Chan D K Y, Cordato D, Karr M, Ong B, Lei H, Liu J, Hung W T
Department of Aged Care and Rehabilitation, Bankstown-Lidcombe Hospital, Bankstown, NSW, Australia.
Acta Neurol Scand. 2005 Jan;111(1):7-11. doi: 10.1111/j.1600-0404.2004.00348.x.
To examine the prevalence of Parkinson's disease (PD) in Bankstown, Sydney, using the same methodology as a previous study in Randwick, Sydney, Australia (1998-1999).
Twenty census districts (CDs) for the Bankstown local government area were randomly selected. Research personnel door-knocked every household within the CDs to locate people aged > or =55 years. A structured questionnaire (containing four screening questions for PD) was administered to those agreeing to participate. Screened positive participants were invited to come for a clinical examination. This is a continuation of the previous study and data have been combined.
Combining data for Bankstown and Randwick gave 1028 participants; crude prevalence, 780 per 100,000 (CI: 546-1077). In Bankstown, there were 501 participants aged > or =55 years (response rate 70%); 135 were screened positive with 101 (74.8%) agreeing to a clinical examination. The prevalence of PD in the Bankstown community was 3.4% (17 of 501) (95% CI: 1.98-5.43) for those aged > or =55 years; crude prevalence 776 per 100,000 (CI: 452-1241).
The combined results of two Sydney studies appear to indicate that Sydney has one of the highest prevalence estimates of PD in developed countries.
采用与澳大利亚悉尼兰德威克先前一项研究(1998 - 1999年)相同的方法,调查悉尼班克斯敦帕金森病(PD)的患病率。
随机选取班克斯敦地方政府区域的20个普查区(CD)。研究人员逐户走访这些普查区内年龄大于或等于55岁的居民。对同意参与的居民发放一份结构化问卷(包含四个帕金森病筛查问题)。筛查呈阳性的参与者被邀请前来进行临床检查。这是先前研究的延续,数据已合并。
将班克斯敦和兰德威克的数据合并后有1028名参与者;粗患病率为每10万人780例(95%置信区间:546 - 1077)。在班克斯敦,有501名年龄大于或等于55岁的参与者(应答率70%);135人筛查呈阳性,其中101人(74.8%)同意进行临床检查。在班克斯敦社区,年龄大于或等于55岁人群中帕金森病的患病率为3.4%(501人中17例)(95%置信区间:1.98 - 5.43);粗患病率为每10万人776例(95%置信区间:452 - 1241)。
悉尼两项研究的综合结果似乎表明,悉尼在发达国家中帕金森病患病率估计值处于最高水平之一。