Marvi Abolfazl, Asadi-Aliabadi Mehran, Darabi Mehdi, Rostami-Maskopaee Fereshteh, Siamian Hasan, Abedi Ghasem
Department of Public Health, Student Research Committee, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
J Family Med Prim Care. 2017 Oct-Dec;6(4):760-765. doi: 10.4103/jfmpc.jfmpc_190_17.
Tuberculosis (TB) poses a severe risk to public health through the world but excessively distresses low-income nations. The aim of this study is to analyze silent changes of TB in Iran (2005-2015): A joinpoint regression analysis.
This is a trend study conducted on all patients ( = 70) that register in control disease center of Joibar (one of coastal cities and tourism destination in Northern Iran which was recognized as an independent town since 1998) during 2005-2015. The characteristics of patients imported to the SPSS 19 and variation in incidence rate of different forms of pulmonary TB (PTB) (PTB+ or PTB-) and extra-PTB (EPTB)/year was analyzed. Variation in incidence rate of TB for male and female groups and different age groups (0-14, 15-24, 25-34, 35-44, 45-54, 55-64, and above 65 years) was analyzed, variation in trend of this diseases for different groups was compared in intended years, and also, variation in incidence rate of TB was analyzed by Joinpoint Regression Software.
The total number of TB was 70 cases during 2005-2015. The mean age of patients was 42.31 ± 21.26 years and median age was 40 years. About 71.4% of patients were PTB (55.7% for with PTB+ and 15.7% with PTB-) and rest of them (28.4%) were EPTB. In regard to classification of cases, 97.1% of them were new cases, 1.45% of them were relapsed cases, and 1.45% of them imported cases. In addition, history of hospitalization due to TB was observed in 44.3%.
Despite recent developments of governmental health-care system in Iran and proper access to it and considering this fact that identification of TB cases with passive surveillance is possible. Hence, developing certain programs for sensitization of the covered population is essential.
结核病在全球范围内对公众健康构成严重威胁，但对低收入国家造成的困扰尤为严重。本研究旨在分析伊朗结核病的隐性变化（2005 - 2015年）：一项连接点回归分析。
这是一项针对2005 - 2015年期间在乔伊巴尔疾病控制中心登记的所有患者（n = 70）进行的趋势研究。乔伊巴尔是伊朗北部的一个沿海城市和旅游胜地，自1998年起被视为一个独立城镇。将患者的特征输入SPSS 19软件，并分析不同类型肺结核（PTB）（PTB +或PTB -）和肺外结核（EPTB）/年的发病率变化。分析了男性和女性群体以及不同年龄组（0 - 14岁、15 - 24岁、25 - 34岁、35 - 44岁、45 - 54岁、55 - 64岁及65岁以上）结核病发病率的变化，比较了不同组在特定年份该疾病趋势的变化，并且还通过连接点回归软件分析了结核病发病率的变化。
2005 - 2015年期间结核病病例总数为70例。患者的平均年龄为42.31 ± 21.26岁，中位数年龄为40岁。约71.4%的患者为肺结核（PTB +为55.7%，PTB -为15.7%），其余（28.4%）为肺外结核。就病例分类而言，97.1%为新病例，1.45%为复发病例，1.45%为输入病例。此外，44.3%的患者有因结核病住院的病史。
尽管伊朗政府医疗保健系统最近有所发展且民众能够适当利用，但考虑到通过被动监测识别结核病病例是可能的。因此，制定某些针对覆盖人群的宣传计划至关重要。
