自杀和肺结核死亡率:时间序列的比较分析

Y. Razvodovsky, Ю Е Разводовский, P. B. Zotov, П Б Зотов
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引用次数: 2

摘要

直到最近,俄罗斯的结核病死亡率和自杀率都是世界上最高的。结核病和自杀属于医学-社会问题,这些流行病学参数通常被认为是心理社会困扰的指标。有理论前提和经验证据表明,自杀与结核病死亡率在个人和群体水平之间存在正相关关系。的目标。本研究的目的是找出俄罗斯肺结核的流行病学参数与自杀率之间的联系。材料与方法。为了评估时间序列之间的双变量关系,使用时间序列分析了1980年至2015年结核病发病率/死亡率和自杀率的趋势。结果。分析结果表明,男性结核病死亡率和自杀率在零滞后时存在统计学上显著的关联(r=0.71: SE=0.169)。妇女结核病死亡率和自杀率之间也存在正相关,但统计学上不显著(r=0.26: SE=0.169)。结论。本研究结果表明,男性结核病死亡率与自杀率之间存在正相关关系。这项研究间接支持了结核病死亡率可被视为心理社会困扰指标的假设。
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Suicide and tuberculosis mortality: a comparative analysis of time series
Until recently tuberculosis mortality and the suicide rates in Russia were among the highest in the world. Tuberculosis and suicide belong to the medico-social problems and these epidemiological parameters are often considered indicators of psychosocial distress. There are theoretical premises and empirical evidence which suggest the positive relationship between suicide and tuberculosis mortality at individual and population levels. Aim . The aim of the present study was to find out a link between the epidemiological parameters of tuberculosis and the suicide rates in Russia. Materials and Methods . Trends in tuberculosis incidence/mortality and the suicide rates from 1980 to 2015 were analyzed using a time series analysis in order to asses bivariate relationship between the time series. Results . The results of analysis indicate the presence of a statistically significant association between tuberculosis mortality and suicide rates for men at lag zero (r=0.71: SE=0.169). The association between tuberculosis mortality and suicide rates for women was also positive, but statistically not significant (r=0.26: SE=0.169). Conclusions . The results of this study suggest positive aggregate-level relationship between tuberculosis mortality and suicide rates in men. This study indirectly supports the hypothesis that tuberculosis mortality can be considered an indicator of psychosocial distress.
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