2000-2003年乌克兰成年人群甲状腺疾病发病率的流行病学评估

A. Antonenko, M. Korshun, O. Vavrinevych, S. Omelchuk, V. Bardov
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引用次数: 2

摘要

背景近几十年来,甲状腺疾病一直备受关注。这在一定程度上是由于甲状腺对地球化学状态和工业和农业废物对环境的污染做出积极反应,随后发生某些病理过程。本研究的目的是分析2000年至2013年乌克兰成年人群甲状腺疾病的发病率。方法:采用科学信息的实证和理论研究方法:分析、综合、归纳、推导和系统化,以及流行病学和统计方法。使用Microsoft Office Excel(2007)和IBM SPSS StatisticsBase v.22程序进行相关和回归分析。后果从2000年到2013年,乌克兰西部和北部地区的成年人口内分泌疾病、一般性甲状腺肿和不同程度的弥漫性甲状腺肿、一般性和原发性发病率较高,中部、东部和南部地区发病率较低。患病率水平与内分泌病理、甲状腺整体疾病以及个体疾病的发病率水平之间存在统计学显著正相关(p<0.001)。结论。乌克兰成年人口甲状腺发病率变化水平和动态的区域特点可能与每个区域的紧迫环境因素有关。这一因素需要进一步研究,以制定有效的预防和防御方法。
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EPIDEMIOLOGIC EVALUATION OF THYROID DISEASES MORBIDITY OF UKRAINIAN ADULT POPULATION FROM 2000 TO 2013
Background. The diseases of thyroid gland have been attracting considerable attention in recent decades. This is partly due to the fact that thyroid gland reacts actively to geochemical state and pollution of the environment with industrial and agricultural waste products with the subsequent incidence of certain pathological processes. The objective of the research was to analyze the morbidity of adult population of Ukraine for thyroid gland diseases in the period from 2000 to 2013.Methods. The methods of empirical and theoretical research of scientific information: analysis, synthesis, induction, deduction and systematization, as well as epidemiological and statistical methods were used. Using the Microsoft Office Excel (2007) and IBM SPSS StatisticsBase v.22 program the correlation and regression analyzes were conducted.Results. From 2000 to 2013, high levels of adult population endocrinopathies, thyroid in general and diffuse goiter of varying degrees, general and primary morbidity were registered in the western and northern regions of Ukraine, low – in the central, eastern and southern regions. Statistically significant (p<0.001) positive correlation between the level of prevalence and the level of incidence of endocrine pathology, diseases of thyroid gland as a whole, as well as individual nosology was detected. Conclusions. Regional peculiarities of the levels and dynamics of changes in the incidence rates of thyroid morbidity among adult population of Ukraine can be related to the urgent environmental factors for each region. This factor requires further study to develop effective methods of prophylaxis and defense. 
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