摘要
目的分析中国西部的青海、四川、云南、甘肃省少数民族健康扶贫重点地区结核病疫情特征和流行变化规律,为采取有针对性的防控策略和措施提供依据。方法利用传染病网络直报系统报告的肺结核疫情资料,描述2011—2018年中国西部4省少数民族健康扶贫重点地区肺结核的流行特征,明确防治的重点地区和重点人群。结果2011—2018年,西部4省少数民族健康扶贫地区总的结核病报告发病率呈缓慢上升的趋势,从2011年的114.41/10万上升到2018年的140.90/10万,上升了23.16%。青海省少数民族健康扶贫地区的报告发病率最高。2018年,西部4省少数民族健康扶贫地区男性肺结核报告发病率为166.43/10万,女性为118.19/10万;15~24岁组患者数最多,共报告5242例,占28.59%。青海、四川省少数民族健康扶贫地区15~24岁组肺结核发病率高,分别为487.41/10万和245.41/10万,青海、甘肃省少数民族健康扶贫地区≥65岁老年人报告发病率高,分别为451.96/10万和314.26/10万。结论中国西部4省少数民族健康扶贫重点地区结核病疫情重,要高度重视结核病防控工作,青海、四川省少数民族地区要重视青少年结核病防治工作,青海、云南省少数民族地区要重视老年结核病的防治工作。
Objective To analyze epidemic of pulmonary tuberculosis(PTB)in minority ethnic areas included in a health poverty alleviation project in Qinghai,Sichuan,Yunnan and Gansu provinces in western China,and provide evidence for targeted PTB control and prevention.Methods The incidence data of PTB in the minority ethnic areas in 4 western provinces from 2011 to 2018 were collected from Infectious Disease Reporting System for a descriptive analysis to identify key areas and populations of PTB control and prevention.Results The overall incidence rate of PTB in the minority ethnic areas in 4 western provinces increased gradually from 114.41 per 100000 in 2011 to 140.90 per 100000 in 2018,an increase of 23.16%.The highest incidence rate was reported in the minority ethnic area in Qinghai.In 2008,the incidence rate of PTB was higher in men than in women(166.43 per 100000 versus 118.19 per 100000).The case number in age group 15-24 years was the highest(5242 cases),accounting for 28.59%.The PTB incidence rates were 487.41 per 100000 and 245.41 per 100000,respectively,in 15-24 age group in minority ethnic areas in Qinghai and Sichuan and 451.96 per 100000 and 314.26 per 100000,respectively,in age group≥65 years in minority ethnic areas in Qinghai and Gansu.Conclusion The PTB epidemic was very serious in the minority ethnic areas in 4 provinces in western China.Close attention should be paid to the control and prevention of PTB in these areas.In minority ethnic areas in Sichuan,it is necessary to attach importance to PTB control and prevention in adolescents,while in the minority ethnic areas in Qinghai and Yunnan,PTB control and prevention in the elderly should be focused on.In minority ethnic areas in Qinghai,PTB control and prevention in both adolescents and the elderly need to be noticed.
作者
杨丽佳
李涛
陈伟
Yang Lijia;Li Tao;Chen Wei(Chinese Center for Disease Control and Prevention,Beijing 102206,China)
出处
《疾病监测》
CAS
2020年第1期60-64,共5页
Disease Surveillance
基金
国家重大传染病防治科技重大专项(No.2017ZX10201302-007).
