结核病与贫穷

中国防痨杂志 ›› 2004, Vol. 26 ›› Issue (3): 177-179.

结核病与贫穷

赵大海；徐飚；

复旦大学公共卫生学院流行病教研室上海 200032；

出版日期:2004-03-10 发布日期:2004-11-03

Online:2004-03-10 Published:2004-11-03

摘要/Abstract

摘要： 结核病（TB），一个肆虐人类数千年的古老的传染病，在20世纪60年代曾被宣称“作为一个公共卫生问题将于2000年被消灭”^[1]。但是随着人口老龄化、耐药结核分枝杆菌感染、HIV流行、人口流动和贫穷等的日益加剧，结核病疫情出现回升趋势。1993年WHO宣布“全球结核病紧急状态”。全球每年约有200万人死于结核病，2020年死亡总数估计将达到3500万^[2]。在我国，结核病的死亡专率为9.810万，每年死于结核病的人数达13万，为其他各种传染病和寄生虫病死亡总和的两倍^[3]。

赵大海,徐飚,. 结核病与贫穷[J]. 中国防痨杂志, 2004, 26(3): 177-179.

参考文献

1 Hans T H W.TB and poverty [J].Int J Tuberc Lung Dis,2002,6(9):745～746.
2 Doyal L. Moral problems in the use of coercion in dealing with nonadherence in TB [J]. Int J Tuberc Lung Dis,1998,4(5):256～259.
3 端木宏谨.掌握结核病流行趋势,指导结核病防治工作[J].中华结核和呼吸杂志,2002,1(25)：1～3.
4 于春梅.世界贫穷人口连续三年上升[J].中国贫困地区，1999，11:48.
5 Sanchez H J,Flores J A, Jansa J M，et al. PTB and associated factors in areas of high levels of poverty in Chiapas [J]. Mexico international epidemiology association,2001，30:386～393.
6 Dye C, Scheele S，Dolin P, et al. Consensus statement. Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country [J]. WHO Global Surveillance and Monitoring Project.JAMA, 1999,282(7)：677～686.
7 Maclntyre C R, Plant A J. Longitudinal incidence of tuberculosis in South-East Asian refugees after re-settlement [J]. Int J Tuberc Lung Dis, 1999,3(4)：287～293
8 Anonymous. TB increasing in the United States [J]. Stat Bull Metrop Insur CO, 1991,72(3):8～10.
9 Karyadi E. Social aspects of patients with pulmonary tuberculosis in　Indonesia [J].Southeast-Asian J Trop Med Public Health,2002,33(2):338～345.
10 VanRie A, Beyers N,Gie R P. Childhood tuberculosis in an urban　population in South Africa: burden and risk factor [J]. Arch Dis Child, 1999,80(5):433-437.
11 Khan A, Walley J, Newell J, Imdad N. Tuberculosis in Pakistan： socio-cultural constraints and opportunities in treatment [J] . Soc Sci Med,2000,50(2):247～254.
12 全国结核病流行病学抽样调查技术指导组.第四次全国结核病抽样调查报告[J].中华结核与呼吸杂志,2002,1(25):3～5.
13 Lawn S D, Acheampong J W. PTB in adults：factors associated with mortality at a teaching hospital [J]. West Afr J Med, 1999,18(4)：208～214.
14 黑龙江省结核流行病抽样龙江第四次结核流调抽样报告[J].中华结核与呼吸杂志,25(1):8～12.
15 Kamolrtanakul P. Economic impact of TB at the household level [J] .Int J Tuberc Lung Dis, 1999,3(7):596～602.
16 Lienhardt C, Bowley J, Manneh K，et al. Factors affecting time delay to treatment in a TB control program in a sub-saharan Africa country [J].Int J Tuberc Dis,2001,5(3):233～239.
17 Needham D M. Godfrey P, Foster S D. Barriers to TB control in urban Zambia: the economic impact and burden on patients prior to diagnosis [J].lnt J Tuberc Lung Dis, 1998,2(10):811～817.
18 Umartojoe S When TB treatment fails [J]. A Social Behavior Rev Respire Dis, 1992,147：1311～1320.
19 Naing N N,D'Este C,Isa A R,et al. Contributing to poor compliance with anti-TB treatment among tuberculosis patients [J].Southeast-Asian J Trop Med Public Health,2001,32(2)：369～382.
20 Palwatwicha A [J] . Tuberculosis in Thailand. Respirology, 2001,6(l):65-70.
21 Johansson E,Diwan V K,Huong N D,et al. Staff and patient attitudes to tuberculosis and compliance with treatment: an exploratory study in a district in Vietnam [J]. Tuber Lung Dis, 1996,77(2):178～183.
22 王纪祥.安徽省结核病控制项目1997年病人化疗情况调查[J].疾病控制杂志，1999,3：189～191.
23 陈兆辉.世界贷款项目治疗肺结核失败227例分析[J].临床肺科杂志,2001,4:16～18.