上海市徐汇区5年结核病疫情变化及其空间分布特征

目的探讨上海市徐汇区2005-2010年结核病发病的空间聚集性。方法应用扫描统计量法对上海市徐汇区2005-2010年的结核病登记资料进行分析。结果上海市徐汇区2005-2010年各年份的结核病登记率为24.28/10万-43.29/10万,各年份流动人口的结核病登记率均高于常住人口。以病例为单位分析没有发现存在空间聚集性,以街道为单位分析则具有空间聚集性,存在7个聚集性区域,差异有统计学意义（P〈0.05）。按人口特征分析,徐汇区常住人口存在8个聚集性区域,差异有统计学意义（P〈0.05）,流动人口也存在8个聚集性区域,差异有统计学意义（P〈0.05）。结论上海市徐汇区结核病发病具有空间聚集性,而且常住人口和流动人口均存在聚集性。

Spatial distribution and epidemic situation of tuberculosis in Xuhui district,Shanghai

Objective To explore the spatial clustering of tuberculosis in Xuhui district, Shanghai from 2005 to 2010.Methods Tuberculosis reporting data of Xuhui from 2005 to 2010 were collected and spatial scan statistics was used toanalyze. Results The annual tuberculosis incidence was between 24. 28/lakh-43.29/lakh, and the tuberculosisincidence of migratory population was higher than that of local population in each year. No spatial clustering was found inthe analysis when taking individual eases as the unit, while spatial clustering existed when taking town as the unit, and 7clustering areas were found（P〈0. 05）, According to the population characteristics, there existed 8 clustering areas for thelocal population, and 8 clustering areas for the migratory population as well. Conclusions There existed spatialclustering of tuberculosis in Xuhui district, Shanghai, and spatial clustering existed in both resident population andmigratory population.