2009—2013年岳阳市结核病发病流行病学特征分析  

Epidemiologic characteristics of tuberculosis in Yueyang from 2009-2013

作　　者：徐博[1] 吴永刚[1] 崔建伟[1] 潘静[1] 

机构地区：[1]湖南省岳阳市疾病预防控制中心,414000

出　　处：《职业与健康》2014年第21期3099-3101,共3页Occupation and Health

摘　　要：目的了解岳阳市结核病发病水平及流行病学特征,为进一步实施结核病控制策略提供科学依据。方法利用《传染病报告信息管理系统》和《结核病管理信息系统》的统计模块收集岳阳市2009—2013年结核病数据信息,进行处理分析。结果岳阳市2009—2013年报告肺结核病例21 235例,年平均报告发病率为77.14/10万（21 235/27 528 711）。其中,男性报告发病率为109.40/10万（15 631/14 287 401）,女性报告发病率为42.32/10万（5 604/13 241 310）,男女发病性别比为2.59∶1,男性显著高于女性（χ^2=4012.17,P〈0.01）;以55-64岁组发病率最高（193.05/10万,4 528/2 345 446）,0-14岁组发病率最低（1.23/10万,56/4 410 100）;职业分布以农民为多,占70.74%（15 022/21 235）。地区分布上发病率最高的为云溪区（94.30/10万,790/837 750）,其次为临湘市（86.15/10万,2 246/2 606 950）。结论应加强岳阳市农村地区,特别是老年人群的结核病防治工作,采用现代化结核病控制策略,控制结核病疫情。[Objective]To understand the morbidity level and epidemiologic characteristics of tuberculosis（ TB） in Yueyang,provide scientific basis for the further implementation of TB control strategy. [Methods]The data of TB in Yueyang from 2009-2013 were collected by ＂ Infectious Disease Reporting Information System＂ and ＂ Tuberculosis Information Management System＂ and then analyzed. [Results]There were 21 235 TB cases reported in Yueyang from 2009-2013. The average annual incidence rate was77. 14 /100 000（ 21 235 /27 528 711）,among which,the male incidence rate was 109. 40 /100 000（ 15 631 /14 287 401） and the female incidence rate was 42. 32 /100 000（ 5 604 /13 241 310）,the sex ratio was 2. 59∶ 1,the incidence rate in males was significantly higher than that in females（ χ^2= 4012. 17,P〈0.01）. The incidence rate of 55- 64 years old group was the highest（ 193. 05 /100 000,4 528 /2 345 446）,and the incidence rate of 0- 14 years old group was the lowest（ 1. 23 /100 000,56 /4 410 100）. In the occupational structure,the farmers were dominant which accounted for 70. 74%（ 15 022 /21 235）. In regional distribution,the highest incidence rate was in Yunxi district（ 94. 3 /100 000,790 /837 750）,followed by Linxiang City（ 86. 15 /100 000,2 246 /2 606 950）. [Conclusion]The work of TB control and prevention should be strengthened,especially in rural area and elder population. The modern TB control strategy should be adopted to control the TB epidemic situation.

关 键 词：结核病 预防和控制 监测 

分 类 号：R181.39[医药卫生—流行病学]