Muñoz M Pilar, Orcau Angels, Caylà Joan
Departamento de Estadística e Investigación Operativa, Universitat Politècnica de Catalunya, España.
Rev Esp Salud Publica. 2009 Sep-Oct;83(5):751-7. doi: 10.1590/s1135-57272009000500016.
Tuberculosis (TB) continues to cause millions of new cases and deaths worldwide every year. The World Health Organization (WHO) has recently estimated that in 2007 9,273,000 cases (incidence 139/100,000 inhabitants) and 1,772,000 deaths were attributed to TB and, in the previous year, the absolute figure was slightly lower (9,240,000 cases) and the incidence somewhat higher (140/100,000), making it difficult to determine whether there was a reduction or not. The objective of this study was to apply fovecasting models to TB, differentiating between indigenous and immigrant subjects, in a city in which the annual number of cases has been recorded since 1987. Adjusted segmented regression (piecewise regression) was applied to the series of new cases in the indigenous and immigrant populations of Barcelona. The evolution of TB differed radically; whereas in the indigenous population there was a downward trend, coinciding with the reduction in new of cases of AIDS, in immigrants there was an upward trend. The estimated number of new cases in 2009 was 168 (95% CI 109 - 227) in indigenous subjects and 227 (95% CI, 180 - 275) in immigrants.
结核病(TB)每年仍在全球造成数百万新发病例和死亡。世界卫生组织(WHO)最近估计,2007年有927.3万例(发病率为139/10万居民)和177.2万例死亡归因于结核病,而前一年的绝对数字略低(924万例),发病率略高(140/10万),因此难以确定是否有所下降。本研究的目的是将预测模型应用于结核病,区分本地人和移民,研究对象为自1987年以来每年都记录病例数的一个城市。对巴塞罗那本地人和移民人群中的新发病例系列应用了调整后的分段回归(分段回归)。结核病的发展情况截然不同;在本地人群中呈下降趋势,这与艾滋病新发病例的减少相一致,而在移民中则呈上升趋势。估计2009年本地人的新发病例数为168例(95%可信区间109 - 227),移民为227例(95%可信区间,180 - 275)。