中国2004—2008年结核病死亡率特征分析及趋势

Analysis on status and trend of tuberculosis mortality from 2004 to 2008 in China

目的了解2004—2008年中国结核病死亡流行现状及变化趋势。方法利用2004—2008年全国疾病监测点数据,获得结核病死亡率,分析结核病死亡性别、年龄别、地区分布的特点和流行趋势。结果 2004—2008年全国疾病监测系统死亡率从6.57/10万下降到3.90/10万,年平均年死亡率为5.78/10万,其中男性为7.81/10万,女性为3.66/10万,城市、农村的死亡率分别为3.57/10万和6.98/10万,东、中、西部分别为3.66/10万、4.97/10万、9.61/10万;肺结核平均年死亡率为5.48/10万,其中男性为7.45/10万,女性为3.40/10万,城市、农村的死亡率分别为3.34/10万和6.63/10万,东、中、西部分别为3.44/10万、4.72/10万和8.98/10万。结论我国结核病死亡率呈逐年下降的趋势,但在西部地区、农村地区和老年人口中死亡率较高,应针对不同类型结核、不同地区和不同目标人群制定有效的防控策略,切实降低结核病死亡率。

Objective To understand the status and trend of tuberculosis mortality from 2004 to 2008 in China. Method Tuberculosis mortality was obtained by national disease surveillance points,gender,age and geographical distribution of TB death were analyzed. Results From 2004 to 2008,the tuberculosis mortality decreased from 6.57/100000 to 3.90/100000,the average annual mortality rate was 5.78/100000,7.81/100000 for male and 3.66/100000 for female,3.57/100000 for urban and 6.98/100000 for rural people,3.66/100000,4.97/100000 and 9.61/100000 for eastern,middle and western region of China respectively.For pulmonary tuberculosis the average annual mortality rate was 5.48/100000,7.45/100000 for male and 3.40/100000 for female,3.34/100000 for urban and 6.63/100000 for rural people,3.44/100000,4.72/100000 and 8.98/100000 for eastern,middle and western region of China respectively. Conclusion There is a declining trend for tuberculosis mortality in China.However,it is still high in the western,rural and elderly population.Therefore,we should develop effective intervention measures for different types of tuberculosis,regions and target population.