2007-2016年石家庄市麻疹时空分布特征及影响因素探索

发布时间：2018-05-02 04:09

本文选题：麻疹 + 流行特征　；参考：《现代预防医学》2017年17期

【摘要】：目的分析石家庄市2007-2016年麻疹流行特征与发病的危险因素,探讨麻疹防控策略。方法利用传染病疫情资料分析石家庄市2007-2016年麻疹流行特征,并对2016年麻疹病例开展1∶1配对病例-对照研究,探讨麻疹发病危险因素。结果石家庄市2007-2016年麻疹平均发病率7.33/10万,最低为2012年0.02/10万,最高为2010年19.43/10万;市区人群发病率高于山区县和平原县;0-1岁儿童发病人数占病例总数的39.84%,发病率135.77/10万。多因素Logistic回归分析显示,就诊史(OR=8.131 95%CI3.963-16.751)、流动人口(OR=3.792 95%CI1.623-10.339)及接触史(OR=6.137 95%CI2.056-15.125)是麻疹发病的危险因素,麻疹疫苗接种史(OR=0.254 95%CI0.086-0.386)是麻疹发病的保护因素。结论 0-1岁组儿童是石家庄市麻疹防控工作的重点,做好适龄儿童麻疹疫苗即日接种,加强流动人口管理和院内感染控制,有助于控制疫情,实现消除麻疹的工作目标。
[Abstract]:Objective to analyze the epidemic characteristics and risk factors of measles in Shijiazhuang City from 2007 to 2016, and to discuss the strategy of measles control. Methods the epidemic characteristics of measles in Shijiazhuang City from 2007 to 2016 were analyzed by using epidemic data of infectious diseases. The 1:1 matched case-control study was carried out on measles cases in 2016 to explore the risk factors of measles. Results the average incidence of measles in Shijiazhuang from 2007 to 2016 was 7.33 / 100 000, the lowest was 0.02 / 100 000 in 2012, and the highest was 19.43% / 100 000 in 2010. The incidence of measles in urban area was higher than that of children aged 0-1 years in mountainous and Pingyuan counties, accounting for 39.84% of the total number of cases, and the incidence rate was 135.77% / 100 000. Multivariate Logistic regression analysis showed that 8.131CI3.963-16.751CI3.7995CI3.792 95CI1.623-10.339) and contact history 6.137CI2.056-15.125) were risk factors of measles. The history of measles vaccination was 0.254 CI0.086-0.386). Conclusion the children aged 0-1 years old are the focus of measles prevention and control in Shijiazhuang City. It is helpful to control the epidemic situation and achieve the goal of eliminating measles by doing measles vaccination for children of appropriate age and strengthening the management of floating population and the control of nosocomial infection.
【作者单位】：石家庄市疾病预防控制中心免疫规划所;
【分类号】：R181.3;R511.1

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