2021—2023年金昌市麻疹风疹疑似病例流行特征及影响因素分析  

Epidemic characteristics and analysis of influencing factors of suspected cases of measles and rubella in Jinchang city from 2021 to 2023

作　　者：李亚丽[1] 代翠 姚承理 袁红福 LI Ya-li;DAI Cui;YAO Cheng-li;YUAN Hong-fu(Jinchang Municipal Center for Disease Control and Prevention,Jinchang,Gansu 737100,China)

机构地区：[1]金昌市疾病预防控制中心,甘肃金昌737100

出　　处：《疾病预防控制通报》2025年第1期51-54,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的调查分析甘肃省金昌市麻疹风疹疑似病例流行病学特征及影响因素。方法从中国疾病预防控制中心传染病预防控制信息系统中,导出2021—2023年金昌市报告的麻疹风疹疑似病例信息及检验结果。采用描述流行病学方法分析疾病流行特征,使用多因素Logistic回归分析疾病发生的影响因素。结果2021—2023年金昌市共报告麻疹风疹疑似病例238例,确诊麻疹风疹病例54例、确诊率22.69%;其中确诊麻疹30例、确诊率12.61%,风疹24例、确诊率10.08%。麻疹风疹疑似病例多发生于春季,共报告74例、占31.09%;麻疹风疹疑似病例中男性居多,共报告131例、占55.04%;≤12岁者居多,共报告112例、占47.06%。单因素分析结果显示,年龄≤12岁、外地户籍、未接种麻疹风疹疫苗及有麻疹风疹患者接触史构成比麻疹风疹病例组均高于阴性组,差异均有统计学意义(均P<0.05)。多因素Logistic回归分析结果显示,年龄≤12岁(OR=1.409,95%CI=1.129~3.096)、外地户籍(OR=1.694,95%CI=1.177~2.819)、未接种麻疹风疹疫苗(OR=1.901,95%CI=1.366~2.745)及有麻疹风疹患者接触史(OR=2.581,95%CI=1.503~4.293)均为麻疹风疹发病危险因素。结论2021—2023年金昌市麻疹风疹发病可能与年龄、户籍所在地、麻疹风疹疫苗接种史及麻疹风疹患者接触史等因素相关。Objective To investigate the epidemiological characteristics and influencing factors of suspected cases of measles and rubella in Jinchang city of Gansu province.Methods The information and test results of suspected cases of measles and rubella reported in Jinchang city from 2021 to 2023 were downloaded from the Infectious Disease Prevention and Control Information System of Chinese Center for Disease Control and Prevention.The descriptive epidemiological methods were used to analyze the epidemic characteristics of the diseases,and multi-factor Logistic regression was used to analyze the influencing factors of the disease occurrence.Results From 2021 to 2023,a total of 238 suspected cases of measles and rubella were reported in Jinchang city,and there were 54 cases confirmed as measles and rubella with the confirmed diagnosis rate of 22.69%,of which,30 cases were confirmed as measles with the confirmed diagnosis rate of 12.61%,and 24 cases were confirmed as rubella with the confirmed diagnosis rate of 10.08%.In all suspected cases,there were 54 cases confirmed as measles and rubella,accounting for 22.69%.More suspected cases of measles and rubella occurred in spring,with 74 suspected cases,accounting for 31.09%.More suspected cases of measles and rubella were the male,with 131 cases reported,accounting for 55.04%.The suspected cases of measles and rubella mainly aged 12 years old and younger,with 112 suspected cases,accounting for 47.06%.The results of univariate analysis showed that all proportions of the factors of 12 years old and younger,nonlocal census register,not vaccinated with measles and rubella vaccine and contact history with measles or rubella cases were higher in the patient group than that in negative group,with statistical differences(P<0.05).The results of multivariate Logistic regression analysis showed that the age of 12 years and younger(OR=1.409,95%CI=1.129-3.096),nonlocal census register(OR=1.694,95%CI=1.177-2.819),not vaccinated with measles and rubella vaccine(OR=1.901,95%CI=1.366-2.745)an

关 键 词：麻疹 风疹 IGM 影响因素 

分 类 号：R511.1[医药卫生—内科学] R511.2[医药卫生—临床医学]