摘要
目的目前,肺结核病在上海市浦东新区法定甲乙类传染病报告中位居前3位,仍是影响人民健康的重点传染病。为了了解肺结核病的流行特征,有效开展结核病防治工作,本研究对上海市浦东新区南码头街道2013-2017年肺结核病疫情进行分析。方法通过中国疾病预防控制信息系统的结核病信息管理系统,收集上海市浦东新区南码头街道2013-2017年肺结核病疫情资料,通过描述性研究进行分析,计算报告发病率和构成比,采用χ2检验进行比较。结果2013-2017年5年平均报告发病率为29.23/10万,5年的年报告发病率相对平稳,差异无统计学意义,χ~2=4.148,P=0.386;本地户籍平均报告发病率为28.61/10万,外地户籍为31.05/10万。近5年本地及外地户籍患者所占构成比差异无统计学意义,χ~2=3.808,P=0.433;本地户籍患者占73.10%,外地户籍患者占26.90%。男性报告发病率高于女性,χ~2=23.11,P<0.001;男∶女=2.08∶1;60～岁组报告患者数所占构成比逐年上升。肺结核平均涂阳报告发病率为9.68/10万,占所有病例的33.13%。结论上海市浦东新区南码头街道近5年肺结核报告发病率相对平稳,本地户籍、男性和60～岁老人是社区医生宣传教育的重点人群;涂阳患者将是随访管理工作的重点。
OBJECTIVE At present,tuberculosis is the top three in the legal reports of class a and b infectious diseases in Pudong new district.And it is still a key infectious disease seriously affecting people’s health.In order to understand the epidemiological characteristics of tuberculosis on South Matou street and carry out tuberculosis prevention and control more effectively,the tuberculosis epidemic situation on South Matou street from 2013 to 2017 was analyzed.METHODS Tuberculosis epidemics on South Matou street from 2013 to 2017were collected through the information management of China disease prevention and control information system.With descriptive studies,the reported incidences and composition ratios were calculated and statistically analyzed by using the chi-square test.RESULTS The average annual reported incidence rate was 29.23/100 000,which maintained relatively stable with in the five years,with no statistically significant difference,χ^2=4.148,P=0.386.The average reported incidence rates of local household registers and foreign household registers were 28.61/100 000 and 31.05/100 000,respectively.In the past five years,there was no statistically significant difference in the composition of local and non-local patients,χ^2=3.808,P=0.433,73.10%for local and 26.90%for non-local patients.The reported incidence rate of males was higher than that of females with a ratio of2.08∶ 1,χ^2=23.11,P<0.001.The proportion of reported patients in the group of 60 years old and older showed increasing trend per year.The average incidence of smear-positive tuberculosis was 9.68/100 000,accounting for 33.13%of all cases.CONCLUSIONS The incidence of tuberculosis on South Matou street has been relatively stable during the past five years.However,based on our collected data,community doctors should provide more education and instruction to local residents,males,and elderly people aged 60 and over.Moreover,patients with sputum smear-positive tuberculosis will be the focus of our follow-up management.
作者
王梅君
沈娟
吴梦雅
WANG Mei-jun;SHEN Juan;WU Meng-ya(Department of Prevention and Healthcare,South Matou Service Center for community Health,Shanghai 200125,P.R.China)
出处
《社区医学杂志》
2018年第20期1504-1506,共3页
Journal Of Community Medicine
关键词
肺结核
流行病学
浦东新区
南码头街道
tuberculosis
epidemiology analysis
Pudong new district
South Matou street
