摘要
目的掌握1958-2018年四川省丹巴县麻风的流行病学特征,为制定麻风的防控策略提供科学依据。方法采用描述性流行病学方法对四川省丹巴县1958-2018年麻风病例资料进行汇总,应用相关分析和多因素Logistic回归分析方法进行统计分析。结果1958-2018年丹巴县累计发现麻风91例,平均年龄为(33.43±13.86)岁,男女性别比为1.6〖DK〗∶1;民族以藏族为主(87.91%);职业以农牧民为主(85.71%)。历年麻风发病率最高值出现在1958年,值为11.25/10万;发病率、发现率均与年度呈负相关,随年度上升而下降,且分别在2009年、2014年后保持在低水平。多因素Logistic回归分析提示:发病年龄(OR=1.03)、延迟期5年以上(OR=9.92)、诊断分型TT型(OR=5.23)是麻风病例发生畸残的影响因素。结论丹巴县麻风疫情得到了有效的控制,目前已达到基本消灭麻风的标准,继续处于低流行状态。
Objective To analyze the characteristics of leprosy epidemic in Danba county of Sichuan Province from 1958 to 2018,in order to provide reference for the prevention and control of leprosy.Methods Surveillance data of leprosy cases in Danba county from 1958 to 2018 were collected and analyzed by descriptive epidemiology.Correlative analysis and multiple logistic regression analysis were used for statistical analysis.Results There were 91 leprosy cases totally registered in Danba County from 1958 to 2018.The sex ratio of male to female was 1.6∶1,and the average age was 33.43±13.86.Tibetans are the dominant ethnic group,account for 87.91%,while farmers and herdsmen are the dominant occupations,account for 85.71%.The highest incidence rate of leprosy was 11.25/100,000 in 1958.The incidence and detection rate of leprosy were negatively correlated with the year,declined with the year and remained at a low level after 2009 and 2014 respectively.Multiple logistic regression analysis showed that incidence age(OR=1.03),delay period of more than five years (OR=9.92) and the diagnostic type TT(OR=5.23)are the influencing factor of the disability of leprosy cases.Conclusion The epidemic situation of leprosy in Danba County has been effectively controlled and basically eliminated.The overall leprosy situation remains at low level in Danba.
作者
杨静
龙德俊
更登洛
刘启环
麦珠拉姆
高兴容
YANG Jing;LONG Dejun;GENG Dengluo;LIU Qihuan;MAI Zhulamu;GAO Xingrong(Chenghua District Center for Disease Control and Prevention, Chengdu 610051,China;Danba County Center for Disease Control and Prevention,Danba 626300,China;Ganzi Tibetan Autonomous Prefecture Dermatology Prevention and Treatment Hospital,Ganzi 626000,China)
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2019年第9期1062-1065,共4页
The Chinese Journal of Dermatovenereology
关键词
麻风
流行特征
Leprosy
Epidemiological characteristics
