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伊朗结核病负担:一项基于人群的12年研究。

The burden of tuberculosis in Iran, A 12- year population-based study.

作者信息

Khajedaluee Mohammad, Nasehi Mahshid, Sharafii Saeid, Dadgarmoghaddam Maliheh

机构信息

Department of Community Medicine, Faculty of Medicine, Mashhad University of medical Sciences , Mashhad, Iran.

Department of Epidemiology, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2021 Jan 25;35:13. doi: 10.47176/mjiri.35.13. eCollection 2021.

Abstract

Tuberculosis (TB) is a major global health problem, so for better planning in the health sector, it is necessary to know the real burden of tuberculosis in our country. The main aim of this study was to calculate the burden of TB for the Iranian population in 2001-2012. The Disability Adjusted Life Years (DALYs) index was calculated using a computer model (DisMod version II) in Iran between the years 2001 and 2012. DALYs are age-weighted (β= 0.04) and are discounted for time preference (r= 0.03). The trend was decreasing from 2001 till 2006, and after it, there is an increasing trend. The incidence was more in younger age groups and in female, and the YLL is higher in men (11744 in male vs 7897 in female in 2012); it showed that the life lost is higher in men. The YLD in men and women are very close. In comparison, the DALY of TB was higher in men than women. In the present investigation, it has been found that the overall tendency to get TB was higher in the female population. It shows that the incidence was higher in the younger age groups but the mortality was higher in the elderly groups. It that shows the significant success of the country in controlling the disease.

摘要

结核病是一个重大的全球卫生问题,因此为了在卫生部门进行更好的规划,有必要了解我国结核病的实际负担。本研究的主要目的是计算2001年至2012年伊朗人口的结核病负担。2001年至2012年期间,在伊朗使用计算机模型(DisMod II版本)计算了伤残调整生命年(DALYs)指数。DALYs按年龄加权(β = 0.04),并根据时间偏好进行贴现(r = 0.03)。从2001年到2006年呈下降趋势,之后呈上升趋势。发病率在年轻年龄组和女性中更高,而男性的生命损失年数(YLL)更高(2012年男性为11744,女性为7897);这表明男性的生命损失更高。男性和女性的伤残损失生命年(YLD)非常接近。相比之下,男性的结核病DALY高于女性。在本次调查中,发现女性人群患结核病的总体倾向更高。这表明发病率在年轻年龄组中较高,但死亡率在老年组中较高。这表明该国在控制该疾病方面取得了显著成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5cc/8111624/46bcd8f37184/mjiri-35-13-g001.jpg

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