| 2008-2014年上海市浦东新区居民肺结核发病情况及其趋势分析 |
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| 引用本文： | 张懿行,李小攀,孙乔,李朋,徐飚,王伟炳,沈鑫. 2008-2014年上海市浦东新区居民肺结核发病情况及其趋势分析[J]. 疾病监测, 2016, 31(1): 29-33. DOI: 10.3784/j.issn.1003-9961.2016.01.008 |
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| 作者姓名： | 张懿行 李小攀 孙乔 李朋 徐飚 王伟炳 沈鑫 |
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| 作者单位： | 1.上海市浦东新区疾病预防控制中心结核病防治科, 上海 200136 |
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| 基金项目： | 国家“十二五”科技重大专项，上海市卫生和计划生育委员会科研课题面上项目 |
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| 摘 要： | 目的 分析上海市浦东新区居民2008-2014年肺结核发病情况并预测其发展趋势, 为肺结核防治策略提供参考。方法 以2008-2014年上海市浦东新区常住户籍居民为研究对象, 按1985年世界标准人口和1982年中国标准人口计算TB及涂阳TB标化发病率、死亡率(age-standardized rate, ASR), 并应用Join-point regression program分析率值的年均变化百分比(annual percent change, APC)并进行趋势分析。结果 浦东新区2008-2014年肺结核新发5548例, 世界标化发病率为20.34/10万, 中国标化发病率为18.92/10万, 趋势平稳(APC=0.84%, Z=1.68,P=0.15), 年龄组发病率呈双高峰, 分别在20~24岁(36.72/10万)和80~84岁 (68.55/10万);共报告涂阳肺结核2285例, 世界标化发病率为7.32/10万, 中国标化发病率为6.45/10万, 呈明显下降趋势(APC=-4.22%, Z=3.41,P=0.01), 其中男性下降明显(APC=-4.51%, Z=6.77, P0.01), 女性趋势平稳(APC=-2.20%, Z=1.16,P=0.29)。结论 肺结核防控应分年龄段关注重点人群, 并采取有效措施积极探索发病相关危险因素, 从而降低肺结核的发病率。
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| 关 键 词： | 肺结核 发病率 趋势分析 |
| 收稿时间： | 2015-06-24 |
Incidence of tuberculosis in residents in Pudong new district of Shanghai, 2008-2014 |
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| Affiliation: | 1.Department of Tuberculosis prevention and control, Center for Disease Control and Prevention of Pudong New Area, Shanghai 200136, China2.School of Public Health, Fudan university, Shanghai 200232, China3.Department of Tuberculosis prevention and control, Center for Disease Control and Prevention of Shanghai Municipal, Shanghai 200336, China |
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| Abstract: | Objective To understand the incidence of pulmonary tuberculosis (TB) and smear-positive TB in residents in Pudong new district of Shanghai. Methods The study subjects were the local residents of Pudong new district during 2008-2014. The standardized morbidity and mortality of TB and smear-positive TB was calculated according to world population data in 1985 and Chinese population data in 1982. The incidence trend of TB and its annual percent changes(APC) from 2008 to 2014 were analyzed by using Join-point regression program. Results A total of 5548 TB cases occurred during 2008-2014, in which 3939 cases were males and 1609 cases were females. The world standardized morbidity was 20.34 per 100 000 population, and China standardized morbidity was 18.92 per 100 000 population. No significantincrease in TB incidence was observed (APC=0.84%, Z=1.68,P=0.15). The age specific incidence peaks were in age group 20-24 years (36.72 per 100 000) and 80-84 years (68.55 per 100 000). A total of 2285 smear-positive TB cases were reported, The world standardized morbidity was 7.32 per 100 000 population, and the China standardized morbidity was 6.45 per 100 000 population. The incidence showeda significant decline (APC=-4.22%, Z=3.41,P=0.01), which was more obvious in males (APC=-4.51%, Z=6.77, P 0.01) than in females (APC=-2.20% Z=1.16, P=0.29). Conclusion It is necessary to pay more attention to TB susceptible population and take effective measures to identify risk factors forgetting TB for the reduction of TB incidence. |
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| Keywords: | Pulmonary tuberculosis Incidence Trend analysis |
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