滕州市农村青壮年肺结核发病危险因素的条件Logistic回归分析

目的探讨农村青壮年肺结核发病的危险冈素，为制订干预对策与措施提供依据。方法2011年7月至2012年12月，选取滕州市新发肺结核病人121例，按照1：1配对方法选择同一社区内与病例同性别、年龄±3岁，无严重呼吸系统疾患病史的人群为对照。进行影响肺结核患病因素的条件Logistic回归分析。结果在a=0．05的水平上，进入多因素条件Logistic回归模型的有8个因素，接种卡介苗可降低肺结核发病危险性，OR值为0．54；经济状况差、饮酒、结核病接触史、劳动疲乏、住房类别、体重指数、外出打工易患肺结核，OR值分别为3．68、1．67、1．99、2．87、1．87、2．06和2．87。结论经济状况差、饮酒、结核病接触史、劳动易疲乏、住房通风不好、体质偏瘦、外出打工是本地青壮年肺结核发生的主要危险因素，卡介苗接种是降低发病的保护性因素。

Conditional Logistic Regression Analysis on Risk Factors of Pulmonary Tuberculosis Among Rural Young Adults,Teng- zhou City

Objective To investigate the risk factors of pulmonary tuberculosis among young adults in rural areas,so as to provide basis for formulating strategies and measures. Methods A total of 121 new cases of pulmonary tuberculo- sis patients were selected in Tengzhou city during July,2011-Deeember, 2012, according to 1 ： 1 pairing method, select groups within the same community and case of same sex,aged 3 years,no serious respiratory disease history as control group. Carry out conditional logistic regression analysis on influencing factors of pulmonary tuberculosis. Results In al- pha equal to 0.05, there were 8 factors into the multiple conditional logistic regression model,namely the BCG vaccination can reduce the risk of pulmonary tuberculosis, OR value was 0.54 ; Pulmonary tuberculosis risk factors including poor eco- nomic conditions, alcohol drinking,TB contact history, work fatigue, bad ventilation housing, body mass index and migrant work. The OR values were 3.68,1.67,1.99,2.87,1.87,2.06 and 2.87. Conclusion Poor economic conditions, alcohol drinking,TB contact history, work fatigue, bad ventilation housing, lean physique, migrant work are the main risk factors for pulmonary tuberculosis among local young adults,BCG vaccination is the protective factor for reducing the incidence.