RISK GROUPS FOR TUBERCULOSIS IN JAPAN : ANALYSIS OF RELATIVE RISK AND POPULATION ATTRIBUTABLE FRACTION

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  • KAWATSU Lisa
    Department of Epidemiology and Clinical Research, Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association (JATA)
  • ISHIKAWA Nobukatsu
    Research Institute of Tuberculosis, JATA
  • UCHIMURA Kazuhiro
    Department of Epidemiology and Clinical Research, Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association (JATA)

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Other Title
  • 本邦における結核のリスク集団
  • 本邦における結核のリスク集団 : 人口寄与割合と優先政策に関する検討
  • ホンポウ ニ オケル ケッカク ノ リスク シュウダン : ジンコウ キヨ ワリアイ ト ユウセン セイサク ニ カンスル ケントウ
  • ―人口寄与割合と優先政策に関する検討―

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Abstract

<p>[Objective] Despite the decreasing trend in tuberculosis (TB) cases reported within the general population, TB incidence remains high in certain high-risk groups in Japan. Many of the previous discussions and studies have concentrated mainly on the elderly and those with clinical risks ; however, no comprehensive evaluation has been conducted to date. Our study thus sought to estimate the relative risk (RR) and the population attributable fraction (PAF) of selected risk groups in Japan and discuss their relevance to programming future research needs and policies. [Method] PAF and RR were calculated for patients with human immunodeficiency virus infection, diabetes, rheumatoid arthritis, those on dialysis, the elderly, health care workers, the homeless, people receiving public assistance, foreigners, prisoners, smokers, and those with alcohol problems, and were grouped into high PAF (PAF ≧5％), middle PAF (5％ ＞ PAF ≧1％), and low PAF (PAF ＜1％) groups. [Results] The elderly and patients with diabetes showed the highest PAF and RR and should thus be prioritized for policies.</p>

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