首页|2011-2022年南阳市结核病流行病学特征分析

2011-2022年南阳市结核病流行病学特征分析

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目的 分析南阳市2011-2022年新发结核病流行病学特征,为制订结核病防治措施提供依据.方法 采用描述性流行病学分析方法,对南阳市2011-2022年"结核病信息管理系统"中报告的59 888例新发结核病进行特征分析.结果 2011-2022年南阳市共报告新发结核病59 888例,平均发病率为50.14/10万(59 888/119 432 526),12年间发病率呈下降趋势(x2趋势=2 774.809,P<0.001);病原学阳性率由2011年的37.40%(2 614/6 990)提高到2022年的53.45%(1 587/2 969),呈上升趋势(x2趋势=902.932,P<0.001);发病时间集中在3-6月;平均发病率最高为示范区(213.73/10万),最低为卧龙区(12.51/10万);新发结核病男性44 262例(73.91%),女性15 626例(26.09%);男女性别比2.83:1;男性发病率(73.90/10万)高于女性发病率(26.25/10万),差异有统计学意义(x2=13 528.20,P<0.001);男性、女性发病最高峰均出现在55~64岁年龄段;职业分布以农民为主,占90.16%(53 998/59 888).结论 南阳市12年间结核病疫情呈下降趋势,要进一步推动政府重视和投入,每年3-6月应加大防控力度,城乡结合部、流动和外来人口比例大的地区是重点防控地区,加强农民、男性、中老年的防控工作是今后的重点任务.
Epidemiological characteristics of tuberculosis in Nanyang City,during 2011-2022
Objective This study analyzed the epidemiological characteristics of new tuberculosis cases in Nan-yang City from 2011 to 2022,to provide a basis for formulating tuberculosis prevention and control measures.Methods De-scriptive epidemiological analysis was used to analyze the characteristics of 59 888 new tuberculosis cases reported in the Tu-berculosis Information Management System in Nanyang City from 2011 to 2022.Results A total of 59 888 new tuberculosis cases were reported in Nanyang City from 2011 to 2022,and the average incidence rate was 50.14/100 000(59 888/119 432 526).The incidence rate decreased over the 12-year period(x2trend=2,774.809,P<0.001),and the positive etiolo-gy rate increased from 37.40%(2 614/6 990)in 2011 to 53.45%(1 587/2 969)in 2022(x2trend=902.932,P<0.001).The onset time was concentrated in March to June.The highest average incidence rate was in the demonstration area(213.73/100 000),whereas the lowest was in Wolong District(12.51/100 000).A total of 44 262 male cases(73.91%)and 15 626 female cases(26.09%)of new tuberculosis were identified,and the male-to-female ratio was 2.83:1.The incidence rate was significantly higher in males(73.90/100 000)than females(26.25/100 000)(x2=13 528.20,P<0.001).The peak incidence of new tuber-culosis cases occurred in people 55-64 years of age for both males and females.The occupational distribution was dominated by farmers,who accounted for 90.16%(53 998/59 888)of cases.Conclusions The tuberculosis epidemic in Nanyang City decreased over the 12-year period.However,further efforts should be made to promote government attention and investment.Prevention and control efforts should be strengthened in March to June each year,with priority given to areas with large pro-portions of migrant workers and floating populations.Strengthening prevention and control efforts for farmers,males,and el-derly people will be key in the future.

TuberculosisEpidemiological characteristicIncidence rate

邢志浩、王保卫、陈庚军

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南阳市宛城区疾病预防控制中心,河南南阳 473000

南阳市结核病防治所,河南南阳 473000

结核病 流行病学特征 发病率

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(6)