Do women with tuberculosis have a lower likelihood of getting diagnosed? Prevalence and case detection of sputum smear positive pulmonary TB, a population-based study from Vietnam
Do women with tuberculosis have a lower likelihood of getting diagnosed? Prevalence and case detection of sputum smear positive pulmonary TB, a population-based study from Vietnam
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DOI：
10.1016/j.jclinepi.2002.11.001
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发表时间：
2004-04-01
影响因子：
7.2
通讯作者：
Diwan, VK
中科院分区：
文献类型：
--
作者：
Thorson, A;Hoa, NP;Diwan, VK
目的：目的是通过筛查估计特定性别的结核病 (TB) 患病率。进一步的目标是计算越南国家结核病计划内的病例检出率。 研究设计和背景：在越南北部巴维地区现有的社会人口纵向研究中，对 35,832 名成年人进行了一项基于人口的调查。通过关于长时间咳嗽的筛查问题来识别病例，并通过痰液检查和胸部 X 光检查进一步诊断。结果：男性肺结核的估计患病率为 90/100,000 (95% CI 45-135/100,000)，女性肺结核患病率为 110/100,000 (95% CI 63-157/100,000)。该地区男性病例检出率为 39%（95% CI 20-76%），女性病例检出率为 12%（95% CI 6-26%）。结论：男性和女性的结核病患病率相似。男性和女性病例检出率均显着低于全国报告的80%病例检出率，且女性病例检出率显着不足。这些发现值得采取行动，并强调需要在不同的背景下进行类似的研究。 (C) 2004 Elsevier Inc. 保留所有权利。
Objective: The aim was to estimate the gender-specific prevalence of tuberculosis (TB) through screening. A further aim was to calculate case detection within the Vietnamese National TB program.Study Design and Setting: A population-based survey of 35,832 adults was performed within an existing sociodemographic longitudinal study in Bavi district, northern Vietnam. Cases were identified by a screening question about prolonged cough and further diagnosed with sputum examination and a chest X-ray.Results: The estimated prevalence of pulmonary TB among men was 90/100,000 (95% CI 45-135/100,000) and among women 110/100,000 (95% CI 63-157/100,000). Case detection in the district was estimated to 39% (95% CI 20-76%) among men and 12% (95% CI 6-26%) among women.Conclusion: TB prevalence was similar among men and women. Case detection among men and women was significantly lower than the reported national case detection of 80%, and there was a significant underdetection of female cases. These findings warrant actions, and emphasize the need to perform similar studies in different contexts. (C) 2004 Elsevier Inc. All rights reserved.