江西省贫困地区老年人结核病患病影响因素

发布时间：2018-03-20 20:39

本文选题：结核病　切入点：贫困地区　出处：《中国老年学杂志》2017年16期 　论文类型：期刊论文

【摘要】：目的探索老年人群中开展主动筛查肺结核患者的可行性。方法在江西省贫困地区采取随机整群抽样的方法选取21个村(居委会)开展老年人结核病患病率筛查,描述性分析老年人中结核病患病情况及影响因素,并采用Logistics单因素和多因素回归模型拟合分析老年人患肺结核的可能危险因素。结果 5 268例老年人中共筛查出21例新发活动性肺结核患者和12例肺癌患者,60岁及以上老年人活动性肺结核患病率为398.6/10万,涂阳肺结核患者患病率为132.9/10万。单因素分析显示老年人体质指数(BMI)和既往史是其结核病患病的危险因素(P0.05),多因素分析显示影响老年人结核病患病的危险因素为肺结核既往史(P0.05)。结论对既往有结核病病史老年人开展结核病筛查有积极意义。
[Abstract]:Objective to explore the feasibility of active pulmonary tuberculosis screening among the elderly. Methods 21 villages (neighborhood committees) were selected by random cluster sampling in poor areas of Jiangxi Province to screen the prevalence rate of tuberculosis among the elderly. Descriptive analysis of the prevalence of tuberculosis in the elderly and its influencing factors, Logistics single factor and multivariate regression models were used to fit and analyze the possible risk factors of pulmonary tuberculosis in the elderly. Results A total of 21 newly active pulmonary tuberculosis patients and 12 lung cancer patients aged 60 years were screened out in 5 268 elderly patients. The prevalence of active pulmonary tuberculosis in the elderly is 398.6 / 100,000. The prevalence rate of smear positive pulmonary tuberculosis patients was 132.9 / 100,000,000. Univariate analysis showed that the body mass index (BMI) and past history were the risk factors of tuberculosis in the elderly, and multivariate analysis showed that the risk factors affecting tuberculosis in the elderly were lung. Conclusion it is of positive significance for the elderly with tuberculosis history to carry out tuberculosis screening.
【作者单位】：江西省疾病预防控制中心;赣州市疾病预防控制中心;
【基金】：江西省卫生计生委科技计划(20156012)
【分类号】：R52

【相似文献】