Investigating urban-rural disparities in tuberculosis treatment outcome in England and Wales

被引:20
作者
Abubakar, I. [1 ]
Crofts, J. P. [1 ]
Gelb, D. [2 ]
Story, A. [1 ]
Andrews, N. [2 ]
Watson, J. M. [1 ]
机构
[1] Hlth Protect Agcy, Ctr Infect, Dept Resp Dis, London NW9 5EQ, England
[2] Hlth Protect Agcy, Ctr Infect, Stat Bioinformat & Modelling Dept, London NW9 5EQ, England
关键词
D O I
10.1017/S0950268807008333
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study was to compare the Occurrence of tuberculosis (TB) and the outcome of treatment between TB patients living ill urban and rural areas. Cases of TB reported from 2001 to 2003 in England and Wales were assigned to a rural or urban area classification. The outcome of interest, non-completion of treatment., was investigated to determine the odds ratio for urban vs. rural residence. The effects of age, sex. ethnicity, place of birth, time since arrival in the United Kingdom. disease site, isoniazid resistance and previous diagnosis were adjusted for by multivariable logistic regression. Crude odds ratios showed a significantly higher level of treatment non-completion in rural areas. These results became non-significant (OR 1.02, 95% CI 0.83-1.26, P = 0.82) after adjusting(I for the Confounding effects of ethnic group and age. In England and Wales residence in a rural location is not an independent determinant of TB treatment outcome failure.
引用
收藏
页码:122 / 127
页数:6
相关论文
共 16 条
[1]   Differences in tuberculosis incidence rates in township and in rural populations in Ntcheu District, Malawi [J].
Banerjee, A ;
Harries, AD ;
Salaniponi, FML .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1999, 93 (04) :392-393
[2]  
Barker RD, 2002, INT J TUBERC LUNG D, V6, P98
[3]   Rural and urban differences in stage at diagnosis of colorectal and lung cancers [J].
Campbell, NC ;
Elliott, AM ;
Sharp, L ;
Ritchie, LD ;
Cassidy, J ;
Little, J .
BRITISH JOURNAL OF CANCER, 2001, 84 (07) :910-914
[4]  
Diel R, 2003, INT J TUBERC LUNG D, V7, P124
[5]   Equity of access to health care services: Theory and evidence from the UK [J].
Goddard, M ;
Smith, P .
SOCIAL SCIENCE & MEDICINE, 2001, 53 (09) :1149-1162
[6]  
GREENBERG ER, 1988, CANCER, V62, P1647, DOI 10.1002/1097-0142(19881015)62:8<1647::AID-CNCR2820620832>3.0.CO
[7]  
2-T
[8]   Defining urban and rural areas in US epidemiologic studies [J].
Hall, SA ;
Kaufman, JS ;
Ricketts, TC .
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2006, 83 (02) :162-175
[9]  
*HLTH PROT AG, 2004, TUB SEC ANN REP TUB
[10]  
LIFF JM, 1991, CANCER, V67, P1454, DOI 10.1002/1097-0142(19910301)67:5<1454::AID-CNCR2820670533>3.0.CO