通过了解中国海南省的流行病学特征和风险因素,消除结核病
Changqiang Zhou1, Tao Li2, Jian Du3
1Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, 44# Wenhuaxi Road, Lixia District, Jinan, Shandong, 250012, People's Republic of China.
Infectious diseases of poverty
|February 27, 2024
概括
海南省的结核病 (TB) 率正在下降,但在中部和南部地区仍然很高,特别是在男性,农民和移民中. 经济发展和医疗保健的准入影响了结核病报告率,需要针对性控制策略来消除.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 空间分析 空间分析
背景情况:
- 中国海南省面临着巨大的结核病 (TB) 疾病负担,对传播模式的了解有限.
- 现有研究提供的数据不足以为该地区有效的结核病消除策略提供足够的数据.
研究的目的:
- 调查海南省结核病的流行病学特征和影响因素.
- 为海南的针对性结核病消除工作提供科学证据.
主要方法:
- 对结核病通知数据 (2013-2022) 和社会经济指标的分析.
- 时空分析,空间自相关性,以及地理和时间加权回归 (GTWR) 模型.
- 调查移民结核病例和延迟寻求医疗保健.
主要成果:
- 从2013年到2022年,共有64,042例结核病例被报告,每年下降6.88% (2013-2020年).
- 中部和南部地区的结核病报告率较高,主要影响男性 (76.33%) 和农民 (67.80%).
- 主要影响因素包括人均GDP,医疗机构和人员的密度,显著的结核病例来自特定的内陆省份.
结论:
- 尽管结核病总体下降,但结核病发病率在特定地区和人口统计数据中仍然存在,包括男性,农民和移民.
- 经济发展和医疗保健基础设施对结核病报告率产生重大影响,突出显示了针对性干预措施的必要性.
- 建议包括建立更多专业的结核病医院,加强积极的监测,并实施针对区域的结核病消除控制措施.
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