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Tuberculosis Incidence and Mortality in Aboriginal Areas of Taiwan, 1997-2001

台灣地區山地鄉結核病的發生率與死亡率,1997-2001

並列摘要


Background and Purpose: People living in aboriginal areas of Taiwan are known to be at especially high risk of developing tuberculosis (TB). This study investigated the incidence and mortality of TB in aboriginal areas of Taiwan. Methods: The TB death statistics and notification data from the National TB Register and Department of Health in 1997-2001 were analyzed. Results: From 1997 to 2001, People living in aboriginal areas bore a disproportionate burden of TB disease in Taiwan, with mortality rates 5.5-6.5 times and incidence rates 3.6-5.2 times higher than those of people living in non- aboriginal areas. Among patients with I’B living in aboriginal areas, 381 died, accounting for 5.1% of the 7480 TB deaths in Taiwan. A large proportion of the patients with TB who died were older than 65 years, in both aboriginal (40.2%) and non-aboriginal (78.5%) areas; however, the age of TB patients who died in non-aboriginal areas was significantly older (p< 0.001). TB patients living in the aboriginal areas accounted for 3.6% (2618/71,447) of the total number of reported TB patients in Taiwan, and 32.7% were in the age range from 24-45 years. In contrast, TB patients living in non-aboriginal areas were typically older, with only 20.1% in the 24-45 age range (p< 0.001) and 44.4% older than 65 years (p< 0.001). In terms of incidence and mortality rates, men predominated in both groups; however, this pattern was less prominent in aboriginal areas than in non-aboriginal areas. Conclusions: The mortality rates and incidence of TB in aboriginal areas are much higher than those in non-aboriginal areas in Taiwan. Concentration of resources and programs to control TB in aboriginal areas may represent the most effective use of resources for fighting TB.

被引用紀錄


林杜凌(2008)。台灣地區結核病個案之接觸者檢查及發病分析〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2008.00084
Chan, P. C. (2013). 潛伏性結核感染的研究: HIV陰性病人 [doctoral dissertation, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2013.00431
Lee, P. H. (2012). 糖尿病增加結核病復發之風險:以人群為基礎之嵌入型病例對照研究 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2012.00616
NG, I. C. (2009). 台灣結核病近期傳播及相關社會人口學因子之空間分析 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2009.03121
Lin, C. H. (2005). 平地鄉結核病新近感染與再復發之探討-以彰化縣為例 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2005.01957

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