武汉市社会经济情况和肺结核关系的病例对照研究

A case-control study on the socioeconomic status of pulmonary tuberculosis patients in Wuhan

目的 研究社会经济情况对肺结核患病的影响 ,有针对性地采取预防措施。方法 采用1∶1配对病例 -对照研究方法 ,对 85对肺结核病例和对照进行问卷调查。应用条件Logistic回归模型进行单因素分析和多因素分析 ,计算比值比及其 95 %可信区间。结果 单因素分析中 ,与肺结核患病相关的因素是人均月收入、就业情况、医疗保障、经济来源 ,其OR值分别为 4 .0 0 0、5 .333、8.0 0 0、6 .0 0 0 (χ2 =7.2 0 0 ,8.895 ,5 .4 40 ,4 .880 ;P <0 .0 5 )。全变量条件Logistic多因素分析 ,最终进入多因素回归模型的有就业情况及人均月收入。结论 无工作。

Objective To study the socioeconomic factors related with pulmonary tuberculosis.Methods A case control study was designed and multivariable logistic regression model was applied.85 pulmonary tuberculosis cases were studied by 1∶1 match.Results The single factor conditional logistic regression analysis showed that the monthly average income per family,with job or not,various kinds of medical insurance and source of income were significant risk factors associated with pulmonary tuberculosis (OR=4.000,5.333,8.000,6.000;χ 2=7.200,8.895,5.440,4.880; P <0.05).Future multivariable logistic regression analysis turned out that monthly average income per family and with job or not were the independent risk factors of pulmonary tuberculosis.Conclusion Without job and the low level of family income were the risk factors of pulmonary tuberculosis in Wuhan City.