2010年我国流动人口活动性肺结核患者的省域分布研究

Provincial distribution of active tuberculosis patients in floating population in China,2010

目的了解我国流动人口活动性肺结核患者(流动人口患者)在各省间的分布状况,为促进流动人口结核病防治工作的开展提供科学依据。方法对2010年我国结核病管理信息系统登记的全国流动人口患者的现住址和原籍数据进行分析。结果 2010年我国共登记流动人口患者74 596例,其中29 578例(39.7%)在省内流动,45 018例(60.3%)在省际流动。省际流动人口患者中,41 532例(92.3%)登记在东部地区,2266例(5.0%)登记在西部地区,1220例(2.7%)登记在中部地区;省内流动人口患者中,15 188例(51.3%)登记在东部地区,7670例(25.9%)登记在西部地区,6720例(22.7%)登记在中部地区;省际流动人口患者中,20 697例(46.0%)的原籍分布在西部地区,20 157例(44.8%)在中部地区,4164例(9.2%)在东部地区。省际流动人口患者有相对固定的流出省份和流入省份。结论中西部地区是我国流动人口的主要流出地,东部沿海地区是主要流入地,也是流动人口结核病防治工作的核心区域。应根据流动人口患者分布格局开展流动人口结核病防治工作,根据流动趋势在流出地和流入地结核病防治机构之间建立固定的合作关系。

Corresponding author： LI Xin-xu , Email： lixinxu@ chinatb, org Abstract： Objective To understand the provincial distribution of active tuberculosis （TB） patients in floating population in China and provide evidence to develop effective control and prevention strategies. Methods Based on the state TB management system, the analysis was conducted on the data of current living places and original living places of active TB patients in floating population registered in China in 2010. Results Totally 74 596 TB patients were registered in floating population in China in 2010, in which 29 578 （ 39. 7% ） migrated within their own provinces and 45 018 （60. 3% ） migrated to other provinces. Of the patients migrating to other provinces, 41 532 （92. 3% ） were registered in eastern provinces, 2266 （5.0%） were registered in western provinces and 1220 （2. 7% ） were registered in central provinces. Of the patients migrating within their own provinces, 15 188 （ 51.3% ） were registered in eastern provinces, 7670 （25.9%） were registered in western provinces and 6720 （22.7%） were registered in central provinces. Of the patients migrating to other provinces, 20 697 （46.0%） were from western provinces, 20 157 （44. 8% ） were from central provinces and 4164 （9. 2% ） were from eastern province. The population floating pattern was observed in this study. Conclusion The western region of China is major labor source place, the eastern region is the destination of these labors. It is necessary to conduct TB prevention and control according to the provincial distribution of TB cases in floating population and strengthen the cooperation among provinces