Stafford Russell J, Schluter Philip J, Wilson Andrew J, Kirk Martyn D, Hall Gillian, Unicomb Leanne
Queensland Health, Brisbane, Queensland, Australia.
Emerg Infect Dis. 2008 Jun;14(6):895-901. doi: 10.3201/eid1406.071008.
In 2001-2002, a multicenter, prospective case-control study involving 1,714 participants > or =5 years of age was conducted in Australia to identify risk factors for Campylobacter infection. Adjusted population-attributable risks (PARs) were derived for each independent risk factor contained within the final multivariable logistic regression model. Estimated PARs were combined with adjusted (for the > or =5 years of age eligibility criterion) notifiable disease surveillance data to estimate annual Australian Campylobacter case numbers attributable to each risk factor. Simulated distributions of "credible values" were then generated to model the uncertainty associated with each case number estimate. Among foodborne risk factors, an estimated 50,500 (95% credible interval 10,000-105,500) cases of Campylobacter infection in persons > or =5 years of age could be directly attributed each year to consumption of chicken in Australia. Our statistical technique could be applied more widely to other communicable diseases that are subject to routine surveillance.
2001年至2002年,澳大利亚开展了一项涉及1714名年龄大于或等于5岁参与者的多中心前瞻性病例对照研究,以确定弯曲杆菌感染的危险因素。对最终多变量逻辑回归模型中包含的每个独立危险因素得出调整后的人群归因风险(PARs)。将估计的PARs与调整后的(针对年龄大于或等于5岁的纳入标准)法定传染病监测数据相结合,以估计澳大利亚每年可归因于每个危险因素的弯曲杆菌病例数。然后生成“可信值”的模拟分布,以模拟与每个病例数估计相关的不确定性。在食源性危险因素中,在澳大利亚,年龄大于或等于5岁的人群中,估计每年有50500例(95%可信区间10000 - 105500)弯曲杆菌感染病例可直接归因于鸡肉消费。我们的统计技术可更广泛地应用于其他接受常规监测的传染病。