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西欧某国移民中传染病的发病率:一项基于人群的研究。

Frequency of infectious diseases in immigrants in a Western European country: a population-based study.

作者信息

Limina Rosa Maria, Baitelli Guglielmino, Marcantoni Claudio, Covolo Loredana, Festa Andrea, Speziani Fabrizio, Vassallo Francesco, Scarcella Carmelo, Donato Francesco

机构信息

Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123, Brescia, Italy,

出版信息

J Immigr Minor Health. 2015 Feb;17(1):66-75. doi: 10.1007/s10903-013-9888-3.

DOI:10.1007/s10903-013-9888-3
PMID:23979713
Abstract

The aim of this population-based study was to assess the incidence rates of infectious diseases in native- (Italian) and foreign-born (immigrants) populations in a North Italy area, in 2006-2010. Crude, age-specific incidence rates (IRs) and age-standardised rate ratios (SRRs) between foreign- and native-born subjects and their 95% confidence intervals (95% CI) were estimated. A total of 32,554 cases of infectious diseases were found (9.9% in foreign-born subjects). The highest SRRs between foreign- and nativeborn subjects were found for tuberculosis (SRR = 27.1; 95% CI 21.3-34.3), malaria (SRR = 21.1; 14.6-30.4), scabies (SRR = 8.5; 7.6-9.4), AIDS (SRR = 2.5; 1.8-3.4) and viral hepatitis B (SRR = 3.3; 2.1-5.2). The highest IR was found for AIDS in people from the Americas (IR = 4.57; 95% CI 2.2-8.4), for malaria and tuberculosis in people from Africa (IR = 13.89; 11.6-16.5 and IR = 11.87; 9.8-14.3 respectively). Therefore immigrants are at a higher risk of acquiring some common infectious diseases compared to the native population in Western European countries.

摘要

这项基于人群的研究旨在评估2006 - 2010年意大利北部一个地区本地(意大利)出生和外国出生(移民)人群中传染病的发病率。估计了外国出生和本地出生人群之间的粗发病率、年龄别发病率(IRs)以及年龄标准化率比(SRRs)及其95%置信区间(95%CI)。共发现32554例传染病病例(外国出生人群中占9.9%)。外国出生和本地出生人群之间最高的SRRs见于结核病(SRR = 27.1;95%CI 21.3 - 34.3)、疟疾(SRR = 21.1;14.6 - 30.4)、疥疮(SRR = 8.5;7.6 - 9.4)、艾滋病(SRR = 2.5;1.8 - 3.4)和乙型病毒性肝炎(SRR = 3.3;2.1 - 5.2)。美洲人群中艾滋病的发病率最高(IR = 4.57;95%CI 2.2 - 8.4),非洲人群中疟疾和结核病的发病率最高(分别为IR = 13.89;11.6 - 16.5和IR = 1l.87;9.8 - 14.3)。因此,与西欧国家的本地人群相比,移民感染一些常见传染病的风险更高。

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