摘要
目的了解沈阳市≥60岁老年人传染病流行特征,为老年人传染病防控工作提供依据。方法采用描述流行病学方法对2014~2018年沈阳市≥60岁老年人甲乙丙类传染病个案进行流行特征分析。结果2014~2018年沈阳市≥60岁老年人共报告法定传染病发病19种18614例、占全人群总发病数的11.99%,年均发病率为256.98/10万,标化发病率为356.10/10万,呈逐年上升趋势(P<0.01)。发病率前5位疾病分别为肝炎、梅毒、肺结核、其他感染性腹泻和细菌性痢疾,占总病例数的95.58%。其他感染性腹泻和肺结核发病呈逐年上升趋势(P<0.01)。肺结核、梅毒、其他感染性腹泻和细菌性痢疾呈随年龄增大发病率增高的趋势(P<0.05)。传播途径以经血或性传播疾病数量最多,占51.17%;呼吸道传播疾病次之,占26.85%;消化道传播疾病第3位,占20.32%。结论沈阳市老年人传染病发病呈上升趋势。
Objective To understand the epidemiological characteristics of infectious diseases among the elderly aged 60 years and over in Shenyang city,so as to provide the evidence for the prevention and control of infectious diseases among the elderly.Methods Descriptive epidemiological method was used to analyze the epidemiological characteristics of class A,B and C infectious diseases among the elderly aged 60 years and over in Shenyang city during 2014-2018.Results During 2014-2018,a total of 18614 notifiable infectious diseases cases were reported among the elderly over 60 years old in Shenyang city,accounting for 11.99%of the total population.The average annual incidence was 256.98/10~5,and the standardized incidence was 356.10/10~5,showing an upward trend year by year(P<0.01).The top 5 diseases were hepatitis,syphilis,tuberculosis,other infectious diarrhea and bacillary dysentery,accounting for 95.58%of the total cases.The incidence of other infectious diarrhea and tuberculosis increased year by year(P<0.01).The incidence of tuberculosis,syphilis,other infectious diarrhea and bacillary dysentery increased with age(P<0.05).Blood-borne or sexually transmitted diseaseshad the largest number of cases,accounting for 51.17%;followed by respiratory diseases;accounting for 26.85%;digestive tract diseases ranked 3 rd,accounting for 20.32%.Conclusion The incidence of infectious diseases among the elderly in Shenyang city is on the rise.
作者
白杉
BAI Shan(Shenyang City Center for Disease Control and Prevention,Liaoning,Shenyang,110031,China)
出处
《预防医学论坛》
2020年第5期339-342,共4页
Preventive Medicine Tribune
关键词
老年人
法定传染病
流行特征
The elderly
Notifiable diseases
Epidemiological characteristics