首页|2016-2021年陕西省肺结核流行特征分析

2016-2021年陕西省肺结核流行特征分析

Epidemiological characteristics of pulmonary tuberculosis in Shaanxi Province from 2016 to 2021

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目的 了解2016-2021年陕西省肺结核流行特征,为完善肺结核防控策略提供依据.方法 通过中国疾病预防控制信息系统结核病管理信息系统收集2016-2021年陕西省肺结核发病资料,采用描述性研究方法分析肺结核病例的时间分布、地区分布和人群分布特征.结果 2016-2021年陕西省报告肺结核病例121 280例,报告发病率从2016年的56.30/10万下降至2021年的40.98/10万(P<0.05);病原学阳性率从2016年的16.61%上升至2021年的54.37%(P<0.05).年均报告发病例数在3月份最高,1 984.67例占9.81%;其次为1月份,1 885.50例占9.33%;10月份最低,1 458.50例占7.22%.陕北地区和陕南地区肺结核发病率较高,分别为67.99/10万和64.05/10万;关中地区较低,为44.83/10万;安康市(85.81/10万)、府谷县(73.92/10万)和榆林市(72.20/10万)报告发病率居前三位.肺结核病例男性80 111例,女性41 169例,男女性别比为1.95︰1,男性报告发病率(67.38/10万)高于女性(36.61/10万),差异有统计学意义(P<0.05).男性以80~<85岁组报告发病率最高(179.46/10万),女性以75~<80岁组最高(104.38/10万).职业以农民为主,为83 526例,占68.87%.结论 2016-2021年陕西省肺结核报告发病率呈逐年下降趋势,冬春季高发,陕南、陕北疫情高于关中地区,发病以男性、老年人及农民为主.
Objective To understand the epidemiological characteristics of pulmonary tuberculosis(PTB)in Shaanxi Prov-ince from 2016 to 2021,so as to provide the basis for improving PTB prevention and control strategies.Methods The incidence data of PTB cases in Shaanxi Province were collected from the Tuberculosis Information Management System of the Chinese Disease Prevention and Control Information System from 2016 to 2021.The temporal,geographical,and demographic distribution characteristics of PTB were described.Results A total of 121 280 PTB cases were reported in Shaanxi Province from 2016 to 2021,with the reported incidence rate decreasing from 56.30/105 in 2016 to 40.98/105 in 2021(P<0.05).The etiological positivity rate increased from 16.61%in 2016 to 54.37%in 2021(P<0.05).The aver-age annual number of reported cases peaked in March(1 984.67 cases,accounting for 9.81%),followed by January(1 885.50 cases,accounting for 9.33%),and hit its lowest in October(1 458.50 cases,accounting for 7.22%).The inci-dence of PTB was relatively high in northern Shaanxi and southern Shaanxi,at 67.99/105 and 64.05/105,respectively,while it was relatively low in Guanzhong Region,at 44.83/105.The incidence rates of Ankang City(85.81/105),Fugu County(73.92/105),and Yulin City(72.20/105)ranked the top three.There were 80 111 male cases and 41 169 female cases of PTB,with a male-to-female ratio of 1.95︰1.The reported incidence rate of males(67.38/105)was significant-ly higher than that of females(36.61/105),and the difference was statistically significant(P<0.05).Among males,the highest average reported incidence rate was found in the 80 to<85 age group(179.46/105),while among females,the highest was in the 75 to<80 age group(104.38/105).The main occupations were farmers,accounting for 68.87%(83 526 cases).Conclusions The reported incidence rate of PTB in Shaanxi Province showed an overall downward trend from 2016 to 2021,with a high incidence in winter and spring.The epidemic in southern Shaanxi and northern Shaanxi is more severe than in Guanzhong Region of Shaanxi Province.The incidence of PTB is predominantly found among males,the elderly,and farmers.

pulmonary tuberculosisepidemiological characteristicsShaanxi Province

张琳、杜昕、马煜、刘依妮

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陕西省疾病预防控制中心结核病防治所,陕西 西安 710054

肺结核 流行特征 陕西省

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(8)
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