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학술저널
저자정보
민진수 ((학)가톨릭학원가톨릭대학교대전성모병원) SO-YOUNG KIM (Chungbuk National University) 박종은 (충북대학교 보건과학융합연구소) Yeon-Yong Kim (Big Data Steering Department National Health Insurance Service Wonju) Jong-Hyock Park (Chungbuk National University)
저널정보
한국역학회 Epidemiology and Health Epidemiology and Health Vol.44
발행연도
2022.1
수록면
1 - 9 (9page)
DOI
10.4178/epih.e2022098

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OBJECTIVES: Studies on the association between disability and tuberculosis (TB) are scarce. We aimed to assess the risk of ac tive TB disease among people with disabilities. METHODS: We conducted a nationwide serial cross-sectional study using national registry linkage databases from 2008 to 2017. The crude and age, sex-standardized incidence rates of TB were analyzed for each year according to the presence, type, and severity of disabilities. The crude incidence rate and odds of developing TB disease were examined by a multivariable logis tic regression model using data in 2017. RESULTS: The overall incidence of active TB decreased between 2008 and 2017. Age, sex-standardized incidence rates of TB disease among people with disabilities were significantly higher than among those without disabilities throughout all observed years (P< 0.001). As of 2017, the population with disabilities had a higher crude incidence rate of active TB disease than that without disability (119.9/100,000 vs. 48.5/100,000 person-years, P< 0.001), regardless of sex, income level, and place of residence. Compared to those without disability, those with disabilities had higher odds of active TB (adjusted odds ratio [aOR], 1.19; 95% confidence interval [CI], 1.15-1.24). Mental disability (aOR, 1.51; 95% CI, 1.24-1.84) had the highest odds of active TB inci dence, followed by developmental disability (aOR, 1.30; 95% CI, 1.09-1.55). CONCLUSIONS: People with disabilities are at a greater risk of developing TB disease. Active screening and care for TB cases would be beneficial for people with disabilities.

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