澳大利亚偏远社区的气管瘤年龄特异性患病率
Clare E F Dyer1, Alison Jaworski1, Carleigh S Cowling1
1The Kirby Institute, UNSW Sydney, Randwick, New South Wales, Australia.
Ophthalmic epidemiology
|February 6, 2026
概括
澳大利亚1至4岁儿童的活跃气管瘤患病率与5至9岁儿童的患病率相似. 这支持在澳大利亚使用较年长的年龄组进行气管瘤消除监测.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 在偏远的澳大利亚土著社区,瘤仍然是特有病.
- 世界卫生组织 (WHO) 的目标是,在1至9岁的儿童中, active trachoma 发病率低于5%,以消除.
- 目前澳大利亚的查重点是5-9岁的儿童,可能低估了年幼儿童的患病率.
研究的目的:
- 确定澳大利亚1至4岁儿童的活跃气管瘤患病率是否高于5至9岁儿童.
- 评估在澳大利亚使用5-9岁儿童进行气管瘤消除监测的适用性.
主要方法:
- 2018年,在64个有风险社区,有2907名儿童接受了查.
- 使用世卫组织简化分级标准进行了评估.
- 使用混合效应模型进行后勤回归,比较年龄组之间的流行率 (1-4岁与5-9岁).
主要成果:
- 总体而言,活跃气管瘤的患病率在5-9岁儿童中为7.2%,在1-4岁儿童中为6.9%.
- 在两个年龄组之间没有发现统计学上显著的患病率差异 (OR = 1.29; 95% CI: 0.93-1.79).
- 当分析受到地理或社区查覆盖范围的限制时,这种缺乏差异仍然存在.
结论:
- 与5-9岁儿童相比,澳大利亚1-4岁儿童的活跃气管瘤患病率似乎并不高.
- 结果支持继续使用5-9岁的儿童监测澳大利亚气管瘤消除进展.
- 目前针对5-9岁儿童的查策略适用于评估气管瘤消除的关键指标.
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