چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | علوم پزشکی کرمانشاه |
| کد مقاله | 10296 |
| عنوان فارسی مقاله | |
| عنوان لاتین مقاله | Epidemiologic Trend of Smear-Positive, Smear-Negative, Extra Pulmonary and Relapse of Tuberculosis in Iran (2001-2015); A Repeated Cross- Sectional Study |
| نوع مقاله | مقاله اصیل (پژوهشی، Original) |
| بالاترین نمایه نامه بینالمللی | pubmed |
| سطح مقاله | |
| IF | |
| عنوان نشریه | Journal of Research in Health Sciences |
| نوع نشریه | خارجی ایندکس شده |
| شماره نشریه | 2 |
| دوره | 17 |
| تاریخ انتشار شمسی | 1396/01/13 |
| تاریخ انتشار میلادی | |
| آدرس لینک مقاله/ همایش در شبکه اینترنت | http://jrhs.umsha.ac.ir/index.php/JRHS/article/view/3017/pdf |
| DOI | |
| آدرس علمی (Affiliation) نویسنده متقاضی | Department of Biostatistics and Epidemiology, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran |
| Background: Trend analysis is an important tool to monitor epidemiological changes of disease over time to guide resource allocation. This study aimed to study incidence trends and change-points of smear positive, smear negative, extra-pulmonary and relapse of tuberculosis (TB) in Iran from 2001 to 2015. Study design: Repeated cross-sectional study Methods: Nonlinear segmented regression w as used to describe TB incidence trends; annual percent change (APC), average annual percent changes (AAPC) and change points for each disease separately. Results: Of 154930 TB cases, 49.8% w ere smear positive, 19.7% smear negative, 27.32% extra- pulmonary and 3.18% relapse. For all TB types, the peak of incidence w as in 2001. Tw o change point w ere estimated for all TB types (P<0.05). The APC of all TB types w ere -6.51 (95% CI: -7.4, -5.4) for first and 2.4 (95% CI: 0. 7, 4.1) for second segment. Although the trends w ere significantly decreasing from 2001 to 2015 for smear positive (AAPC=2.06%), smear negative (AAPC=3.57%), extra pulmonary (AAPC=3.2%) and relapse (AAPC=3.3%), the AAPCs of trends w ere not significant from 2006 to 2015. Except for Extra pulmonary TB (APC=4-.9%, 95%CI:-10, 1.2), the APCs of the last segments w ere significant. Conclusions: Even though the TB incidence rates w ere decreasing, the amount of reductions seem inadequate, to reach the goals of TB control in Iran. Especially, the increase in the extra-pulmonary TB rates is a point of concern that highlights more attention is required for these cases. It is essential to improve economic supports tow ard TB control, illegal immigrants, data registry systems and physician's sensitivity in TB detection. |
| نویسنده | نفر چندم مقاله | نویسنده مسئول |
|---|---|---|
| توحید جعفری کشکی | چهارم | خير |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 3017-14939-1-PB.pdf | 1396/03/13 | 504323 | دانلود |
