机构地区:[1]贵州医科大学公共卫生学院,环境污染与疾病监控教育部重点实验室,贵州贵阳550025 [2]贵州省疾病预防控制中心结核病防治研究所
出 处:《现代预防医学》2021年第16期2892-2896,2904,共6页Modern Preventive Medicine
基 金:贵州省发改委省级基本建设前期工作项目—贵州省结核病高疫情地区综合防控降低疾病负担模式研究(2020-181-131)。
摘 要:目的分析贵州省2011—2020年儿童青少年人群肺结核流行病学特征,探索儿童青少年肺结核病防治策略。方法从"结核病管理信息系统"导出2011—2020年贵州省0~24岁儿童青少年肺结核病例资料进行描述流行病学分析。结果 2011—2020年贵州省共报告0~24岁儿童青少年肺结核102 677例,年均报告发病率75.38/10万,报告发病率呈逐年下降趋势(趋势χ^(2)=21.237,P<0.05),但占同期全人群肺结核的比例逐渐增加。男性共报告发病61 305例,发病率为84.97/10万;女性共报告发病41 372例,发病率为64.62/10万,男女比例为1.48∶1,女性病例数占比呈上升趋势(χ^(2)=66.535,P<0.05)。发病率最高的为20~24岁年龄组(189.21/10万),其次是15~19岁(160.94/10万)。全省儿童青少年肺结核登记的高峰集中在3月和4月,其发病率最高的是毕节市(103.59/10万),其次是安顺市(79.60/10万)、遵义市(77.56/10万)。发现方式主要以因症就诊(43.13%)和转诊(31.24%)为主。结论贵州省儿童青少年肺结核疫情形势不容乐观,建议加强对高发地区的监管力度和对特殊人群的主动发现工作,争取早发现、早诊断、尽早控制传染源。Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in children and adolescents in Guizhou Province from 2011 to 2020,and to explore the prevention and treatment strategies of pulmonary tuberculosis in children and adolescents.Methods A descriptive epidemiological analysis of tuberculosis cases in children and adolescents aged 0-24 years in Guizhou Province from 2011 to 2020 was performed by exporting data from the Tuberculosis Management Information System.Results A total of 102677 cases of pulmonary tuberculosis in children and adolescents aged 0-24 years were reported in Guizhou Province,with an average annual reported incidence of 75.38 per 100000,showing a downward trend in reported morbidity(trendχ^(2)=21.237,P<0.05).The proportion of tuberculosis among children and adolescents in the whole population increased gradually during the same period.Males reported a total of 61305 cases,with an incidence rate of 84.97/100000;females reported a total of 41372 cases,with an incidence rate of 64.62/100000,with a male-to-female ratio of 1.48:1 and an increasing trend in the number of female cases(χ^(2)=66.535,P<0.05).The highest incidence was in the 20-24 age group(189.21/100000),followed by the 15-19 age group(160.94/100000).The peak of tuberculosis registration among children and adolescents in the province was concentrated in March and April,and the incidence rate was the highest in Bijie(103.59/100000),followed by Anshun(79.60/100000)and Zunyi(77.56/100000).The cases were mainly detected by consultation visits because of symptoms(43.13%)and referral(31.24%).Conclusion The epidemic situation of tuberculosis among children and adolescents in Guizhou Province is not optimistic.It is suggested to strengthen the supervision of high incidence areas and the active detection of special population groups,so as to strive for early detection,early diagnosis and early control of the source of infection.
分 类 号:R181.3[医药卫生—流行病学] R521[医药卫生—公共卫生与预防医学]
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...