摘要
目的:分析2015—2021年我国65岁及以上老年肺结核患者的登记情况,为加强老年人肺结核防控工作提供依据。方法:收集“中国疾病预防控制信息系统”子系统“结核病管理信息系统”中登记日期为2015年1月1日至2021年12月31日,年龄≥65岁的老年肺结核患者的病案信息,包括性别、年龄、民族、人群分类、现住址地区、发现方式、病原学诊断情况等。2015—2021年65岁及以上老年人口数来源于国家统计局《2021年度国家老龄事业发展公报》。对65岁及以上老年肺结核患者的登记情况和人群特征进行描述性分析。结果:2015—2021年,全国共登记65岁及以上老年肺结核患者1220494例,登记率从2015年的117.8/10万(171033/14524万)下降到2021年的81.1/10万(162565/20056万),总体呈下降趋势,差异有统计学意义(χ^(2)趋势=21268.25,P<0.001);老年肺结核患者占所有肺结核患者比例由2015年的21.3%(171033/804164)逐年增长至2021年的27.4%(162565/593743),总体呈上升趋势,差异有统计学意义(χ^(2)趋势=9195.04,P<0.001);老年肺结核患者病原学阳性比例由2015年的33.0%(56426/171033)逐年上升至2021年的64.1%(104182/162565),呈上升趋势,差异有统计学意义(χ^(2)趋势=67776.63,P<0.001)。1220494例老年肺结核患者中男女比例2.37∶1(858031/362463),少数民族占15.7%(191525例),农牧渔民占76.8%(936988例),东中西部分别占28.0%(341971例)、36.7%(448430例)、35.3%(430093例);96.9%(1182243例)属于被动发现。结论:2015—2021年我国65岁及以上老年肺结核患者的登记率呈下降趋势,但在肺结核患者中的占比不断上升,因此,仍需给予老年人群更多关注,尤其对男性、少数民族及中西部地区人群;同时,科学有序地开展老年人肺结核主动发现值得进一步探索。
Objective:To analyze the registration records of elderly pulmonary tuberculosis(PTB)patients aged 65 and above in China from 2015 to 2021,to provide basis for strengthening TB control among elderly population.Methods:The medical records of elderly PTB patients aged 65 and above from January 1,2015 to December 31,2021 were extracted from the Tuberculosis Management Information System(TBIMS),a subsystem of the Chinese Disease Control and Prevention Information System,which included data of gender,age,ethnic,population classification,current address,case finding methods,bacteriological test result,etc.The registration number of PTB patients from 2015 to 2021 was also obtained from the TBIMS.The number of elderly populations from 2015 to 2021 was derived from the 2021 National bulletin on the development of elderly population care issued by the National Bureau of Statistics.Descriptive analysis was made on the registration data and population characteristics of elderly PTB patients aged 65 and above.Results:From 2015 to 2021,a total of 1220494 elderly PTB patients aged 65 years and above were registered in China,and the registration rate dropped from 117.8/100000(171033/145240000)in 2015 to 81.1/100000(162565/200560000)in 2021,showing an overall statistically significant decline trend(χ^(2)Trend=21268.25,P<0.001).The proportion of elderly PTB patients among all PTB patients increased from 21.3%(171033/804164)in 2015 to 27.4%(162565/593743)in 2021 year by year,showing an overall statistically significant increasing trend(χ^(2)Trend=9195.04,P<0.001).The etiologically positive rate of elderly PTB patients increased from 33.0%(56426/171033)in 2015 to 64.1%(104182/162565)in 2021 year by year,showing an statistically significant increasing trend(χ^(2)Trend=67776.63,P<0.001).Among 1220494 elderly PTB patients,the male to female ratio was 2.37∶1(858031/362463),the proportion of ethnic minorities was 15.7%(191525 patients),the proportion of farmers,herdsmen and fishermen was 76.8%(936988 patients),the proportions of pati
作者
滕人聪
李涛
李玉红
杨晨露
张灿有
赵雁林
张慧
Teng Rencong;Li Tao;LI Yuhong;Yang Chenlu;Zhang Canyou;Zhao Yanlin;Zhang Hui(National Center for Tuberculosis Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Institute of Basic Medicine,Chinese Academy of Medical Sciences/College of Basic Medicine,Peking Union Medical College,Beijing 100730,China)
出处
《中国防痨杂志》
CAS
CSCD
2023年第4期367-371,共5页
Chinese Journal of Antituberculosis
基金
“十三五”国家科技重大专项(2017ZX10201302)。
关键词
结核
肺
人群监测
老年人
流行病学
Tuberculosis,pulmonary
Population surveillance
Elderly
Epidemiology
