间的差异,这表明它们可以用于针对性地分配结核病控制计划的资源.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 结核病 (TB) 控制计划传统上依赖于发生率和死亡率.
- 根据残疾调整的寿命年 (DALYs) 为疾病负担提供了更全面的衡量标准.
- 估计特定地区的结核病负担对于有效的资源分配至关重要.
研究的目的:
- 用DALYs估计喀拉拉邦的结核病 (TB) 的州和地区具体负担.
- 为了比较DALY的估计与传统的结核病指标,如发病率.
- 确定高负担的地区,优先考虑结核病控制工作.
主要方法:
- 作为唯一的数据来源,使用了来自喀拉拉的Ni-kshay通知注册 (2017-2020).
- 计算结核病发病率,发病的中位数年龄,病例死亡率和死亡率的中位数年龄.
- 使用R套餐计算的DALY,使用0.333.3的残疾权重.
主要成果:
- 相对DALY在2019年达到峰值 (1482/100,000),并在2020年 (1124/100,000) 处于最低水平.
- 发病率最高的地区并不总是与最高的DALY相关.
- 厄尔纳库勒姆和立苏尔地区的结核病负担最高,而伊杜基的结核病负担最低.
结论:
- 喀拉拉邦的DALY估计表明,在2020年之前的增长趋势可能是由于加强了结核病检测工作.
- 该研究强调了DALY对于 TB 控制资源分配中优先考虑地区的重要性.
- 发病率和DALY之间的差异突显出需要细致的负担评估.
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