上海松江2006-2011年新登记肺结核时空分布规律及影响因素

发布时间：2018-03-23 20:13

本文选题：结核　切入点：肺　出处：《中华疾病控制杂志》2014年08期

【摘要】：目的了解上海市松江区2006-2011年新登记肺结核(tuberculosis,TB)的时空分布规律及其影响因素。方法收集2006-2011年TB相关信息,应用时空扫描统计量探测TB的时空聚集区,应用Logistic回归模型分析影响TB聚集区形成的危险因素。结果松江区2006-2011年新登记2 916例TB,单纯空间扫描统计显示全部TB及全部菌阳TB均在车墩镇聚集,本地TB及本地菌阳TB的空间聚集区为西南部的五个镇(新浜、石湖荡、小昆山、泖港和永丰),流动TB的聚集区为车墩镇,流动菌阳TB的聚集区为车墩镇、叶榭镇和泖港镇。时空扫描统计量显示松江区肺结核病例在2007-2008年出现聚集现象,聚集区域为工业区所在地的车墩镇和新桥镇。对于本地患者,农民职业者及就诊延误与空间聚集区呈独立相关;流动患者中,职业为蓝领工人、年龄小于60岁及来源于中国中西部地区是形成空间聚集区的危险因素。结论松江区TB的分布具有一定的时空聚集性。东部工业区是流动TB的聚集区域,西南五镇是本地TB的聚集区域,TB防控的工作重点应聚焦于这些区域;流动人口是TB聚集的重要因素,应重点关注。
[Abstract]:Objective to investigate the temporal and spatial distribution of newly registered tuberculosis tuberculosisTBand its influencing factors in Songjiang District of Shanghai from 2006 to 2011. Methods relevant information of TB from 2006 to 2011 was collected and the space-time accumulation area of TB was detected by space-time scanning statistics. The Logistic regression model was used to analyze the risk factors affecting the formation of TB accumulation area. Results 2,916 new TB cases were registered in Songjiang District from 2006 to 2011. The simple spatial scanning statistics showed that all TB and all bacterial positive TB were gathered in Chedun Town. The five towns in the southwest of China (Xinbang, Shihu Dang, Xiao Kunshan, Maogang and Yongfeng) are the spatial agglomerations of local TB and local bacterial positive TB. The mobile TB gathering areas are Cedan Town, and the mobile bacteria and Yang TB gathering areas are Cedan Town. Eps Elysees and Jiagang Township. The space-time scanning statistics show that the tuberculosis cases in Songjiang District were clustered in 2007-2008. The gathering areas are Chedun Town and Xinqiao Town, where the industrial zone is located. For local patients, The farmer occupation and the delay in seeing a doctor were independently related to the spatial gathering area, and among the floating patients, the occupation was blue-collar workers, Age < 60 years old and originated from central and western China are the risk factors of forming spatial accumulation area. Conclusion the distribution of TB in Songjiang region has a certain spatial and temporal aggregation. The eastern industrial zone is the accumulation area of mobile TB. The prevention and control of TB in the five towns of Southwest China should focus on these areas, and the floating population is an important factor of TB concentration, which should be paid more attention to.
【作者单位】：上海市松江区疾病预防控制中心结核病防制科;复旦大学公共卫生学院流行病学教研室;复旦大学上海医学院教育部卫生部医学分子病毒学重点实验室;
【基金】：“十一五”国家科技重大专项(2009ZX10003-017)
【分类号】：R521;R181.3

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