评价肺结核疾病负担在沈阳,中国,2023年
Huijie Chen1,2, Haiyan Bi3,4, Peng Li1
1Department of Infectious Disease, Shenyang Municipal Center for Disease Control and Prevention(Shenyang Municipal Health Supervision Institute), Shenyang, 110623, Liaoning Province, China.
BMC infectious diseases
|February 5, 2025
概括
沈阳的肺结核 (PTB) 在男性和老年人中显示出更高的疾病负担. 该研究强调,PTB主要导致过早死亡,强调需要早期干预,特别是在老年男性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 肺结核 (PTB) 是一个重要的全球健康威胁,在中国有相当大的区域差异.
- 没有先前的研究评估了PTB疾病负担,特别是在沈阳.
研究的目的:
- 确定沈阳PTB疾病负担的规模,组成和分布.
- 为有针对性的公共卫生干预提供数据.
主要方法:
- 利用全球疾病负担 (GBD) 框架计算残疾调整寿命年 (DALY).
- 采用描述性流行病学方法来分析2023年沈阳的PTB数据.
- 根据人口统计数据的发病率,死亡率和DALY率评估疾病负担.
主要成果:
- 在2023年,沈阳报告了4,169例PTB病例和189例死亡,男性和80岁及以上的个人患病率和死亡率更高.
- 在男性 (91.73/105) 和老年人 (149.86/105) 中,PTB DALY 的比率为58.25/105,显著更高.
- 失去了生命年数 (YLLs) 占DALY总数的71.38%,表明PTB主要导致过早死亡.
结论:
- 沈阳的PTB DALY率低于中国全国平均水平,但显示出明显的随年龄增长的趋势.
- 与女性相比,男性的PTB疾病负担不成比例地高 (4倍以上).
- 这些发现强调需要早期干预策略来减少PTB传播和死亡率,重点关注老年男性.
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