应用捕获和重新捕获方法来估计使用印度卫生服务医疗记录2016-2021年的克拉米迪亚和冠状病毒感染负担
Dana L Haberling1,2, Lin Ge3, Tracy Pondo4
1Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
American journal of epidemiology
|February 10, 2026
概括
美国印第安人和阿拉斯加土著人面临着高水平的克拉米迪亚和淋病. 印度卫生服务的医疗记录可以改善对这些性传播感染的监测.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 健康差异 在健康上的差异
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 种群的克拉米迪亚和淋病 (CT/GC) 发病率不成比例.
- 缺乏通过印度卫生服务 (IHS) 接受护理的个人中CT/GC的近期负担估计.
- 没有建立的监测系统来监测CT/GC负担和趋势,特别是在IHS.
研究的目的:
- 估计从2016年到2021年通过IHS获得医疗保健的15岁以上的人群中,克拉米迪亚和淋病感染的负担.
- 评估IHS医疗记录对估计CT/GC患病率和识别低计数的有用性.
- 为监测,推广,测试和治疗的公共卫生战略提供信息.
主要方法:
- 采用两种捕获-重新捕获 (CRC) 方法,使用两种IHS电子健康记录数据源:诊断代码和实验室测试结果.
- 2016年至2021年期间15岁及以上的个人在30天内按个人链接记录.
- 使用CRC估计和IHS人口数据计算流行率,并将其与原始医疗记录数量进行比较.
主要成果:
- 通过CRC方法估计了88680-83884例克拉米迪亚感染病例 (每10万人中1189-125例) 和36713-35930例淋病感染病例 (每10万人中492-482例).
- 仅仅通过诊断码就能捕捉到估计的CT/GC病例的54-63%.
- 综合诊断代码和实验室测试结果捕获了估计的CT/GC病例的86-94%,突出显示单一来源数据的严重不足.
结论:
- IHS医疗记录对于估计CT/GC感染和量化不足有价值.
- 利用这些数据源可以提供关键的监控估计,以监测趋势.
- 这些发现支持IHS系统内的有针对性的推广,测试,治疗和资源分配.
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