Stevens A, Bickler G, Jarrett L, Bateman N
Lewisham and North Southwark Health Authority, London, United Kingdom.
J Epidemiol Community Health. 1992 Apr;46(2):141-3. doi: 10.1136/jech.46.2.141.
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.
The study was a prospective experimental screening exercise to identify new cases of active tuberculosis completing treatment.
The setting was eight hostels in south London. A mobile x ray screening facility was set up outside the hostels.
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.
No new cases of active tuberculosis were found.
Mass miniature x ray is ineffective in controlling tuberculosis because of its unacceptability and increasing inaccessibility to this population.
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。
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。
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。
未发现活动性肺结核新病例。
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。