Analysis of epidemiological characteristics of pulmonary tuberculosis in Wangcang County from 2018 to 2022
Objective To understand the epidemic status of pulmonary tuberculosis(PTB)in Wangcang County,and to provide scientific basis for formulating tuberculosis prevention and control measures.Methods Descriptive epidemiological method was used to analyze the data of PTB cases reported in Wangcang County from 2018 to 2022.Rates were compared by x2 test,and the change trend was tested by trend-x2 test.The test level was α=0.05.Results From 2018 to 2022,the incidence of PTB in Wangcang County showed a downward trend,with an average annual decline rate of 11.83%,and the decrease trend was statistically significant(x2trend=43.89,P<0.001).The incidence of positive etiology increased from 28.64/105 in 2018 to 47.11/105 in 2022,and the increasing trend was statistically significant(x2trend=21.31,P<0.001).The time distribution showed an overall downward trend,and increased obviously in January and March,showing seasonal fluctuation.The number of cases in Wuquan Town,Baishui Town,Shuimo Town,Puji Town and Shuanghui Town increased first and then decreased.The sex ratio between men and women was 2.35:1.The incidence was higher in men than that in women(x2=248.69,P<0.001).The highest incidence was found in men aged 50-59 years old(83.99/105).The highest incidence was found in women from 20-29 years old(85.49/105).While the highest incidence of the whole population was found in people aged 70-79 years old.Farmers were the main group(70.47%).Conclusions The prevalence of PTB in Wangcang County was decreasing year by year,but the positive etiology was increasing year by year.We should focus on the incidence level of the elderly group,tilt the prevention and treatment funds to the remote towns,and improve the construction of grass-roots laboratories.