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Free Content Sex differences in tuberculosis in Hong Kong

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Abstract:

SETTING: The Hong Kong Tuberculosis and Chest Service, Department of Health, Hong Kong.

OBJECTIVE: To examine sex differences in the rate and clinical manifestations of tuberculosis in Hong Kong.

DESIGN: Notification rates of tuberculosis during the past five decades were obtained from the Hong Kong Tuberculosis and Chest Service, Department of Health, Hong Kong. In addition, all patients registered with the Chest Service for treatment of tuberculosis in 1996 were studied.

RESULTS: The rate of tuberculosis during the past five decades was consistently higher in men than in women, irrespective of age group. The sex difference in rates was highest among those aged over 60 years. In 1996, a higher proportion of women had extra-pulmonary tuberculosis than men; the main site of involvement was the lymph nodes. More women completed treatment at 12 months and fewer women missed treatment appointments. A higher proportion of men had relapse pulmonary disease that was more extensive, a history of previous default from treatment and co-morbid illnesses.

CONCLUSION: There are sex differences in the rates and clinical manifestations of tuberculosis in Hong Kong. Study of sex differences is essential for targeting prevention programmes at groups at higher risk.

Keywords: sex differences; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Respiratory Division, Department of Medicine, University of British Columbia, Vancouver, BC, Canada, and Department of Medicine, University of Hong Kong, Hong Kong 2: The Hong Kong Government Tuberculosis and Chest Service, Department of Health, Hong Kong

Publication date: 2002-01-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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