pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2015-25-4-5-6pulmo-605Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESАнализ влияния социально-бытовых факторов на риск развития туберкулеза легкихA role of social factors for risk of pulmonary tuberculosisНаркевичА. Н.NarkevichA. N.

аспирант кафедры медицинской кибернетики ГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф.ВойноЯсенецкого"; тел.: (391) 2200389

PhD student at Department of Medical Cybernetics, V.F.VoynoYasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389

narkevichart@gmail.comКорецкаяН. М.KoretskayaN. M.

д. м. н., профессор, зав. кафедрой туберкулеза с курсом ПО ГБОУ ВПО "КрасГМУ им. проф. В.Ф.Войно-Ясенецкого" Минздрава России; тел.: (391) 2617682

MD, Professor, Head of Department of Tuberculosis with Postgraduate Physician Training Course, V.F.VoynoYase netskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2617682

kraskaftuber@mail.ruВиноградовК. А.VinogradovK. A.

д. м. н., проф., заведующий кафедрой медицинской кибернетики ГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф.Войно-Ясенецкого"; тел.: (391) 2200389

MD, Professor, Head of Department of Medical Cybernetics, V.F.VoynoYasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389

vinogradov16@yandex.ruНаркевичА. А.NarkevichA. A.

ассистент кафедры туберкулеза с курсом ПО ГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф.ВойноЯсенецкого"; тел.: (391) 2617682

Assistant Lecturer at Department of Tuberculosis with Postgraduate Physician Training Course, V.F.Voyno Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2617682

kraskaftuber@mail.ruШадринК. В.ShadrinK. V.

преподаватель кафедры медицинской кибернетики ГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф.ВойноЯсенецкого"; тел.: (391) 2200389

Lecturer at Department of Tuberculosis with Postgraduate Physician Training Course, V.F.VoynoYasenetskiy Kras noyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389

kvshbuffon@mail.ruГБОУ ВПО "Красноярский государственный медицинский университет им. проф. В.Ф.ВойноЯсенецкого" Минздрава России: 660022, Красноярск, ул. Партизана Железняка, 1РоссияV.F.VoynoYasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia: 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, RussiaRussian Federation201521102015254465468Copyright © Наркевич А.Н., Корецкая Н.М., Виноградов К.А., Наркевич А.А., Шадрин К.В., 20152015Наркевич А.Н., Корецкая Н.М., Виноградов К.А., Наркевич А.А., Шадрин К.В.Narkevich A.N., Koretskaya N.M., Vinogradov K.A., Narkevich A.A., Shadrin K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/605Цель

Цель. Анализ влияния факторов, связанных с социально-бытовыми условиями, на риск развития туберкулеза легких (ТЛ) с учетом места проживания, благоустройства жилья, числа комнат, числа совместно проживающих лиц, в т. ч. детей, общей площади и площади на 1 проживающего, а также общесемейного дохода и дохода на 1 члена семьи.

Материалы и методы

Материалы и методы. Исследование проводилось на основе данных интервьюирования впервые выявленных больных ТЛ (n = 342) (1я группа) и здоровых лиц (n = 386) (2я группа). В 1й группе преобладали мужчины (56,4 ± 5,26 %), а во 2й – женщины (54,7 ± 4,97 %).

Результаты и обсуждение

Результаты и обсуждение. Установлено, что риск развития ТЛ в наибольшей степени повышается при воздействии таких факторов, как неблагоустроенные условия проживания (отношение шансов (ОШ) – 8,4 (5,25; 13,44); p < 0,001) и доход ниже прожиточного минимума (ОШ – 2,5 (2,17; 2,97); p < 0,001). Факторы риска распределились по мере уменьшения значимости: проживание в отдельных домохозяйствах, недостаточная жилая площадь на 1 члена семьи, низкий уровень общесемейного дохода и малое число комнат. Констатирован относительно благоприятный фактор – наличие очагов туберкулезной инфекции ввиду малого удельного веса очагов с проживающими в них детьми.

Заключение

Заключение. С помощью полученных данных появилась возможность проводить целевые мероприятия по активному выявлению ТЛ среди лиц с повышенным риском развития этого заболевания, что, несомненно, способствует существенному повышению их эффективности и выявляемости на 1 000 обследованных и, соответственно, снижению стоимости выявления 1 больного

The aim of this study was to identify social risk factors of pulmonary tuberculosis.

Methods

Methods. We used a questionnaire to evaluate living conditions, number of subjects living together, including children; dwelling space, and family income.

Results

Results. The study involved 342 patients with newly diagnosed pulmonary tuberculosis (56.4±5.26% were men) and 386 healthy individuals (54.7±4.97% were women). Poor living conditions (OR = 8.4 (5.25; 13.44); p < 0.001) and extremely low income (OR = 2.5 (2.17; 2.97); p < 0.001) were associated with the highest risk for pulmonary tuberculosis morbidity followed by living in an individual household, small dwelling space, low family income and less living rooms in a house. A relatively small proportion of TB foci involving children was found.

Conclusion

Conclusion. The results can facilitate targeted measures for active diagnosis of pulmonary tuberculosis in high risk cohorts. This could increase efficacy of preventive measures and reduce diagnostic costs per a patient.

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The authors declare that there are no conflicts of interest present.