单身无家可归者中结核病的公共卫生管理：大规模微型X光筛查有效吗？
The public health management of tuberculosis among the single homeless: is mass miniature x ray screening effective?
作者信息
Stevens A, Bickler G, Jarrett L, Bateman N
机构信息
Lewisham and North Southwark Health Authority, London, United Kingdom.
出版信息
J Epidemiol Community Health. 1992 Apr;46(2):141-3. doi: 10.1136/jech.46.2.141.
STUDY OBJECTIVE
The aim was to test the assumption that mass miniature x ray screening of the single homeless (hostel residents) is a cost-effective means of controlling pulmonary tuberculosis.
DESIGN
The study was a prospective experimental screening exercise to identify new cases of active tuberculosis completing treatment.
SETTING
The setting was eight hostels in south London. A mobile x ray screening facility was set up outside the hostels.
SUBJECTS
Subjects were 547 single homeless residents in the hostels. They were encouraged to attend for chest x ray, and for active follow up of abnormal x rays.
MAIN RESULTS
No new cases of active tuberculosis were found.
CONCLUSIONS
Mass miniature x ray is ineffective in controlling tuberculosis because of its unacceptability and increasing inaccessibility to this population.
研究目的
旨在验证一项假设，即对单身无家可归者（收容所居民）进行大规模微型X光筛查是控制肺结核的一种具有成本效益的方法。
设计
该研究是一项前瞻性实验性筛查活动，旨在识别完成治疗的活动性肺结核新病例。
背景
研究地点为伦敦南部的八家收容所。在收容所外设立了一个移动X光筛查设施。
研究对象
研究对象为收容所中的547名单身无家可归居民。鼓励他们参加胸部X光检查，并对异常X光检查结果进行积极随访。
主要结果
未发现活动性肺结核新病例。
结论
大规模微型X光检查在控制结核病方面无效，因为该人群对其接受度低且越来越难以获得该检查。
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