结核病与贫困
Tuberculosis and poverty.
作者信息
Spence D P, Hotchkiss J, Williams C S, Davies P D
机构信息
Aintree Chest Centre, Fazakerley Hospital, Liverpool.
出版信息
BMJ. 1993 Sep 25;307(6907):759-61. doi: 10.1136/bmj.307.6907.759.
Abstract
OBJECTIVE
To examine whether the historical link between tuberculosis and poverty still exists.
DESIGN
Retrospective study examining the notifications of all forms of tuberculosis by council ward over a six year period and correlating this with four indices of poverty; council housing, free school meals, the Townsend overall deprivation index, and the Jarman index.
SETTING
The 33 electoral wards of the city of Liverpool.
SUBJECTS
344 residents of Liverpool with tuberculosis.
RESULTS
The rate of tuberculosis was correlated with all measures of poverty, the strongest correlation being with the Jarman index (r = 0.73, p < 0.0001). This link was independent of the high rates of tuberculosis seen in ethnic minorities.
CONCLUSION
Tuberculosis remains strongly associated with poverty.
摘要
目的
研究结核病与贫困之间的历史关联是否仍然存在。
设计
回顾性研究，对六年内各市政选区所有类型结核病的通报情况进行调查，并将其与四个贫困指标相关联；市政住房、免费学校膳食、汤森总体贫困指数和贾曼指数。
地点
利物浦市的33个选举选区。
研究对象
344名患结核病的利物浦居民。
结果
结核病发病率与所有贫困指标均相关，与贾曼指数的相关性最强（r = 0.73，p < 0.0001）。这种关联独立于少数族裔中结核病的高发病率。
结论
结核病仍然与贫困密切相关。
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本文引用的文献
1
Identification of underprivileged areas.贫困地区的识别。
Br Med J (Clin Res Ed). 1983 May 28;286(6379):1705-9. doi: 10.1136/bmj.286.6379.1705.
2
The relationship of air pollution and economic status to total mortality and selected respiratory system mortality in men. I. suspended particulates.空气污染与经济状况与男性总死亡率及特定呼吸系统死亡率的关系。I. 悬浮颗粒物
Arch Environ Health. 1967 Jan;14(1):162-71. doi: 10.1080/00039896.1967.10664708.
3
Factors influencing the onset of chronic respiratory disease.影响慢性呼吸道疾病发病的因素。
Br Med J. 1969 Apr 26;2(5651):205-8. doi: 10.1136/bmj.2.5651.205.
4
Effects of protein deprivation and BCG vaccination on alveolar macrophage function in pulmonary tuberculosis.蛋白质缺乏和卡介苗接种对肺结核患者肺泡巨噬细胞功能的影响。
Am Rev Respir Dis. 1986 Jun;133(6):1081-5. doi: 10.1164/arrd.1986.133.6.1081.
5
Resurgent tuberculosis in New York City. Human immunodeficiency virus, homelessness, and the decline of tuberculosis control programs.纽约市复发性结核病。人类免疫缺陷病毒、无家可归现象与结核病控制项目的衰退。
Am Rev Respir Dis. 1991 Oct;144(4):745-9. doi: 10.1164/ajrccm/144.4.745.
6
The relationship between socioeconomic factors and pulmonary tuberculosis.社会经济因素与肺结核之间的关系。
Int J Epidemiol. 1991 Jun;20(2):435-40. doi: 10.1093/ije/20.2.435.
7
Audit of tuberculosis contact tracing procedures in South Gwent.南格温特郡结核病接触者追踪程序审计
Respir Med. 1992 Mar;86(2):173. doi: 10.1016/s0954-6111(06)80240-4.
8
HIV-related tuberculosis in England and Wales.英格兰和威尔士与艾滋病相关的结核病
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9
Immunosuppression and alteration of resistance to pulmonary tuberculosis in guinea pigs by protein undernutrition.蛋白质营养不良对豚鼠免疫抑制及肺结核抵抗力的影响
J Nutr. 1992 Mar;122(3 Suppl):738-43. doi: 10.1093/jn/122.suppl_3.738.
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