滕州市农村社区人群肺结核发病危险因素的病例对照研究

目的]探讨滕州市农村社区人群肺结核发病的危险因素,为制订干预对策与措施提供依据。方法]2004年4～5月,选择滕州市农村社区新发肺结核病人112例,进行1∶1配对病例对照研究。结果]19个因素中,进入多因素条件Logistic回归模型的是结核病接触史、人际交往、卡痕数和体重指数4个变量,其OR值分别为4.15、2.45、0.37和2.04。结论]有结核病接触史、人际交往频繁、体质偏瘦的农村社区人群容易患肺结核,高质量卡介苗接种是降低发病的保护性因素。

Case-control Study on Risk Factors of Pulmonary Tyberculosis in Crowd of Rural Community in Tengzhou

Objective]To explore the risk factors of pulmonary tuberculosis in crowd of rural community in Tengzhou so as to provide a basis for the government instituting intervention countermeasures and measures.Methods]A 1:1 matched case-control study was conducted in Tengzhou city from April to May in 2004.112 cases with pulmonary tuberculosis newly diagnosed in rural community of Tengzhou and 112 matched controls were interviewed.Results]Among 19 factors,four factors of tuberculosis contact history,human communication,BCG mark count and body mass index were analyzed by the multivariable Logistic regression models.The OR was 4.15,2.45,0.37,2.04,respectivly.Conclusion]The rural community crowd who have tuberculosis contact history,frequent human communication and the thinner physique were easy to suffer from pulmonary tuberculosis.It is a protective factor to reduce the morbidity with the high-quality BCG vaccine inoculated.