摘要
目的:分析山东省菏泽市2018—2022年60岁以上老年肺结核流行特征及其空间聚集性,为制定老年肺结核防控措施提供科学依据。方法:从中国疾病预防控制信息系统收集2018—2022年菏泽市各乡镇老年肺结核病人登记数据,描述性分析时间、地区、人群的三间分布情况,并将发病率数据导入ArcGIS软件建立空间数据库,进行全局空间自相关分析和局部空间自相关分析以探索发病的空间分布特征和热点区域。结果:2018—2022年菏泽市共登记肺结核患者11737例,其中老年患者4394例,占37.4%,老年肺结核发病人数和发病率呈现逐年下降趋势,发病率较高的区域主要分布在单县、东明县和定陶区的部分乡镇。4394例老年患者中,男性3339例,女性1055例,性别比为3.16∶1,农民4108例,占93.5%,男、女性均以65~75岁发病最多。全市老年肺结核发病在整体上存在空间聚集性(Moran I=0.294,P<0.05),高-高聚集区以单县乡镇为主,发病热点区域以单县和东明县乡镇为主,低-低聚集区和冷点区域以牡丹区和郓城县乡镇为主。结论:菏泽市老年肺结核发病人数和发病率呈现下降趋势,农村老年男性仍是重点关注人群,发病呈一定的空间聚集性,应在发病的热点和冷点区域采取不同的策略予以积极的应对。
Objective:To analyze the epidemiological characteristics and spatial clustering of pulmonary tuberculosis in people aged over 60 years in Heze city from 2018 to 2022,and to provide scientific basis for the development of prevention and control measures for the aged population.Methods:The registration data of elderly pulmonary tuberculosis patients in various townships of Heze city during 2018—2022 were collected from China Disease Prevention and Control Information System,and the distribution of time,region and population was descriptively analyzed.The data of incidence were transferred into ArcGIS software to establish a spatial database,and global and local spatial autocorrelation analyses were conducted to explore the spatial distribution characteristics and hot spots of the disease.Results:A total of 11737 patients with tuberculosis were registered from 2018 to 2022 in Heze city,among whom 4394 were elderly patients,accounting for 37.4%,showing that the number and incidence of tuberculosis in the aged population presented a downward trend year by year.The areas with high incidence were mainly distributed in some towns of Shanxian county,Dongming county and Dingtao district.Among the 4394 elderly patients,3339 were male and 1055 were female with a sex ratio of 3.16∶1,and 4108 were peasants,accounting for 93.5%.The incidence of the disease was the highest in both males and females aged 65-75 years old.The incidence of elderly tuberculosis in the city as a whole had a spatial clustering(Moran I=0.294,P<0.05).High-high clustered areas were mainly in towns of Shanxian county,hot spots were mainly in towns of Shanxian county and Dongming county,low-low clustered areas and cold spot areas were mainly in towns of Peony district and Yuncheng county.Conclusion:The number and incidence of elderly tuberculosis in Heze city show a decreasing trend,and rural elderly males are still the key focus group.The incidence of this disease shows a certain spatial clustering.Different prevention strategies should be positively conducted in accordance with the incidence of the disease in different areas.
作者
孙付胜
刘增法
付刚
陈秀英
皇甫蓓蓓
孙胤羚
SUN Fusheng;LIU Zengfa;FU Gang;CHEN Xiuying;HUANGFU Beibei;SUN Yinling(Department of Tuberculosis Control,Heze Center for Disease Control and Prevention,Heze 274000,China;Personnel Department,Medical Management Service Center of Shandong Provincial Health Commission,Jinan 250014,China;Department of Science and Education,Shandong Academy of Occupational Health and Occupational Medicine/Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250000,China)
出处
《现代医学》
2023年第11期1565-1572,共8页
Modern Medical Journal
基金
山东省人文社会科学课题(2022-ZXJK-08)。
关键词
结核
肺
老年人
流行特征
空间自相关
菏泽市
tuberculosis
pulmonary
elderly people
epidemiological characteristic
spatial autocorrelation
Heze city
