Ponnighaus J M, Fine P E, Sterne J A, Malema S S, Bliss L, Wilson R J
LEPRA Evaluation Project, Chilumba, Malawi.
Int J Lepr Other Mycobact Dis. 1994 Sep;62(3):345-52.
Incidence rates of leprosy in Karonga District, northern Malawi, are analyzed by duration of schooling and housing conditions, controlling for age, sex, BCG scar and geographical zone of the household. There is a strong inverse relationship between the number of completed years of schooling and leprosy risk. Good housing conditions are also associated with a decreased risk of developing leprosy in this population. The effect of housing is seen most strongly in young people. It is hypothesized that schooling changes behavior and housing determines environment in ways which are relevant for the transmission of Mycobacterium leprae or for the appropriate priming of the immune system.
通过受教育年限和住房条件对马拉维北部卡龙加区麻风病的发病率进行分析，并对年龄、性别、卡介苗接种疤痕及家庭所在地理区域进行控制。完成学业的年限与麻风病风险之间存在强烈的负相关关系。良好的住房条件也与该人群中患麻风病风险的降低相关。住房的影响在年轻人中最为明显。据推测，教育会改变行为，而住房会决定环境，这些方式与麻风杆菌的传播或免疫系统的适当激发有关。
