本文關(guān)鍵詞： 肺結(jié)核 人口流入 時(shí)空聚類分布 社會(huì)影響因素　出處：《中國人獸共患病學(xué)報(bào)》2017年09期 　論文類型：期刊論文

【摘要】：目的探討人口流入城市肺結(jié)核流行特征、時(shí)空聚集性及社會(huì)影響因素。方法通過中國疾病預(yù)防控制信息系統(tǒng)收集寧波市2013-2015年肺結(jié)核發(fā)病數(shù)據(jù),并進(jìn)行描述流行病學(xué)分析。使用SaTScan9.1.1對街道/鄉(xiāng)鎮(zhèn)級發(fā)病數(shù)據(jù)進(jìn)行時(shí)空掃描分析。利用ArcMap10.2對分析結(jié)果進(jìn)行可視化展示。結(jié)果寧波市2013-2015年累計(jì)報(bào)告肺結(jié)核12 109例,發(fā)病率呈逐年下降趨勢,外地戶籍病例占比逐年上升。男女比例為2.07∶1(8162/3947),各年齡組均有發(fā)病,其中15-34歲、65歲及以上發(fā)病率高,15-54歲年齡組占比73.95%,職業(yè)分布以農(nóng)民、家政家務(wù)及待業(yè)、民工、工人為主。時(shí)空聚集性掃描共發(fā)現(xiàn)6個(gè)聚集區(qū),其中一類聚集區(qū)分布在中心城區(qū)及其周邊,二類聚集區(qū)分布在工業(yè)園區(qū)。與非聚集區(qū)相比,發(fā)病聚集區(qū)的流動(dòng)人口占比(t=2.88,P=0.01)、省外流入人口占比(t=7.46,P=0.00)、人口密度(t=3.37,P=0.00)均較高,而人均公園綠地面積較低(t=-2.39,P=0.03)。結(jié)論人口流入城市的中心城區(qū)及其周邊、工業(yè)園區(qū)是肺結(jié)核疫情高發(fā)區(qū)和聚集區(qū)。人口密度和流動(dòng)人口高是發(fā)病聚集的重要影響因素。
[Abstract]:Objective to investigate the epidemic characteristics, temporal and spatial aggregation and social influence factors of pulmonary tuberculosis (TB) in urban areas. Methods the data of pulmonary tuberculosis incidence in Ningbo from 2013 to 2015 were collected through China Disease Control and Prevention Information system. SaTScan9.1.1 was used to analyze the incidence data of street / township level in time and space. ArcMap10.2 was used to visualize the results. Results 12 109 cases of pulmonary tuberculosis were reported in Ningbo from 2013 to 2015. The incidence rate was decreasing year by year, and the proportion of household registration cases in other areas was increasing year by year. The ratio of male to female was 2.07: 1 / 8162% 3947%. The incidence rate was found in all age groups, including those aged 15-34 years, 65 years old and above, and 73.95% of the age group aged 15-54 years. The occupation was distributed among farmers, domestic workers and unemployed workers. Migrant workers and workers are the main workers. In total, 6 gathering areas were found by space-time aggregation scanning, of which one was located in and around the central urban area, and the other was in the industrial park. Compared with the non-concentrated area, The proportion of floating population is 2.88%, the proportion of inflow population is 7.46%, the population density is 3.37%, and the per capita area of park green space is lower. Conclusion the population flows into the central city of the city and its surrounding areas. The industrial park is a high incidence and concentration area of tuberculosis, and the high population density and floating population are the important factors influencing the incidence and accumulation of tuberculosis.
【作者單位】： 寧波市疾病預(yù)防控制中心;
【基金】：寧波市自然科學(xué)基金(No.2016A610183)~~
【分類號】：R181.3;R521

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