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绍兴市老年人群肺结核时空聚集性分析

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目的 分析浙江省绍兴市≥60岁肺结核的时空聚集特征,为老年人群肺结核防制提供依据.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2019-2023年绍兴市≥60岁肺结核病例资料,通过绍兴市统计年鉴收集同期绍兴市人口数,通过绍兴市地理信息公共服务平台获取矢量地图信息,采用全局空间自相关、局部空间自相关和时空扫描分析≥60岁肺结核时空聚集特征.结果 2019-2023年绍兴市登记≥60岁肺结核病例3 722例,年均登记率为61.71/10万,无变化趋势(P>0.05).病原学阳性2 548例,年均登记率为42.25/10万.2019年和2021年绍兴市≥60岁肺结核登记率具有空间自相关性(Moran's I值均>0,均P<0.05),高-低聚集区为嵊州市,低-低聚集区为柯桥区和上虞区.时空扫描分析结果显示,≥60岁肺结核Ⅰ类聚集区为嵊州市,聚集时间为2019年3月1日—2021年8月31日;Ⅱ类聚集区为诸暨市、上虞区和柯桥区,聚集时间分别为2021年3月1日—2023年8月31日、2021年4月1日—2023年9月30日和2021年6月1日—2023年11月30日.结论 2019-2023年绍兴市≥60岁肺结核病例主要集中在嵊州市,需重点加强该地区老年肺结核防控.
Spatio-temporal clustering analysis of pulmonary tuberculosis among the elderly in Shaoxing City
Objective To investigate the spatio-temporal clustering characteristics of pulmonary tuberculosis(PTB)aged 60 years and above in Shaoxing City from 2019 to 2023,so as to provide insights into prevention and control of PTB among the elderly.Methods Data of PTB cases aged 60 years and above in Shaoxing City from 2019 to 2023 were collected from Tuberculosis Management Information System of Chinese Disease Prevention and Control Information Sys-tem.The population data were collected from Shaoxing Statistical Yearbook.Vector map information was collected from Shaoxing Geographic Information Public Service Platform.The spatio-temporal clustering characteristics of PTB cases aged 60 years and above were analyzed using global spatial autocorrelation,local spatial autocorrelation and spatio-tem-poral scanning.Results Totally 3 722 PTB cases aged 60 years and above were registered in Shaoxing City.The aver-age annual registration rate was 61.71/105,showing no significant trend(P>0.05).Totally 2 548 pathogenetically positive cases were registered,with an average annual registration rate of 42.25/105.Spatial autocorrelation analysis showed there was a positive spatial correlation of PTB in 2019 and 2021(both Moran's I>0,both P<0.05).Shengzhou City showed a high-low clustering,and Keqiao District and Shangyu District showed a low-low clustering.Spatio-temporal scanning analysis showed that a class Ⅰ cluster was located in Shengzhou City,with aggregation time from March 1,2019 to August 31,2021.The class Ⅱ clusters were located in Zhuji City,Shangyu City and Keqiao District,with aggregation time from March 1,2021 to August 31,2023,from April 1,2021 to September 30,2023,and from June 1,2021 to November 30,2023,respectively.Conclusion The PTB cases aged 60 years and above in Shaoxing City from 2019 to 2023 mainly concentrated in Shengzhou City,where the prevention and control of PTB among the elderly should be strengthened.

tuberculosisthe elderlyspatio-temporal clustering

卢巧玲、徐来潮、张开漩

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绍兴市疾病预防控制中心结核病预防控制科,浙江 绍兴 312000

肺结核 老年人 时空聚集

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(9)