Shapira M, Tamir A
Gastroenterology Unit, Poriyah Hospital, Tiberias, Israel.
J Clin Gastroenterol. 1998 Sep;27(2):134-7. doi: 10.1097/00004836-199809000-00006.
Ulcerative colitis (UC) is prevalent among Jews around the world, as well as in Israel. We evaluated the incidence rates of the disease in one of the northern districts of Israel (Kinneret) by religion and by type of settlement. The population in this district is composed of Jews who have immigrated to Israel in the last century from various countries all over the world, and from Arabs. The study population included all residents of Kinneret district diagnosed with UC between 1965 and 1994. The mean annual incidence rate of UC in the 30 years covered in this survey (1965-1994) proved to be 3.5/100,000. A trend of increase in the incidence rate was observed until 1989. It was most prominent among the Jewish rural settlements. Since 1989, the rates have been declining. Prevalence rates were 87/100,000 among the Jewish population, and 27/100,000 among the Arab population. Both prevalence and incidence rates were 2.5 times higher among Jews than among Arabs. We include that (1) UC morbidity had been increasing until 1989 and has been decreasing moderately ever since; (2) the lowest morbidity was found in the Arab population; and (3) the highest morbidity was found among the Jewish rural population.
溃疡性结肠炎（UC）在世界各地的犹太人群体中以及在以色列都很普遍。我们按宗教信仰和定居类型评估了以色列北部一个地区（基尼烈）该疾病的发病率。该地区人口由上世纪从世界各地不同国家移民到以色列的犹太人和阿拉伯人组成。研究人群包括1965年至1994年间基尼烈地区所有被诊断为UC的居民。在本次调查涵盖的30年（1965 - 1994年）中，UC的年均发病率为3.5/100,000。在1989年之前观察到发病率有上升趋势。这在犹太农村定居点最为显著。自1989年以来，发病率一直在下降。犹太人群体中的患病率为87/100,000，阿拉伯人群体中的患病率为27/100,000。犹太人群体的患病率和发病率均是阿拉伯人群体的2.5倍。我们得出结论：（1）UC发病率在1989年之前一直在上升，此后一直在适度下降；（2）阿拉伯人群体中的发病率最低；（3）犹太农村人口中的发病率最高。
