Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Int J Tuberc Lung Dis. 2011 Nov;15(11):1461-7, i. doi: 10.5588/ijtld.10.0252.
To describe the magnitude of socioeconomic inequalities in tuberculosis (TB) mortality by level of education in male, female, urban and rural populations in several European countries.
Data were obtained from the Eurothine Project, covering 16 populations between 1990 and 2003. Age- and sex-standardised mortality rates, the relative index of inequality and the slope index of inequality were used to assess educational inequalities.
The number of TB deaths reported was 8530, with a death rate of 3 per 100 000 per year, of which 73% were males. Educational inequalities in TB mortality were present in all European populations. Inequalities in TB mortality were greater than in total mortality. Relative and absolute inequalities were large in Eastern European and Baltic countries but relatively small in Southern European countries and in Norway, Finland and Sweden. Inequalities in mortality were observed among both men and women, and in both rural and urban populations.
Socio-economic inequalities in TB mortality exist in all European countries. Firm political commitment is required to reduce inequalities in the social determinants of TB incidence. Targeted public health measures are called for to improve access to treatment of vulnerable groups and thereby reduce TB mortality.
描述在几个欧洲国家中，按教育水平划分的男性、女性、城市和农村人群结核病（TB）死亡率的社会经济不平等程度。
数据来自 Eurothine 项目，涵盖了 1990 年至 2003 年期间的 16 个人群。使用年龄和性别标准化死亡率、相对不平等指数和斜率不平等指数来评估教育不平等。
报告的结核病死亡人数为 8530 人，死亡率为每年每 100000 人 3 人，其中 73%为男性。所有欧洲人群中均存在结核病死亡率的教育不平等。结核病死亡率的不平等程度大于总死亡率。东欧和波罗的海国家的相对和绝对不平等程度较大，但南欧国家和挪威、芬兰和瑞典的相对不平等程度较小。在男性和女性以及农村和城市人群中均观察到死亡率的不平等。
所有欧洲国家都存在结核病死亡率的社会经济不平等。需要坚定的政治承诺来减少结核病发病率的社会决定因素方面的不平等。需要采取有针对性的公共卫生措施，以改善弱势群体获得治疗的机会，从而降低结核病死亡率。
