攀枝花市肺结核病人密切接触者肺结核患病及其影响因素分析

Analysis of the Prevalence of Tuberculosis (TB) and Influence Factors among the People in Close Contact with TB Patients in Panzhihua City

[目的]探讨肺结核病人密切接触者肺结核患病的相关危险因素。[方法]对攀枝花市各级结核病防治机构登记的2007年至2008年6月尚未完成治疗疗程的肺结核病人的密切接触者进行调查,对调查结果应用非条件Logistic回归分析肺结核患病的影响因素。[结果]调查肺结核病人的密切接触者1475人,确诊活动性肺结核病人14例,患病率为0.95%。密切接触者患病率,男性为1.58%,女性为0.38%(P<0.05);居住在城市的为0.33%,居住在农村的为1.39%(P<0.05)。多因素非条件Logistic回归分析结果,性别(女性)、居住地(城市)是肺结核病人密切接触者患病的保护性因素。[结论]肺结核病人密切接触者肺结核患病率很高,男性密切接触者较女性容易患肺结核,农村密切接触者较城市容易患肺结核。

[Objective]To explore the related risk facts,of TB among the people in close contact with TB patients. [Methods]Investigation was conducted for the people in close contact with TB patients who did not finished the treatment and registered in the Institutes for TB control and prevention at different levels from 2007 to June,2008 The influence factors were analyzed with unconditional Logistic regression. [Results]l 475 people in close contact with TB patients were investigated, 14 of them were diagnosed as active stage TB patients, the prevalence rate was 0.95 %. The prevalence rate was 1.58% among male and 0. 38% among female in close contact with TB patients （ P〈0.05）. The prevalence rate was 0.33 % and 1.39 % in the people living in urban district and rural area （ P 〈0. 05）. Multifactor Unconditional Logistic Regression Analysis showed that sex（female） and living area （urban district） were the protective factors for the people in close contact with TB patients. [Conclusion]The prevalence rate of TB was high among the people in close contacts with TB patients. Male in close contacts with TB patients was more often affected than female in close contacts with TB patients and the people living in rural areas and in close contacts with TB patients were more often affected than the people living in urban district and in close contact with TB patients.