在中国大陆结核病发病率的区域和年龄差异的时空空间分析
Fengwen Huang1,2, Stephen Temitayo Bello1,2
1Department of Neuroscience, City University of Hong Kong, Kowloon Tong, China.
Tropical medicine & international health : TM & IH
|July 24, 2024
概括
结核病 (TB) 发病率在中国稳定,但唾液涂抹阴性结核病例正在上升. 年龄在20-50岁及50岁以上的成年人最容易感染结核病.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是传染病死亡率的全球主要原因.
- 在结核病负担方面,中国在全球排名第三,对全球病例做出了重大贡献.
- 在中国大陆,关于特定年龄的结核病患病率的研究有限.
研究的目的:
- 调查结核病的时间和空间分布,包括唾液涂抹阳性和唾液涂抹阴性病例,在中国大陆.
- 为了表征结核病患病率的年龄差异.
- 为有效的结核病预防策略提供数据.
主要方法:
- 利用来自中国疾病控制和预防信息系统 (2009-2018) 的数据.
- 分析了在340个县报告的唾液涂抹阳性,结核病和唾液涂抹阴性结核病病例.
- 采用多种统计分析和地理信息系统 (GIS) 技术.
主要成果:
- 唾液涂抹阳性结核病的发生率和整体结核病例的发生率呈现稳定的趋势.
- 唾液涂抹阴性结核病例呈现上升趋势.
- 在中国西北部和西南部,结核病的发病率仍然很高.
- 成年人 (20-50岁) 和老年人 (>50岁) 对结核病感染的易感性较高,而青少年 (<20岁) 的感染率较低.
结论:
- 这项研究提供了COVID-19大流行前中国结核病的时间空间分析.
- 研究结果强调,需要在高风险地区和年龄组开展有针对性的结核病预防工作.
- 了解与年龄相关的易感性对于改进对结核病的公共卫生干预至关重要.
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