Tupasi T E, Radhakrishna S, Quelapio M I, Villa M L, Pascual M L, Rivera A B, Sarmiento A, Co V M, Sarol J N, Beltran G, Legaspi J D, Mangubat N V, Reyes A C, Solon M, Solon F S, Burton L, Mantala M J
Tropical Disease Foundation, Makati Medical Center, Makati City, The Philippines.
Int J Tuberc Lung Dis. 2000 Jan;4(1):4-11.
Urban poor settlements in the Philippines.
To determine the magnitude of the tuberculosis problem in urban poor settlements in comparison with urban areas studied in the Nationwide Tuberculosis Prevalence Survey.
A multistage cluster survey of BCG scar, tuberculin test, chest radiography and sputum examination for bacillary disease, in urban poor areas.
The prevalences of culture-positive and smear-positive tuberculosis were 17.5 +/- 2.3 (95% CI 13.3-22.4) and 7.9 +/- 2.3 per thousand (95% CI 2.611.5), respectively. Extrapolated to the total population, the rates in the urban poor settlements were 12.4 +/- 1.7 (95% CI 9.6-16.2) and 5.6 +/- 1.6 per thousand population (95% CI 1.3-8.3), respectively. The prevalence of active pulmonary tuberculosis in subjects aged 10 years or more was 66 +/- 5.6/1000 (95% CI 55-77). The BCG vaccination rate was 72%. The overall prevalence of tuberculosis infection was 66%, and 39% in those aged 5-9 years, corresponding to an annual risk of infection (ARI) of 6.5%.
The problem of tuberculosis was substantial in the urban poor settlements, and was appreciably worse than that in the general urban population.
菲律宾城市贫困社区。
与全国结核病患病率调查中所研究的城市地区相比，确定城市贫困社区结核病问题的严重程度。
在城市贫困地区对卡介苗疤痕、结核菌素试验、胸部X光检查以及痰涂片检查进行多阶段整群抽样调查。
培养阳性肺结核和涂片阳性肺结核的患病率分别为每千人17.5±2.3（95%置信区间13.3 - 22.4）和7.9±2.3（95%置信区间2.6 - 11.5）。推算至城市贫困社区总人口，患病率分别为每千人12.4±1.7（95%置信区间9.6 - 16.2）和5.6±1.6（95%置信区间1.3 - 8.3）。10岁及以上人群中活动性肺结核患病率为66±5.6/1000（95%置信区间55 - 77）。卡介苗接种率为72%。结核病感染总体患病率为66%，5 - 9岁儿童为39%，对应的年感染风险（ARI）为6.5%。
城市贫困社区结核病问题严重，且明显比城市普通人群更为严峻。
