Analysis on the epidemiological characteristics of tuberculosis in Liaoning Province, 2009-2014
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摘要: 目的 分析辽宁省2009-2014年结核病流行病学特征,探索适合辽宁省实际情况的结核病预防和控制策略,为进一步预防和控制结核病疫情提供依据。方法 运用描述性流行病学的统计分析方法对辽宁省2009-2014年肺结核病疫情数据进行统计分析。结果 在这六年间辽宁省累计报告结核病患者148 331例,报告发病率呈下降趋势(χ趋势2=74.08,P<0.001),全省14个地市均有患者发病报告,其中沈阳、大连、鞍山、本溪等市登记报告患者较多(χ2= 6 915.97,P<0.001)。报告患者人数自每年的4月份开始,整体上呈逐月下降的趋势,1、2月患者总数最低。患者主要集中在15岁以上年龄段,占总患者数的99.59%;45~岁组报告发病率最高,为76.48/10万。男女性别比为2.59:1(χ2=1 883.91,P<0.001)。农民在所有报告发病人群中患者数最多,其次为家政、家务及待业人群。结论 结核病报告发病率总体呈逐年下降趋势,男性、青壮年、农民群体、春季等是结核高发因素,应加强对相应人群或因素的预防控制措施。Abstract: Objective To explore the epidemiologic characteristics of tuberculosis in Liaoning Province during 2009-2014, so as to provide basis for the appropriate prevention and control of tuberculosis. Methods Data of the epidemiologic characteristics of tuberculosis from patients in Liaoning Province during 2009-2014 were analyzed using the descriptive epidemiology method. Results 148 331 tuberculosis cases were reported in Liaoning province during 2009-2014. The reported morbidity rate of tuberculosis presented a decreasing trend (χtrend2=74.08, P <0.001). All 14 cities of Liaoning province had tuberculosis reports. Shenyang, Dalian, Anshan and Benxi City had a higher report number(χ2=6 915.97, P <0.001). Patients report started from April and decreased monthly, the number reached to the lowest in January and February of the next year. Patients were mainly 15 years of age or older, accounted for 99.59% of total report number. The report incidence was highest in the group of 45 to 54 years old, reaching to 76.48/100 000. The ratio of male to female was 2.59:1 (χ2=1 883.91, P<0.001). In all patients, farmers, housekeepers and unemployment were the top three occupations. Conclusions The reported morbidity rate of tuberculosis present a decreasing trend year by year. Male, young adults, farmers, housekeepers and unemployment were the risk factors of tuberculosis. We should strengthen the measures of prevention and control of tuberculosis among the corresponding population or factors.
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Key words:
- Tuberculosis, pulmonary /
- Incidence /
- Epidemiologic studies
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