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1975-2009 年俄罗斯西北部三个地区的结核病发病率及其与酒精消费指标的关系:时间序列分析。

Incidence of tuberculosis and associations with indicators of alcohol consumption in three regions of northwest Russia in 1975-2009: a time-series analysis.

机构信息

Institute for Health and Society, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway.

出版信息

J Environ Public Health. 2013;2013:693963. doi: 10.1155/2013/693963. Epub 2013 Jun 11.

DOI:10.1155/2013/693963
PMID:23840232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693166/
Abstract

BACKGROUND

Alcohol has several social consequences that are associated with increased risk of tuberculosis. However, there have been no studies assessing the links between tuberculosis and alcohol consumption in northwest Russia. The aim of this study was to assess associations between the incidence of tuberculosis and indicators of alcohol consumption in three regions of northwest Russia.

METHODS

The study was performed in Arkhangelsk, Murmansk and Vologda regions using the data from 1975 to 2009. Deaths from alcohol poisoning and the incidence of alcohol psychoses were used as indicators of alcohol consumption. Associations between the incidence of tuberculosis and the above mentioned indicators were studied using time-series analysis.

RESULTS

We identified significant positive associations between the incidence of tuberculosis and the incidence of alcohol psychoses in the same year in Arkhangelsk region (β = 0.24, 95% CI: 0.10-0.37) and in Vologda region (β = 0.18, 95% CI: 0.10-0.25), but not in Murmansk region.

CONCLUSIONS

We found an association between the incidence of alcohol psychoses and the incidence of tuberculosis in the same year in Arkhangelsk and Vologda regions suggesting an indirect link between excessive levels of alcohol consumption and the incidence of tuberculosis in Russia.

摘要

背景

酒精有多种社会后果,与结核病风险增加有关。然而,在俄罗斯西北部,还没有研究评估结核病与饮酒之间的联系。本研究旨在评估俄罗斯西北部三个地区的结核病发病率与饮酒指标之间的关联。

方法

该研究在阿尔汉格尔斯克、摩尔曼斯克和沃洛格达地区进行,使用了 1975 年至 2009 年的数据。酒精中毒死亡率和酒精性精神病的发病率被用作饮酒的指标。采用时间序列分析方法研究了结核病发病率与上述指标之间的关联。

结果

我们发现,在阿尔汉格尔斯克地区(β=0.24,95%CI:0.10-0.37)和沃洛格达地区(β=0.18,95%CI:0.10-0.25),结核病发病率与同年的酒精性精神病发病率之间存在显著的正相关关系,但在摩尔曼斯克地区没有发现这种关系。

结论

我们发现阿尔汉格尔斯克和沃洛格达地区的酒精性精神病发病率与结核病发病率之间存在关联,这表明俄罗斯饮酒过量与结核病发病率之间存在间接联系。

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Medical Conditions of Hazardous Drinkers and Drug Users in Primary Care Clinics in Cape Town, South Africa.南非开普敦基层医疗诊所中危险饮酒者和吸毒者的医疗状况。
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Alcohol consumption among men and women with tuberculosis in Tomsk, Russia.
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Change in Health-Related Quality of Life among Pulmonary Tuberculosis Patients at Primary Health Care Settings in South Africa: A Prospective Cohort Study.南非初级卫生保健机构中肺结核患者健康相关生活质量的变化:一项前瞻性队列研究
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