哈尔滨地区成年人肺结核危险因素调查研究

Study of risk factors for pulmonary tuberculosis among adults in Harbin

目的探讨影响哈尔滨城镇居民肺结核发病的危险因素,为肺结核防治提供科学依据。方法利用logistic回归模型对哈尔滨地区成年人新发肺结核患者进行危险因素分析。结果单因素分析显示病例组和对照组在性别、受教育程度、职业、月收入、通风、周围环境质量、过量饮酒、运动习惯及心理状态方面有统计学差异。多因素分析结果显示男性、受教育程度低、体力劳动和过量饮酒是肺结核发病的危险因素,而高月收入、通风、居住周围环境好以及运动为肺结核发病的保护因素。结论男性、受教育程度低、体力劳动和过量饮酒是哈尔滨地区成年人肺结核发病的危险因素,而高月收入、居室通风、周围环境好以及运动可降低肺结核的发病风险。

OBJECTIVE To explore the pathogenic risk factors for pulmonary tuberculosis among urban residents in Harbin, in order for supplying scientific evidence for prevention and treatment of pulmonary tuberculosis. METHODS Logistic regression model was used to analyze the risk factors for TB among patientsnewly developed in Harbin. RESULTS Univariate analysis showed there were statistically significant differences in gender, education, leveloccupation, monthly income, ventilation, ambient quality, excessive alcohol consumption, sportes halit and psychological state between the case group and control group. Muhiple-factor analysis results showed that male, low education, labor work, and excessive alcohol consumption are risk factors for TB,but high income, regular ventilation, good ambient quality and regular exercise are protective factors for TB.CONCLUSION Male, low education, labor work and excessive alcohol consumption are the risk factors for TB among adults in Harbin; high income, regular ventilation, good ambient quality and good regular exercise may lower the incidence of TB.