2011年至2021年,中国东部肺结核的时空分布特征
Ke Chen1, Liang Cheng2, Hao Yu3
1Key Laboratory of Environmental Medicine Engineering of Ministry of Education, Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China.
Epidemiology and infection
|May 15, 2024
概括
中国江苏的肺结核 (PTB) 发病率在2011-2021年期间显著下降. 高水平的PTB发病率集中在北部地区,而南部地区的发病率较低,有助于有针对性的控制工作.
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:
- 中国是全球结核病高负担的国家.
- 江苏省肺结核 (PTB) 空间流行病学研究有限.
- 了解PTB分布对于有效控制至关重要.
研究的目的:
- 分析江苏省PTB的空间流行病学特征和趋势.
- 确定针对性干预的PTB高风险地区.
- 为预防和控制PTB提供公共卫生政策的信息.
主要方法:
- 利用95个县 (2011-2021) 的注册PTB发病率数据.
- 采用了三维空间趋势分析.
- 应用空间自相对应 (莫兰的I) 和时空扫描分析.
主要成果:
- 从2011年到2021年期间,共有347,495起PTB病例被注册.
- 肺结核发病率稳步下降,从4978/100,000下降到2649/100,000下降.
- 观察到积极的空间相关性,江苏北部的高发病率群和江苏南部的低发病率群.
结论:
- PTB发病率呈下降趋势,但具有显著的空间聚类.
- 北江苏被确定为需要集中PTB控制的高风险地区.
- 调查结果支持基于证据的政策制定,用于消除PTB的战略.
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