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印度结核病的社会经济不平等现象。

Socioeconomic inequalities of tuberculosis in India.

作者信息

Muniyandi M, Ramachandran Rajeswari

出版信息

Expert Opin Pharmacother. 2008 Jul;9(10):1623-8. doi: 10.1517/14656566.9.10.1623.

DOI:10.1517/14656566.9.10.1623
PMID:18570596
Abstract

BACKGROUND

The association between poverty and tuberculosis (TB) is well established and widespread.

OBJECTIVE

To study the socioeconomic inequalities of TB in India.

METHODS

Information related to socioeconomic inequalities of TB in India was reviewed, including study of varying prevalence and infection, regional disparities and demographic disparities of disease of TB with a view to establish a link between TB and poverty, in terms of income, standard of living, house type and social class.

RESULTS

The burden of TB for India for the year 2000 was estimated to be 8.5 million and the annual risk of TB infection varied from 1 to 2%. The TB prevalence was significantly higher among people living below the poverty line compared with those above the poverty line (242 versus 149/100,000 population). Among the marginalized people, TB was 1.5 times more prevalent. TB was disproportionately high among the poor.

CONCLUSION

Poverty and inequality were very closely linked. Today's great health challenge is equity: accelerating health progress in poor and socially excluded groups.

摘要

背景

贫困与结核病(TB)之间的关联已得到充分证实且广泛存在。

目的

研究印度结核病的社会经济不平等现象。

方法

回顾了印度结核病社会经济不平等相关信息,包括不同患病率和感染情况的研究、结核病在地区和人口统计学方面的差异,以期从收入、生活水平、房屋类型和社会阶层等方面建立结核病与贫困之间的联系。

结果

2000年印度结核病负担估计为850万,结核病年感染风险在1%至2%之间。生活在贫困线以下人群的结核病患病率显著高于贫困线以上人群(每10万人口中分别为242例和149例)。在边缘化人群中,结核病患病率高出1.5倍。结核病在贫困人口中比例过高。

结论

贫困与不平等紧密相连。当今巨大的健康挑战是公平:加速贫困和社会排斥群体的健康进步。

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