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目的分析辽宁省2006-2015年流动人口结核病患者相关资料,为掌握本省流动人口结核病流行病学特征,探索更合理的防控措施。方法收集整理2006-2015年全省各市的结核病患者病案信息,对流动人口结核病患者的相关特征资料进行分析。结果 2006-2015年辽宁省共登记流动人口患者8 369例,各年流动人口患者占总登记患者比例整体呈上升趋势(χ~2趋势=112.90,P<0.001);省间流动患者占流动人口患者总数的74.53%;发病年龄集中在15~44岁青、中年人群;68.07%流动人口患者集中在大连,但沈阳(χ~2趋势=122.55,P<0.001)、鞍山(χ~2趋势=11.51,P=0.001)所占比例呈逐年上升趋势;职业以家政家务及待业为主且呈上升趋势(χ~2趋势=498.41,P<0.001);患者来源方面中因症就诊患者所占比例上升较为明显(χ~2趋势=141.85,P<0.001)。结论流动人口患者流行病学特征更加分散,可通过扩展宣教范围、健全跨区域管理制度,加强健康筛查,增加参保率、给予激励政策等措施来加强结核病防控。
Objective To analyze the relevant data of TB patients in floating population from 2006 to 2015 in Liaoning Province. In order to grasp the epidemiological characteristics of TB in floating population of this province and explore more reasonable prevention and control measures. Methods The records of TB patients in all cities of the province from 2006 to 2015 were collected and analyzed, and the relevant characteristics of TB patients in floating population were analyzed. Results A total of 8 369 migrant patients were registered in Liaoning Province during 2006-2015. The proportion of migrant patients to total registered patients in each year showed an overall upward trend (χ ~ 2 trend = 112.90, P <0.001) 74.53% of the total number of patients; the age of onset concentrated in young and middle-aged people aged 15-44 years; 68.07% of the floating population were concentrated in Dalian. However, Shenyang (χ ~ 2 trend = 122.55, P <0.001) = 11.51, P = 0.001). The proportion of occupational household appliances and unemployed was mainly upward trend (χ ~ 2 trend = 498.41, P <0.001) The proportion increased more obviously (χ ~ 2 trend = 141.85, P <0.001). Conclusions The epidemiological characteristics of floating population are more dispersed. The prevention and control of tuberculosis can be strengthened by expanding the scope of education, improving the management system across regions, strengthening the screening of health, increasing the enrollment rate and giving incentive policies.