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中国初级卫生保健:2025,39(12):52-55
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2018—2024年安溪县老年肺结核流行病学特征 及就诊延迟情况分析
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中文摘要: 摘 要:目的:分析福建省安溪县老年肺结核流行特征和就诊延迟情况,为优化老年结核病防控措施提供依据。方法: 从中国疾病预防控制信息系统中的子系统结核病信息管理系统收集2018—2024年安溪县60岁及以上老年肺结核患者登记数 据,采用回顾性描述流行病学方法进行分析,运用SPSS24.0软件进行统计分析。结果:2018—2024年安溪县老年肺结核患 者年均登记率为108.74/10万,总体呈下降趋势(χ2 =9.232,P<0.01)。老年患者占全人群患者比例平均为41.20%(1286/ 3121),总体呈上升趋势(χ2 =16.162,P<0.01)。男性老年患者年均登记率显著高于女性(χ2 =565.131,P<0.01),60~69 岁组、70~79岁组和≥80岁组患者年均登记率差异无统计学意义(χ2 =0.066,P>0.05),老年患者中90.36%(1162/1286) 为农民。城厢、官桥、凤城、龙门、蓬莱和虎邱等6个镇登记的老年患者数占全县老年患者数的57.78%(743/1286),年均 登记率处于较高水平。老年患者总体就诊延迟率为58.71%(755/1286),呈上升趋势(χ2 =51.278,P<0.01)。结论:2018— 2024年安溪县老年肺结核患者年均登记率呈下降趋势,但仍处于较高水平,老年人群仍是今后安溪县结核病防控工作的重点 人群,尤其要对老年人加强结核病防治知识宣传,并主动开展老年人结核病筛查工作。
Abstract:Abstract:OBJECTIVEToanalyzetheepidemiologicalcharacteristicsandtreatmentdelayofelderlypulmonarytuberculosispaW tientsinAnxiCounty,providingabasisforoptimizingtuberculosiscontrolmeasuresamongtheelderly.METHODSDataonelderly pulmonarytuberculosispatientsaged60andaboveregisteredfrom2018to2024werecollectedfromtheTuberculosisInformation ManagementSystemundertheChineseDiseasePreventionandControlInformationSystem,withretrospectivedescriptiveepidemioW logicalapproachandstatisticalanalysiswhichwasconductedusingSPSS24.0software.RESULTSTheaverageannualregistration rateofelderlypulmonarytuberculosispatientsinAnxiCountyfrom2018to2024was108.74/105 ,showingadecliningtrend(χ2 = 9.232,P<0.01).Elderlypatientsaccountedforanaverageof41.20% (1286/3121)ofallpatients,withanincreasingtrend(χ2 = 16.162,P<0.01).Theaverageannualregistrationrateforelderlymalepatientswassignificantlyhigherthanthatforfemales(χ2 = 565.131,P<0.01),whiletherewerenostatisticallysignificantdifferencesbetweenthe60~70,70~80,and>80agegroups(χ2 = 0.066,P>0.05).90% (1162/1286)ofelderlypatientswerefarmers.6towns(Chengxiang,Guanqiao,Fengcheng,Longmen,Penglai, andHuqiu)accountedfor57.78% (743/1286)oftheelderlypatients,withrelativelyhighaverageregistrationrates.Theoverallrate ofdelayedtreatmentamongelderlypatientswas58.71% (755/1286),showinganupwardtrend(χ2 =51.278,P<0.01).CONCLU2 SIONAlthoughtheaverageannualregistrationrateofelderlypulmonarytuberculosispatientsinAnxiCountyfrom2018to2024has beendecreasing,itremainsatahighlevel.Elderlyindividualsremainakeyfocusgroupforfuturetuberculosiscontroleffortsin AnxiCounty.ItiscrucialtoenhancethedisseminationoftuberculosispreventionknowledgeamongtheelderlyandproactivelyconW ductannualscreeningfortuberculosisamongthem.
文章编号:3202410013     中图分类号:R511.7    文献标志码:
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