摘要
目的:探讨罗山地区肺结核病的流行病学特征及其发病的相关因素。方法:选择2019年6月至2021年12月罗山地区纳入免费项目管理的224例肺结核患者为研究对象,调查罗山地区肺结核病的流行病学特征,并纳入224例健康体验者作为对照组,收集资料,分析肺结核病发病的相关因素。结果:经流行病学特征分析,罗山地区肺结核病多见于≥60岁老年患者,性别以男性为主,发病季节主要在冬季,患者人群中以农民居多,户籍地多为农村;单因素分析显示,年龄、职业、性别、户籍地、吸烟史、有无结核病接触史与肺结核病发病有关,差异有统计学意义(P<0.05);家庭年收入、婚姻状况、文化程度、饮酒史、有无结核病家族史与肺结核病发病无关,差异无统计学意义(P>0.05);多因素分析显示,年龄≥60岁(β=0.643,OR=1.903,95%CI=1.287-2.813)、男(β=0.786,OR=2.194,95%CI=1.494-3.222)、农民(β=1.802,OR=6.065,95%CI=3.273-11.239)、工人(β=1.115,OR=3.049,95%CI=1.619-5.744)、户籍地农村(β=0.387,OR=1.472,95%CI=1.009-2.147)、吸烟史(β=1.269,OR=3.556,95%CI=2.133-5.928)、结核病接触史(β=2.354,OR=10.524,95%CI=3.150-35.154)是肺结核病发病的独立危险因素(P<0.05)。结论:罗山地区肺结核病多见于年龄≥60岁、农民、工人与男性群体,且冬季为发病高峰期,高龄、农民、工人、男性、户籍地农村、吸烟史、有结核病接触史是其发病的独立危险因素,针对各因素制定相应的防控措施具有积极意义。
Objective:To investigate the epidemiological characteristics and related factors of pulmonary tuberculosis in Luoshan area.Methods:A total of 224 patients with pulmonary tuberculosis who were included in the free project management in Luoshan area from June 2019 to December 2021 and selected as the research objects to investigate the epidemiological characteristics of pulmonary tuberculosis in Luoshan area.Another 224 healthy participants were included as the control group.Data were collected and the related factors of pulmonary tuberculosis were analyzed.Results:According to the epidemiological characteristics analysis,pulmonary tuberculosis was more common in elderly patients aged≥60 years in Luoshan area,the gender was mainly male,the onset season was mainly in winter,and the majority of patients were farmers,and their household places were mostly rural.Univariate analysis showed that age,occupation,gender,residence place,smoking history and tuberculosis contact history were associated with the incidence of tuberculosis,and the differences were statistically significant(P<0.05).Family annual income,marital status,education level,drinking history and family history of tuberculosis were not related to the incidence of tuberculosis,and the differences were not statistically significant(P>0.05).Multivariate analysis showed that age≥60 years old(β=0.643,OR=1.903,95%CI=1.287-2.813),male(β=0.786,OR=2.194,95%CI=1.494-3.222),farmer(β=1.802,OR=6.065,95%CI=3.273-11.239),workers(β=1.115,OR=3.049,95%CI=1.619-5.744),rural household registration(β=0.387,OR=1.472,95%CI=1.009-2.147),smoking history(β=1.269,OR=3.556,95%CI=2.133-5.928)and tuberculosis exposure history(β=2.354,OR=10.524,95%CI=3.150-35.154)were independent risk factors for pulmonary tuberculosis(P<0.05).Conclusion:Pulmonary tuberculosis in Luoshan area is more common in groups of age≥60 years old,farmers,workers and males,and for the onset of winter peak,elderly,farmers,rural workers,male,ural areas of household registration,smoking history,history of
作者
张杨
Zhang Yang(Department of Control and Prevention,Luoshan Center for Disease Control and Prevention,Xinyang 464200,Henan,China)
出处
《四川生理科学杂志》
2022年第9期1560-1563,1648,共5页
Sichuan Journal of Physiological Sciences
关键词
肺结核病
结核病接触史
流行病学特征
吸烟史
危险因素
Pulmonary tuberculosis
Tuberculosis exposure history
Epidemiological characteristics
Smoking history.Risk factors
