改善结核病服务的社区方法：从印度一个结核病负担沉重的弱势社区的干预前和干预后调查中观察到的问题

IF 9 1区医学 Q1 RESPIRATORY SYSTEM

Thorax Pub Date : 2024-10-26 DOI:10.1136/thorax-2024-221446

Jyothi Bhat, Ravendra Kumar Sharma, Rajiv Yadav, M Muniyandi, Prashant Mishra, Samridhi Nigam, Mercy Aparna Latha Lingala, Vikas Gangadhar Rao

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引用次数: 0

摘要

据报道，印度中央邦萨哈里亚（Saharia）部落的结核病（TB）发病率高得惊人。在 2018-2021 年期间，开展了一项基于社区的干预研究，以改善结核病病例发现情况。干预措施主要包括通过乡村结核病志愿者利用宣传、沟通和社会动员活动积极发现病例。采用干预前和干预后调查设计来评估干预的影响。干预后，每 10 万人口中的结核病发病率从 1357 例（95% CI 1206 至 1527 例）下降到 752 例（95% CI 646 至 875 例）（p<0.001）。研究结果凸显了以社区为基础的创新方法在高负担地区控制结核病的重要性。

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Community-based approaches to improve tuberculosis services: observations from preintervention and postintervention surveys in a high TB burden disadvantaged community in India

An alarmingly high prevalence of tuberculosis (TB) was reported among the Saharia tribe in Madhya Pradesh, India. A community-based intervention study was undertaken to improve TB case finding during 2018–2021. The interventions mainly comprised active case detection through village TB volunteers using advocacy, communication and social mobilisation activities. A preintervention and postintervention survey design was adopted to assess the impact of intervention. The prevalence declined from 1357 (95% CI 1206 to 1527) to 752 (95% CI 646 to 875) per 100 000 population (p<0.001). The study findings highlight the importance of innovative community-based approaches in controlling TB in high burden areas.

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来源期刊

Thorax 医学-呼吸系统

CiteScore

16.10

自引率

2.00%

发文量

197

审稿时长

1 months

期刊介绍： Thorax stands as one of the premier respiratory medicine journals globally, featuring clinical and experimental research articles spanning respiratory medicine, pediatrics, immunology, pharmacology, pathology, and surgery. The journal's mission is to publish noteworthy advancements in scientific understanding that are poised to influence clinical practice significantly. This encompasses articles delving into basic and translational mechanisms applicable to clinical material, covering areas such as cell and molecular biology, genetics, epidemiology, and immunology.