2014—2021年上海市某社区肺结核流行趋势及特征

Epidemiological Trend and Characteristics of Pulmonary Tuberculosis in a Community in Shanghai from 2014 to 2021

目的:分析2014—2021年上海市虹桥社区肺结核流行趋势及特征,为社区肺结核的防控提供科学依据。方法:整理归纳2014—2021年虹桥社区肺结核发病数据,分析其流行趋势及特征。结果:2014—2021年虹桥社区共登记新发肺结核310例,非沪籍169例,占54.52%。沪籍年均发病率23.01/10万,发病率年百分比变化(APC)为-2.26%,差异无统计学意义(P>0.05)。非沪籍年发病数比较,差异有统计学意义(χ^(2)=97.379,P<0.01)。男女发病数构成比为1.46∶1。主要发病人群为上海市离退休人员、外来家务及待业的青年人,且该病在春夏季高发。结论:近年来,虹桥社区肺结核发病率呈不稳定下降趋势,未来应在春、夏高发季节重点加强男性、离退休人员、外来家务及待业青年人群的肺结核防控。

OBJECTIVE To analyze the epidemic trend and characteristics of pulmonary tuberculosis(PTB)in Hongqiao commu-nity of Shanghai from 2014 to 2021,and to provide scientifie basis for the prevention and control of PTB in the community.METHODS The incidence data of PTB in Hongqiao Community from 2014 to 2021 were summarized,and the epidemic trend and characteristics were analyzed.RESULTS A total of 310 new cases of PTB were registered in Hongqiao Community from 2014 to.2021,which floating population accounted for the majority(169 cases,54.5%).The average annual incidence of local residents of 23.01/10,and the annual percentage change in incidence(APC)was-2.26%(P>0.05).The annual incidence of migrant was statistically signifcant(X^(2)=97.379,P<0.01).The proportion of male to female incidence was 1.46:1.The results show that most cases were of local residents retirees,floating domestic workers and unemployed young people.In addition,a higher incidence was found in spring and summer.CONCLUSION In recent years,the incidence of pulmonary tuberculosis in Hongqiao community demonstrates an unstable downward trend.In the future,the prevention and control of PTB is suggested to focus on the male,retrees,floating domestic workers and unemployed young people in the spring and summer.