Cricelli Claudio, Mazzaglia Giampiero, Samani Fabio, Marchi Marco, Sabatini Andrea, Nardi Roberto, Ventriglia Giuseppe, Caputi Achille P
Italian College of General Practitioners, Via il Prato 66, 50143, Florence, Italy.
J Public Health Med. 2003 Sep;25(3):254-7. doi: 10.1093/pubmed/fdg060.
The aim of this study was to describe population and primary care morbidity and to examine how the differences vary across the diseases and are influenced by patients' demographic characteristics.
A comparison of the prevalence of four chronic conditions for 432747 patients from the Health Search Database (HSD) and 119799 individuals from a Health Interview Survey was carried out. A linear regression was performed to study the associations between age and difference in morbidity.
Similar prevalence was found for diabetes and hypertension, whereas for chronic obstructive pulmonary disease (COPD) and gastroduodenal ulcer lower HSD prevalence was reported. Among females, age was always associated with morbidity difference. Among males, significant associations were found only for COPD (R2 = 0.81; p = 0.001) and gastroduodenal ulcer (R2 = 0.93; p < 0.001).
The difference between population and primary care morbidity is affected by disease under investigation and patients' demographic characteristics. Therefore, in choosing the more cost-effective approach to collect data such evidence should be taken into account, and results should be interpreted with great caution.
本研究旨在描述人群和初级保健中的发病率，并探讨这些差异在不同疾病间如何变化以及受患者人口统计学特征的影响。
对来自健康搜索数据库（HSD）的432747名患者和健康访谈调查中的119799名个体的四种慢性病患病率进行了比较。进行线性回归以研究年龄与发病率差异之间的关联。
糖尿病和高血压的患病率相似，而慢性阻塞性肺疾病（COPD）和胃十二指肠溃疡在HSD中的患病率较低。在女性中，年龄总是与发病率差异相关。在男性中，仅发现COPD（R2 = 0.81；p = 0.001）和胃十二指肠溃疡（R2 = 0.93；p < 0.001）存在显著关联。
人群发病率与初级保健发病率之间的差异受所研究疾病和患者人口统计学特征的影响。因此，在选择更具成本效益的数据收集方法时，应考虑此类证据，并且对结果的解释应极为谨慎。
