2005-2021年中国福建省结核病流行病学分布特征分析:空间时间分析研究
Shanshan Yu1,2, Meirong Zhan3, Kangguo Li1,2
1State Key Laboratory of Vaccines for Infectious Diseases, Xiangan Biomedicine Laboratory, School of Public Health, Xiamen University, No 4221-117, Xiang'an South Road, Xiang'an District, Xiamen City, 361101, China, 86 13661934715.
JMIR public health and surveillance
|November 18, 2024
概括
肺结核发病率在福建省下降,病例集中在老年男性,农民和东南地区. 有针对性的干预措施对于有效控制结核病至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病分析 传染病分析
背景情况:
- 结核病 (TB) 是一个持续的全球健康威胁.
- 了解结核病的流行病学分布对于有针对性的控制策略至关重要.
- 福建省肺结核 (PTB) 的细微时间和空间趋势以前尚不清楚.
研究的目的:
- 分析结核病在福建省的分布特征.
- 探索结核病在不同的人口和地区的流行情况.
- 为加强中国福建的结核病控制工作提供科学基础.
主要方法:
- 收集了县级和县级PTB病例数据 (2005-2021年).
- 用于时间模式分析的员工结合点回归.
- 利用空间聚类和自相对应用于地理分布评估.
- 对人口特征进行了描述性分析.
主要成果:
- 结核病的总体发病率呈现下降趋势 (从2005年的32,728例到2021年的15,155例).
- 病例主要影响中年和老年男性 (42.6%),农民 (47.1%),并且往往是病因阳性 (45.3%).
- 在福建东南部城市观察到显著的空间聚类,当地聚合率很高.
结论:
- 在福建省,每年结核病发病率下降.
- 主要受影响的人口包括男性,老年人和农民.
- 经济发达的东南城市的更高发病率需要加强控制措施,包括早期查和病例管理.
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