首页|2019-2023年广汉市肺结核流行病学特征分析

2019-2023年广汉市肺结核流行病学特征分析

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目的 为了解和掌握广汉市结核病流行特点,为制定肺结核病预防控制措施提供依据.方法 按发病日期和报告地址在中国疾病预防控制信息系统选取2019-2023年居住地在广汉市的肺结核病例进行流行病描述分析.用Excel 2016软件整理数据,用x2检验比较构成比和报告发病率,用趋势x2检验比较变化趋势,以P<0.05为差异有统计学意义.结果 2019-2023年广汉市肺结核报告数920例,平均年报告发病率为29.84/10万,各年度报告发病率分别为40.03/10万、28.03/10万、29.23/10万、23.68/10万和28.53/10万,各年度报告发病率差异有统计学意义(x2=30.026,P<0.001),呈下降趋势(x2趋势=15.174,P<0.001),年均递降率为8.12%.广汉市肺结核报告发病数的月份分布总体差异有统计学意义(x2=105.785,P<0.001);各乡镇街的年均报告发病率差异有统计学意义(x2=221.988,P<0.001);职业中占比前2的是农民和牧民、家务及待业人员;男性病例数约为女性病例数的2.45倍.男性的平均报告发病率与女性相比,差异有统计学意义(x2=162.306,P<0.001);各年龄组的男性的报告病例数都高于女性,男性肺结核发病年龄主要分布在45~<60岁组,女性肺结核发病年龄主要分布在60~<70岁组.结论 2019-2023年广汉市的肺结核报告发病率在总体上呈现下降的趋势,但今后仍需加强冬春过渡时期、中心城区、农民、家庭及失业人员、男性、中老年人等重点时期和人群的结核病防控工作.
Epidemiological Characteristics of Tuberculosisin Guanghan City from 2019 to 2023
Objective In order to understand and master the characteristics of tuberculosis epidemic in Guanghan City,and to provide the basis for the formulation of prevention and control measures of corresponding tuberculosis.Methods A total of 920 cases of tuberculosis in Guanghan by region,age,population and month of residence during 2019-2023 were selected from the China Disease Prevention and Control Information System according to the onset date.Excel 2016 software was used to organize the data,x2 test was used to compare the composition ratio and reported incidence,and trend x2 test was used to test the change trend of performance,the difference P<0.05 was considered statistically significant.Results There were 920 cases of tuberculosis reported in Guanghan city from 2019 to 2023,the average annual reported incidence was 29.84/105,the incidence rates reported in each year were 40.03/105,28.03/105,29.23/105,23.68/105 and 28.53/105,respectively.And the reported incidence rate in 5 years showed a statistically significant difference(x2=30.026,P<0.001),showing a decreasing trend(x2trend=15.174,P<0.001),with an average annual decline rate of 8.12%;There was significant difference in the monthly distribution of reported cases of tuberculosis in Guanghan City(x2=105.785,P<0.001).The average annual reported incidence was significantly different in each township(x2=221.988,P<0.001).The top two occupations were farmers and herdsmen,domestic workers and job-waiting people;The number of male cases was about 2.45 times that of female cases.The average reported incidence was significantly different between males and females(x2=162.306,P<0.001).The number of reported cases in males of all age groups was higher than that in females.The age of onset of tuberculosis in males was mainly distributed in 45-60 years old group,and the age of onset of tuberculosis in females was mainly distributed in 60-70 years old group.Conclusions The reported incidence of tuberculosis in Guanghan City from 2019 to 2023 shows a downward trend on the whole,but in the future,tuberculosis prevention and control should be strengthened in key periods and groups such as the transition period of winter and spring,central urban areas,farmers,families and unemployed people,men,middle-aged and elderly people.

tuberculosisreport incidenceepidemiological characteristics

罗竹、廖纪芳、马莉、吴朝学

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广汉市疾病预防控制中心,四川 广汉 618300

四川省疾病预防控制中心,成都 610041

肺结核 报告发病率 流行特征

四川现场流行病学培训项目第7期

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(8)
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