广东省部分地区户籍人口与流动人口结核病防治效果比较

Comparing the effect of tuberculosis control in permanent residents with that in floating population

目的分析实施结核病防治规划中流动人口和户籍人口两类人群的结核病防治效果,并进一步探索提高防治效果的措施。方法分析深圳、珠海、江门、东莞和中山等5个地市所辖县区结核病防治机构核实上报的2006年和2007年的结核病控制工作季报表,比较流动人口和户籍人口的病人检出情况、治疗管理方式和疗效等指标。结果2006年,广东省5个地市的流动人口查痰率和痰涂片阳性检出率分别为66.6%和16.9%,均低于户籍人口。户籍人口与流动人口的新涂阳肺结核登记率分别为35.7/10万和19.4/10万。5个地市的总体治愈率为81.0%,户籍人口与流动人口的治愈率分别为95.1%和63.2%。结论实施结核病防治规划过程中,流动人口的结核病防治效果比户籍人口差,严重影响区域结核病防治效果。因此,必须创造有利于流动人口结核病防治的支持环境,才能扭转这一不利局面。

Objective To analyze the effect of TB control in floating population and permanent residents in the process of implementing TB Control Program. Methods The indexes about case-detection, treatment management and treatment outcome in floating population and permanent residents were calculated for analysis. Results There were 5 cities where implemented Regional TB Control Program with free-of-charge policy extended into the floating population in 2006. In these cities, the sputum-examined rate and the positive rate of sputum-smearing in the floating population were 66.6% and 16.9% respectively. These rates were lower than that in the permanent residents. The awareness rate of new smear-positive pulmonary TB in the permanent residents and the floating population were 35.7/100000 and 19.4/100000 respectively. The cured rate for all population was 81.0% in the 5 cities, the rates in the permanent residents and in the floating population were 95.1% and 63.2 % respectively. Conclusion The floating population was a weaker group. In the process of implementing TB control program, the lower effect of TB control in the floating population has seriously affected the effect in the regional area. Therefore, supporting environments that were suitable for TB control in the floating population, such as policies and measures, must be established to change the disadvantageous situation.