Chan-Yeung M, Noertjojo K, Chan S L, Tam C M
Respiratory Division, Department of Medicine, University of British Columbia, Vancouver, Canada.
Int J Tuberc Lung Dis. 2002 Jan;6(1):11-8.
The Hong Kong Tuberculosis and Chest Service, Department of Health, Hong Kong.
To examine sex differences in the rate and clinical manifestations of tuberculosis in Hong Kong.
Notification rates of tuberculosis during the past five decades were obtained from the Hong Kong Tuberculosis and Chest Service, Department of Health, Hong Kong. In addition, all patients registered with the Chest Service for treatment of tuberculosis in 1996 were studied.
The rate of tuberculosis during the past five decades was consistently higher in men than in women, irrespective of age group. The sex difference in rates was highest among those aged over 60 years. In 1996, a higher proportion of women had extra-pulmonary tuberculosis than men; the main site of involvement was the lymph nodes. More women completed treatment at 12 months and fewer women missed treatment appointments. A higher proportion of men had relapse pulmonary disease that was more extensive, a history of previous default from treatment and co-morbid illnesses.
There are sex differences in the rates and clinical manifestations of tuberculosis in Hong Kong. Study of sex differences is essential for targeting prevention programmes at groups at higher risk.
香港特别行政区卫生署胸肺科防治服务处。
研究香港地区结核病发病率及临床表现的性别差异。
从香港特别行政区卫生署胸肺科防治服务处获取过去五十年来结核病的通报率。此外，对1996年在胸肺科登记治疗结核病的所有患者进行研究。
在过去五十年中，无论年龄组如何，男性结核病发病率始终高于女性。60岁以上人群的发病率性别差异最大。1996年，女性肺外结核的比例高于男性；主要受累部位是淋巴结。更多女性在12个月时完成治疗，错过治疗预约的女性较少。男性复发性肺部疾病的比例更高，病情更广泛，有既往治疗中断史和合并症。
香港地区结核病的发病率和临床表现存在性别差异。研究性别差异对于针对高危人群开展预防计划至关重要。
