首页|2017-2021年湖南省肺结核流行特征分析

2017-2021年湖南省肺结核流行特征分析

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目的 分析2017-2021年湖南省肺结核流行特征,为全省防控政策制定提供科学依据.方法 通过《中国疾病预防控制信息系统》收集获得2017-2021年的湖南省肺结核疫情报告卡信息及常住人口数,结合报告分类、人群特征等信息计算肺结核报告发病率及构成比,采用SPSS 18.0软件对肺结核流行特征进行统计学分析.结果 2017-2021年,湖南省共报告活动性肺结核患者264 325例,年均报告发病率为77.42/10万;肺结核报告发病率呈缓慢下降趋势(x2趋势=38.239,P<0.001).每年发病高峰主要集中在1和3月,呈东部低、中西部高趋势,报告发病率居前三位的市州分别为张家界市、衡阳市、娄底市;衡阳市、邵阳市报告发病率呈上升趋势,年递降率分别为-5.70%(x2趋势=109.554,P<0.001)、-2.30%(x2趋势=22.859,P<0.001).发病年龄集中在40~79岁,其中以60~岁组构成比最高(22.72%).男性发病率高于女性,男女性发病数的比值为2.57∶1.职业分布中农民的构成比最高,占73.97%;其次为家务及待业(7.45%)、离退休人员(5.16%)、学生(4.58%).结论 2017-2021年湖南省肺结核报告发病率呈缓慢下降趋势,但仍远高于全国平均水平,防控任务艰巨,且不同地区、时间和人群间有差异.
Epidemic characteristics of pulmonary tuberculosis in Hunan Province,2017-2021
Objective To analyze the epidemic characteristics of pulmonary tuberculosis(PTB)in Hunan Province during 2017-2021,and to provide a scientific basis for formulating the provincial prevention and control policies.Methods The data about the reported cards of PTB epidemic situation and the number of permanent residents in Hunan Province from 2017 to 2021 were collected through China Information System for Disease Control and Prevention,and the reported incidence rate and composition ratio of PTB were calculated in combination with the report classification,population characteristics and other information.SPSS18.0 software was used to statistically analyze the epidemic features of PTB.Results A total of 264,325 cases of active PTB were reported in Hunan Province from 2017 to 2021,with an average annual reported incidence rate of 77.42/100,000.The overall reported incidence rate of active PTB showed a slow downward trend(x2trend=38.239,P<0.001).The annual incidence peak of the disease was mainly concentrated in January and March,showing a trend of low in the east but high in the central and west.Zhangjiajie,Hengyang and Loudi ranked the top three cities and prefecture in terms of the reported incidence rate.The reported incidence rates in Hengyang City and Shaoyang City showed an upward trend,with an annual decreasing rate of-5.70%(x2 trend=109.554,P<0.001)and-2.30%(x2 trend=22.859,P<0.001).The age of onset was concentraated in 40-79 years,and the highest proportion was found in the age group of 60 years(22.72%).The incidence rate was higher in the males than in the females,and the male-to-female incidence rate ratio was 2.57∶1.The occupational distribution showed that the proportion of farmers was the highest,accounting for 73.97%,followed by house workers and the unemployment(7.45%),retirees(5.16%)and students(4.58%).Conclusion The reported incidence rates of PTB in Hunan Province during 2017-2021 showed a slow downward trend,but they were was still far higher than the national average.The task about PTB prevention and control is arduous,moreover,there are differences among different regions,time periods and populations.

pulmonary tuberculosisepidemic characteristicHunan Province

范江静、龚德华、万燕萍、徐祖辉、刘兆春

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湖南省结核病防治所(湖南省胸科医院),湖南 长沙 410013

肺结核 流行特征 湖南省

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(1)
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