[中国青少年结核病流行趋势,2000年至2019年]
1Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
|January 16, 2024
概括
在2000年至2019年期间,中国青少年的结核病 (TB) 发病率和死亡率显著下降. 然而,男性和老年青少年 (15-19) 的结核病发病率较高,因此需要有针对性的公共卫生工作.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是一个重要的全球健康问题,特别是在青少年群体中.
- 了解青少年结核病的流行趋势对于有效的公共卫生干预至关重要.
- 中国已经实施了各种结核病控制策略,需要分析它们对青少年健康的影响.
研究的目的:
- 分析2000年至2019年中国青少年结核病 (TB) 发病率和死亡率的流行趋势.
- 确定青少年人口中不成比例地受到结核病影响的人口群体.
主要方法:
- 利用2019年全球疾病负担研究的数据进行趋势分析.
- 计算估计年百分比变化 (EAPC) 以评估研究期间 (2000-2019年) 的发病率和死亡率趋势.
- 性别和年龄组之间结核病发病率和死亡率的比较 (10-14岁与15-19岁).
主要成果:
- 2019年,中国报告了37815.67例结核病例和213.63例青少年死亡,患病率为25.938/100,000,死亡率为0.147/100,000.
- 从2000年到2019年,结核病例和死亡人数分别下降了71.84%和89.90%.
- 与女性和年轻的青少年 (10-14岁) 相比,15-19岁的男性和青少年的结核病发病率更高.
- 在药物敏感性,广泛耐药性和多药耐药性结核病的发病率和死亡率中观察到下降趋势.
结论:
- 中国青少年结核病发病率和死亡率在2000年至2019年之间显示出明显的下降趋势.
- 针对性干预应优先考虑男性青少年和15-19岁的青少年,因为他们患结核病的相对风险较高.
- 持续监测和量身定制的公共卫生战略对于进一步控制这一脆弱群体的结核病至关重要.
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