摘要
目的分析2016—2020年全国流动人口肺结核流行特征,为制定流动人口结核病防治策略提供参考依据。方法按现住址选择中国疾病预防控制信息系统子系统结核信息管理系统中2016—2020年登记的肺结核患者病案记录,按照不同的流动类型,分析其人口学特征、疾病特征和流入流出情况。结果2016—2020年本地患者占所有诊断肺结核患者的比例由79.69%下降到71.43%,呈逐年下降趋势(Z=291.25,P<0.01),省内流动患者比例呈逐步上升趋势,而省际流动患者比例基本维持在6.00%的水平。流动人口患者男性占比超过65.00%,本地、省内流动和省际流动患者的年龄呈现年轻化趋势,流动人口患者主要由四川、贵州和湖南等省份流向广东和浙江等沿海地区省份。结论流动人口肺结核患者主要以年轻男性在省内流动为主,浙江和广东等省的流动人口患者数量较大,应该制定相应的干预措施加强流动人口的宣教、筛查和治疗管理。
Objective To explore the epidemic characteristics of pulmonary tuberculosis in migrants in China from 2016 to2020,and to provide a reference for policy formulation.Methods The medical records of pulmonary tuberculosis patients diagnosed from 2016 to 2020 were exported according to their current addresses from the“Tuberculosis Information Management System”,which was the subsystem of“China Disease Prevention and Control Information System”,and their demographic characteristics,disease characteristics and inflow/outflow were analyzed.Results During the period from 2016to 2020,the proportion of local patients in all diagnosed pulmonary tuberculosis patients decreased from 79.69%to 71.43%,showing a downward trend year by year(Z=291.25,P<0.01).The proportion of intra-provincial migrant patients showed a gradual upward trend,while the proportion of inter-provincial migrant patients maintained at the level of 6.00%.Male patients accounted for more than 65.00%,and the age of local,intra-provincial and inter-provincial migrant patients showed a younger trend.The migrant patients mainly flowed from Sichuan,Guizhou,Hunan and other provinces to coastal provinces such as Guangdong and Zhejiang.Conclusion Migrant tuberculosis patients are mainly young men who migrate within the province.Zhejiang and Guangdong and other provinces face great challenges from migrant patients.Corresponding intervention measures should be formulated to strengthen the publicity,education,screening and treatment management of the migrant population.
作者
倪妮
黄飞
王倪
王明哲
杜昕
李涛
陈伟
赵雁林
Ni Ni;Huang Fei;Wang Ni;Wang Mingzhe;Du Xin;Li Tao;Chen Wei;Zhao Yanlin(National Center for Tuberculosis Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Tuberculosis/Leprosy Prevention and Control Center,Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region,Urumqi 830002,Xinjiang,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2023年第7期819-824,共6页
Disease Surveillance
关键词
肺结核
流动人口
流行特征
Pulmonary tuberculosis
Migrants
Epidemic characteristics
