Barker D J, Morris J
MRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital.
Br Med J (Clin Res Ed). 1988 Apr 2;296(6627):953-5. doi: 10.1136/bmj.296.6627.953.
Hospital discharge rates after acute appendicitis were analysed in relation to the provision of household amenities and diet in 73 areas of England and Wales, nine health board areas in Scotland, and all eight health board areas of Eire. The rates of acute appendicitis correlated with the percentage of households lacking amenities, in particular fixed baths and hot water systems. Consumption of green vegetables was an additional influence on the geographical distribution of the disease. These findings support a relation between appendicitis and hygiene, which would explain both the rise and fall of the disease during this century.
对英格兰和威尔士73个地区、苏格兰9个卫生委员会地区以及爱尔兰所有8个卫生委员会地区急性阑尾炎后的医院出院率，与家庭设施和饮食供应情况进行了分析。急性阑尾炎发病率与缺乏设施的家庭百分比相关，特别是固定浴缸和热水系统。绿色蔬菜的摄入量对该病的地理分布有额外影响。这些发现支持阑尾炎与卫生之间的关联，这可以解释本世纪该病的起伏。
