Bryła M, Dziankowska-Zaborszczyk E, Maniecka-Bryła I
Social Medicine, Department of Social and Preventive Medicine, Medical University of Lodz, Łódź, Poland.
Epidemiology and Biostatistics Units, Department of Social and Preventive Medicine, Medical University of Lodz, Łódź, Poland.
Int J Tuberc Lung Dis. 2017 Feb 1;21(2):202-207. doi: 10.5588/ijtld.16.0268.
Central European countries such as Poland have higher tuberculosis (TB) morbidity and mortality than Western European Union countries.
To evaluate changes in mortality due to TB during the period 1999-2012 in Poland and years of life lost due to the disease.
Information obtained from 5 219 205 death certificates in Poland during the period 1999-2012 was used for the study. Crude (CDRs) and standardised (SDRs) death rates due to TB were analysed. Standard expected years of life lost per living person (SEYLLp) was also calculated.
In Poland, TB and related complications contributed 0.23% of total deaths from 1999 to 2012. The SEYLLp was 3.46 per 10 000 population in 1999 and 1.88 in 2012. It was respectively 5.75 and 3.12 for males, and 1.31 and 0.72 for females. The SEYLLp index decreased over the period (annual per cent change [APC] -4.27%, P < 0.05); the decrease was greater in females than in males (APC -4.75%, P < 0.05 vs. APC -4.15%, P < 0.05).
Despite an improvement in the epidemiological situation, TB remains the most common single cause of death due to an infectious agent in Poland.
波兰等中欧国家的结核病发病率和死亡率高于西欧国家。
评估1999年至2012年波兰结核病死亡率的变化以及因该疾病导致的寿命损失年数。
本研究使用了1999年至2012年期间波兰5219205份死亡证明中的信息。分析了结核病的粗死亡率(CDRs)和标准化死亡率(SDRs)。还计算了每存活一人的标准预期寿命损失年数(SEYLLp)。
在波兰,1999年至2012年期间,结核病及相关并发症占总死亡人数的0.23%。1999年每10000人口的SEYLLp为3.46,2012年为1.88。男性分别为5.75和3.12,女性分别为1.31和0.72。在此期间,SEYLLp指数下降(年变化百分比[APC]为-4.27%,P<0.05);女性下降幅度大于男性(APC为-4.75%,P<0.05,而APC为-4.15%,P<0.05)。
尽管流行病学情况有所改善,但在波兰,结核病仍然是由传染病导致的最常见单一死因。