[RISK GROUPS FOR TUBERCULOSIS IN JAPAN: ANALYSIS OF RELATIVE RISK AND POPULATION ATTRIBUTABLE FRACTION].

Kekkaku : [Tuberculosis] Pub Date : 2015-03-01

Lisa Kawatsu, Nobukatsu Ishikawa, Kazuhiro Uchimura

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Abstract

Objective: Despite the decreasing trend in tuberculosis (TB) cases reported within the general population, TB incidence remains high in certain high-risk groups in Japan. Many of the previous discussions and studies have concentrated mainly on the elderly and those with clinical risks; however, no comprehensive evaluation has been conducted to date. Our study thus sought to estimate the relative risk (RR) and the population attributable fraction (PAF) of selected risk groups in Japan and discuss their relevance to programming future research needs and policies.

Method: PAF and RR were calculated for patients with human immunodeficiency virus infection, diabetes, rheumatoid arthritis, those on dialysis, the elderly, health care workers, the homeless, people receiving public assistance, foreigners, prisoners, smokers, and those with alcohol problems, and were grouped into "high PAF" (PAF ≥ 5%), "middle PAF" (5% > PAF ≥ 1%), and "low PAF" (PAF < 1%) groups.

Results: The elderly and patients with diabetes showed the highest PAF and RR and should thus be prioritized for policies.

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[日本结核病危险人群:相对危险度和人口归因率分析]。

目的:尽管日本一般人群中结核病病例呈下降趋势，但某些高危人群的结核病发病率仍然很高。许多先前的讨论和研究主要集中在老年人和那些有临床风险的人;但是，迄今尚未进行全面评价。因此，我们的研究试图估计日本选定风险群体的相对风险(RR)和人口归因分数(PAF)，并讨论它们与规划未来研究需求和政策的相关性。方法:计算人类免疫缺陷病毒感染、糖尿病、类风湿关节炎、透析患者、老年人、医护人员、无家可归者、接受公共援助者、外国人、囚犯、吸烟者和酗酒者的PAF和RR，并将其分为“高PAF”(PAF≥5%)、“中PAF”(5% > PAF≥1%)和“低PAF”(PAF < 1%)组。结果:老年人和糖尿病患者的PAF和RR最高，应优先考虑政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Kekkaku : [Tuberculosis]

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