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中国防痨杂志 ›› 2022, Vol. 44 ›› Issue (8): 768-776.doi: 10.19982/j.issn.1000-6621.20220200

• 论著 • 上一篇    下一篇

2004—2021年全国学校肺结核疫情分析

陈卉1,2, 张灿有2, 张慧2, 成君2(), 李涛2()   

  1. 1中国疾病预防控制中心中国现场流行病学培训项目,北京 100050
    2中国疾病预防控制中心结核病预防控制中心,北京 102206
  • 收稿日期:2022-05-26 出版日期:2022-08-10 发布日期:2022-08-03
  • 通信作者: 成君,李涛 E-mail:chengjun@chinacdc.cn;litao1@chinacdc.cn
  • 基金资助:
    中国现场流行病学培训项目(131031001000200011)

Analysis on the epidemic situation of pulmonary tuberculosis in schools in China from 2004 to 2021

Chen Hui1,2, Zhang Canyou2, Zhang Hui2, Cheng Jun2(), Li Tao2()   

  1. 1Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
    2National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2022-05-26 Online:2022-08-10 Published:2022-08-03
  • Contact: Cheng Jun,Li Tao E-mail:chengjun@chinacdc.cn;litao1@chinacdc.cn
  • Supported by:
    Chinese Field Epidemiology Training Program(131031001000200011)

摘要:

目的: 分析2004—2021年全国学生和教职员工肺结核疫情变化趋势。 方法: 通过《中国疾病预防控制信息系统》和《中国统计年鉴》获取2004—2021年全国(不包含中国台湾、香港和澳门地区)学生和教职员工的肺结核报告发病情况,分析学校肺结核报告发病率的变化趋势。 结果: 2004—2021年,全国共报告学生肺结核患者908171例(平均报告发病率为19.26/10万),教职员工肺结核患者112336例(平均报告发病率为34.12/10万)。2008—2019年,全国学生(平均年度变化百分比=―3.41%,Z=―2.005,P=0.045)和教职员工(平均年度变化百分比=―8.22%,Z=―6.626,P<0.001)肺结核报告发病率均呈下降趋势;其中,18个省份学生肺结核报告发病率呈明显下降趋势,11个省份趋势平稳,2个省份(西藏自治区和青海省)呈明显上升趋势。 结论: 全国学校肺结核疫情总体呈下降趋势,西藏自治区和青海省呈上升趋势。学校肺结核防控工作取得了一定的成效,仍需继续强化学校肺结核防控,关注重点地区和重点学校。

关键词: 结核, 肺, 学生, 发病率, 回归分析

Abstract:

Objective: To investigate the epidemic trend of pulmonary tuberculosis (PTB) of students and staff in China from 2004 to 2021. Methods: The reported data of PTB in students and staff (excluding Taiwan, Hongkong and Macao) from 2004 to 2021 were collected from Infectious diseases surveillance system and China statistical yearbook, and the trend of epidemic situation in schools was analyzed. Results: From 2004 to 2021, a total of 908171 student patients with PTB were reported, with the reported incidence of 19.26/100000, while 112336 staff patients with PTB were reported with the reported incidence of 34.12/100000. From 2008 to 2019, the reported incidence rates of PTB among students and staff both showed the downward trend (average annual percent change=―3.41% and ―8.22%, Z=―2.005 and ―6.626, P=0.045 and <0.001). Eighteen provinces showed significantly decreasing trends in incidence among students, and eleven provinces showed stable trends. However, two provinces (Tibet and Qinghai) showed significantly increasing trends. Conclusion: The PTB reported incidence in schools in China was decreasing, but incidences of Tibet and Qinghai were on the rise. PTB prevention and control in schools has achieved positive effects. It is still necessary to continue to strengthen the prevention and control of PTB in schools, and more attention should be paid to key areas and schools.

Key words: Tuberculosis, pulmonary, Students, Incidence, Regression analysis

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