Increased risk of tuberculosis and its control in accordance with rapid urbanization with the development of road transport network in Laos-Vietnam-Cambodia-Thai

老挝的快速城市化导致了人口和经济的增长。这伴随着商品和服务分配的增加，其中大部分来自国外。这些变化提高了人民的生活水平，但也增加了城市弱势社区感染传染病和城市商业区感染性传播疾病的风险。这项研究的目的是检查老挝-越南-柬埔寨-泰国的结核病和其他传染病的风险与城市环境条件的变化、商品和服务的分配以及人们对疾病预防的熟练程度之间的关系。我们首先分析了老挝各省的卫生和社会指标，并制定了老挝人民民主共和国的卫生概况。然后，我们在万象、顺化和金边进行了实地调查，以分析人口健康状况随城市化的变化。根据对万象1497户家庭进行的一项调查，村庄健康状况。拟订了与健康、卫生条件、保健资源的使用、获得交通工具、社会经济条件、农业活动和日常生活中器具使用有关的指标。万象的城市社区显示出毒品滥用蔓延的迹象，这与城市化有关。考察了家畜饲养模式与家庭职业的关系。在万象的家庭中通常饲养家畜、家禽和狗。根据对顺化船上生活的3737人的健康检查，检查了结核病和其他传染病、基础设施发展、社会经济条件、卫生习惯、疾病预防熟练程度和交通工具之间的关系。健康状况的变化表现出社会经济条件、卫生习惯和疾病预防熟练程度之间的网状关系。建议开展参与式研究活动，以帮助在快速城市化的社区提高对预防传染病的认识。少

Rapid urbanization in Laos is resulting in population and economic growth. This accompanies increase in distribution of goods and services, most of which come from outside of the country. These changes increased people's standard of living, however, increased risk of infectious disease in urban disadvantaged communities and sexual transmitted disease in urban commercial zones. The purpose of this study was to examine the risk of tuberculosis and other infectious diseases in Laos-Vietnam-Cambodia-Thai, in relation to the changes of urban environmental conditions, distribution of goods and services and people's proficiencies in disease prevention. We first analyzed health and social indicators by province in Laos and developed a health profile of Lao PDR. We then have conducted a field survey in Vientiane, Hue, and Phnom Penh to analyze variation of health status of the population according to the urbanization. According to a survey with 1497 households in Vientiane, village health profi … More les were developed with indicators relating to health, sanitary conditions, use of healthcare resources, access to transport, socioeconomic conditions, agricultural activities and use of appliances in daily living. City neighborhoods in Vientiane showed evidence of the spread of drug abuse, which was associated with the urbanization. The patterns of rearing domesticated animals were examined in relation to occupation of the households. Domesticated animals, poultry and dog were commonly reared among the households in Vientiane. According to health examination of 3737 people living on boats in Hue, relationships among tuberculosis and other infectious disease, infrastructure development, socioeconomic conditions, sanitary practices, disease prevention proficiencies and means of transport were examined. Variations in health status showed a web-like relationship of socioeconomic conditions, sanitary practices, and disease prevention proficiency. Participatory style research activity was recommended to help raise awareness of prevention of infectious disease in communities under rapid urbanization. Less