Prevalence of diarrhoea in the community in Australia, Canada, Ireland, and the United States
Prevalence of diarrhoea in the community in Australia, Canada, Ireland, and the United States
复制标题
DOI：
10.1093/ije/dyh413
复制
发表时间：
2005-04-01
影响因子：
7.7
通讯作者：
Angulo, FJ
中科院分区：
文献类型：
--
作者：
Scallan, E;Majowicz, SE;Angulo, FJ
背景 一些国家的研究估计了社区腹泻的患病率。然而，使用不同的研究设计和不同的病例定义使得国际比较变得困难。 方法 2000 年至 2002 年期间，在澳大利亚、加拿大、爱尔兰（包括北爱尔兰）和美国进行了为期 12 个月的类似横断面电话调查。每次调查均询问访谈前 4 周内的腹泻情况。对于这一比较分析，使用了统一的定义。 结果 澳大利亚 6087 名受访者、加拿大 3496 名受访者、爱尔兰 9903 名受访者和美国 14 647 名受访者完成了问卷调查。在采访前的 4 周内，加拿大 7.6%、美国 7.6%、澳大利亚 6.4% 和爱尔兰 3.4% 的受访者报告至少发生过一次腹泻。女性腹泻患病率始终较高。在所有国家中，5 岁以下儿童的腹泻患病率最高，65 岁以上人群的腹泻患病率最低。当考虑腹泻和呕吐时，四项研究中的患病率几乎相同（范围：2.0-2.6%）。尽管医疗保健结构不同，但寻求医疗服务的受访者比例相似（约五分之一）。美国 8.3%、爱尔兰 5.6%、加拿大 3.8% 和澳大利亚 3.6% 的受访者报告使用抗生素治疗腹泻。 结论 腹泻是澳大利亚、加拿大、爱尔兰和美国社区中的常见疾病。通过类似的方法和标准病例定义，各国之间的年龄和性别模式以及就医行为非常一致。
Background Studies in several countries have estimated the prevalence of diarrhoea in the community. However, the use of different study designs and varying case definitions has made international comparisons difficult.Methods Similar cross-sectional telephone surveys were conducted in Australia, Canada, Ireland (including Northern Ireland), and the United States over 12 month periods between 2000 and 2002. Each survey asked about diarrhoea in the four weeks before the interview. For this comparative analysis, uniform definitions were used.Results Questionnaires were completed for 6087 respondents in Australia, 3496 in Canada, 9903 in Ireland, and 14 647 in the United States. In the four weeks prior to interview, at least one episode of diarrhoea was reported by 7.6% of respondents in Canada, 7.6% in the United States, 6.4% in Australia, and 3.4% in Ireland. The prevalence of diarrhoea was consistently higher in females. In all countries, the prevalence of diarrhoea was highest in children < 5 years and lowest in persons >= 65 years of age. When diarrhoea and vomiting was considered, the prevalence was almost identical in the four studies (range: 2.0-2.6%). Despite different health care structures, a similar proportion of respondents sought medical care (approximately one in five). Antibiotic usage for the treatment of diarrhoea was reported by 8.3% of respondents in the United States, 5.6% in Ireland, 3.8% in Canada, and 3.6% in Australia.Conclusions Diarrhoea is a common illness among persons in the community in Australia, Canada, Ireland, and the United States. With similar methodologies and a standard case definition, age and sex patterns and health care seeking behaviour were remarkably consistent between countries.