辽宁省2006-2015年流动人口结核病流行病学特征分析  

Analysis on the epidemiological characteristics of tuberculosis among floating population in Liaoning Province from 2006 to 2015

作　　者：钟威[1] 毛宁[1] 曹宏伟[1] 戚巍[1] 王毳[1] ZHONG Wei;MAO Ning;CAO Hong-wei;QI Wei;WANG Cui(Tuberculosis control Institute of Liaon- ing Provincial Center for Disease Control and Prevention, Shenyang 110005, China)

机构地区：[1]辽宁省疾病预防控制中心结核病防制所,辽宁沈阳110005

出　　处：《中华疾病控制杂志》2017年第10期1044-1047,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的分析辽宁省2006-2015年流动人口结核病患者相关资料,为掌握本省流动人口结核病流行病学特征,探索更合理的防控措施。方法收集整理2006-2015年全省各市的结核病患者病案信息,对流动人口结核病患者的相关特征资料进行分析。结果 2006-2015年辽宁省共登记流动人口患者8 369例,各年流动人口患者占总登记患者比例整体呈上升趋势(χ~2趋势=112.90,P<0.001);省间流动患者占流动人口患者总数的74.53%;发病年龄集中在15~44岁青、中年人群;68.07%流动人口患者集中在大连,但沈阳(χ~2趋势=122.55,P<0.001)、鞍山(χ~2趋势=11.51,P=0.001)所占比例呈逐年上升趋势;职业以家政家务及待业为主且呈上升趋势(χ~2趋势=498.41,P<0.001);患者来源方面中因症就诊患者所占比例上升较为明显(χ~2趋势=141.85,P<0.001)。结论流动人口患者流行病学特征更加分散,可通过扩展宣教范围、健全跨区域管理制度,加强健康筛查,增加参保率、给予激励政策等措施来加强结核病防控。Objective To find out the epidemiological characteristics of tuberculosis in floating population in Liaoning province and explore more reasonable measures for prevention and control of tuberculosis by analyzing the data of tuberculosis patients in floating population in Liaoning province from 2006 to 2015.Methods The medical data of tuberculosis patients in the cities of Liaoning province from 2006 to 2015 were collected and analyzed.The related characteristics of tuberculosis patients in floating population were analyzed.Results There were 8 369 cases of migrant population registered in Liaoning province from 2006 to 2015.Percentage of the registered patients with the floating population in total registered patients was increasing yearly （xtrend2 =112.90,P 〈 0.001）.The tuberculosis floating patients among different provinces accounted for 74.53% of the total number of floating population patients.The patients were concentrated during the 15-4d years old age group.68.07% of the floating patients were concentrated in Dalian,but the proportion of Shenyang （x2trend=122.55 P〈0.001） and Anshan x2trend =11.51,P =0.001） increased year by year.Most patients were the household chores and unemployed.There is an upward trend （x2trend =498.41,P 〈0.001）.In terms of patient origin,the proportion of patients with treatment was increased significantly （x2trend =141.85,P 〈 0.001）.Conclusions Epidemiologic characteristics of tuberculosis patients in floating population are more diversified.The prevention and control can be strengthened by expanding the scope of education,improving the cross-regional management system,strengthening health screening,increasing the rate of participating insurance and giving incentives.

关 键 词：结核 人口统计学 流行病学 

分 类 号：R181.1[医药卫生—流行病学]