结核病负担估计的差异:朝鲜叛逃者与官方报告的差异
Inho Jang1, Heesang Han1, Seungcheol Lee2
1College of Medicine, Korea University, Seoul, Republic of Korea.
Frontiers in public health
|June 16, 2025
概括
朝鲜叛逃者 (NKD) 的结核病 (TB) 患病率显著下降,但仍然高于韩国. 这凸显了朝鲜结核病控制和数据报告方面的差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病控制和控制传染病
背景情况:
- 朝鲜和韩国在朝鲜战争后实施了不同的结核病 (TB) 疫情控制战略.
- 由于数据有限,了解朝鲜的结核病流行病学具有挑战性.
研究的目的:
- 使用韩国国家健康保险 (NHIS) 数据,比较朝鲜叛逃者 (NKD) 的结核病流行病学.
- 评估对了解朝鲜结核病患病率的影响.
主要方法:
- 利用2007年至2019年的NHIS索赔数据进行结核病流行病分析.
- 与年龄和性别匹配的韩国对照 (n=107,016) 进行NKD (n=35,620) 的比较.
主要成果:
- 虽然NKD结核病患病率从466/100,000 (2010) 降至95/100,000 (2019),但仍然是韩国的3-7倍.
- 在NKD中观察到明显的与年龄相关的结核病模式 (25-34岁和65岁以上的峰值).
- 在NKD中估计的多抗药性结核病率较高,表明朝鲜数据可能不充分报道.
结论:
- 在NKD和北韩本土结核病患病率之间存在显著的差异.
- 北韩的估计和报告的结核病负担之间的差距需要改进数据收集.
- 针对性结核病控制策略对于解决卫生系统差异和将NKD纳入医疗保健至关重要.
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