Epidemiological characteristics of pulmonary tuberculosis among the elderly in Yangzhou City from 2013 to 2022
ZHAO Qianying1, WANG Hui1, LI Jincheng1, XU Jie1, ZHU Limei2
1. Yangzhou Center for Disease Control and Prevention, Yangzhou, Jiangsu 225000, China; 2. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu 210000, China
Abstract：Objective To investigate the epidemiological characteristics of pulmonary tuberculosis (PTB) among residents aged 60 years and older in Yangzhou City, Jiangsu Province from 2013 to 2022, so as to provide the evidence for the improvement of PTB prevention and control measures in this population. Methods Data of PTB cases aged 60 years and older in Yangzhou City from 2013 to 2022 were collected from the Chinese Disease Prevention and Control Information System. The temporal, population, and regional distribution characteristics of PTB cases were analyzed using the descriptive epidemiological method. Results A total of 8 726 PTB cases aged 60 years and older were registered in Yangzhou City from 2013 to 2022, including 4 167 cases positive for pathogenic tests, with a positive rate of 47.75%. The registered incidence rates and the positive rates of pathogenic tests of PTB among residents aged 60 years and older in Yangzhou City showed downward trends from 2013 to 2022 (both P<0.05). The average annual registered incidence rate of PTB was 83.95/105, and the average annual registered incidence rate of PTB positive for pathogenic tests was 40.09/105. The average annual registered incidence rate of PTB in males was higher than that in females (138.57/105 vs. 31.76/105, P<0.05). The registered incidence rate of PTB showed an increasing trend with age (P<0.05), with the highest rate observed in the age group of 75-<80 years (110.37/105). The top three regions with the highest average annual registered incidence rates of PTB were Jiangdu District (94.34/105), Baoying County (91.61/105) and Hanjiang District (84.93/105). Conclusions The registered incidence of PTB among residents aged 60 years and older in Yangzhou City showed a downward trend from 2013 to 2022. Particular attention should be payed to males, residents aged 75- <80 years, and the elderly in Jiangdu District and Baoying County.
赵倩颖, 王慧, 李锦成, 许婕, 竺丽梅. 2013—2022年扬州市老年人群肺结核流行特征[J]. 预防医学, 2025, 37(3): 276-279.
ZHAO Qianying, WANG Hui, LI Jincheng, XU Jie, ZHU Limei. Epidemiological characteristics of pulmonary tuberculosis among the elderly in Yangzhou City from 2013 to 2022. Preventive Medicine, 2025, 37(3): 276-279.
[1] 舒薇,刘宇红.笃志创新躬行致远:世界卫生组织《2023年全球结核病报告》结核病科学研究章节解读[J].中国防痨杂志,2024,46(6):613-617. SHU W,LIU Y H.Dedicating to innovation,practicing to achieve targets:interpretation of research & innovation part of the WHO Global Tuberculosis Report 2023[J].Chin J Antituberc,2024,46(6):613-617.(in Chinese) [2] 陈可,李锦成,虞浩,等.扬州市65岁及以上老年人群肺结核流行特征分析[J].预防医学,2023,35(10):877-880. CHEN K,LI J C,YU H,et al.Epidemiological characteristics of pulmonary tuberculosis among the elderly population at ages of 65 years and older in Yangzhou City[J].China Prev Med J,2023,35(10):877-880.(in Chinese) [3] 张灿有,陈卉,张慧,等.2011—2020年全国65岁及以上老年人肺结核报告发病情况分析[J].中华疾病控制杂志,2022,26(11):1252-1258. ZHANG C Y,CHEN H,ZHANG H,et al.Analysis of the reported incidence of pulmonary tuberculosis in the elderly aged 65 and over in China,2011-2020[J].Chin J Dis Control Prev,2022,26(11):1252-1258.(in Chinese) [4] 王远航,富小飞,亓云鹏,等.2011—2020年浙江省嘉兴市老年肺结核流行病学特征分析[J].疾病监测,2023,38(8):951-954. WANG Y H,FU X F,QI Y P,et al.Epidemiological characteristics of pulmonary tuberculosis in the elderly in Jiaxing,Zhejiang,2011-2020[J].Dis Surveill,2023,38(8):951-954.(in Chinese) [5] 吴塔娜,李玉红,刘小秋.依托基本公共卫生服务对老年人开展肺结核主动筛查策略的可行性研究[J].中国防痨杂志,2023,45(4):372-376. WU T N,LI Y H,LIU X Q.Study on the feasibility of active tuberculosis screening strategy for the elderly based on public health service[J].Chin J Antituberc,2023,45(4):372-376.(in Chinese) [6] 中华人民共和国国家卫生和计划生育委员会.结核病分类:WS 196—2017[S].北京:中国标准出版社,2017. National Health and Family Planning Commission of the People's Republic of China.Classification of tuberculosis:WS 196—2017[S].Beijing:Standards Press of China,2017.(in Chinese) [7] 杨莹,房云霞,翟亚楠,等.国内老年结核病流行病学研究现状[J].医学动物防制,2023,39(1):82-85. YANG Y,FANG Y X,ZHAI Y N,et al.Research status of epidemiology of geriatric tuberculosis in China[J].J Med Pest Control,2023,39(1):82-85.(in Chinese) [8] 耿子妹,王潮虹,龙嗣博,等.重症肺结核患者病原学阳性率及利福平耐药结果分析[J].中国防痨杂志,2024,46(9):1050-1055. GENG Z M,WANG C H,LONG S B,et al.Analysis of bacteriological positivity and rifampicin resistance in patients with severe pulmonary tuberculosis[J].Chin J Antituberc,2024,46(9):1050-1055.(in Chinese) [9] 彭新祥,熊敦兵.415例老年肺结核患者发病情况流行病学分析[J].中国初级卫生保健,2022,36(9):79-81,85. PENG X X,XIONG D B.Epidemiological analysis of 415 cases of senile pulmonary tuberculosis[J].Chin Prim Health Care,2022,36(9):79-81,85.(in Chinese) [10] 杨超,王晶,杨朝辉,等.2016—2022年北京市通州区60岁及以上老年人群肺结核流行特征及治疗转归分析[J].中国防痨杂志,2024,46(4):403-410. YANG C,WANG J,YANG C H,et al.Analysis of the epidemiological characteristics and treatment outcomes of pulmonary tuberculosis aged ≥60 years old in Tongzhou District of Beijing,2016-2022[J].Chin J Antituberc,2024,46(4):403-410.(in Chinese) [11] 杨政,丁丁一,孙卯卯,等.2019—2023年扬州市居民传染病防治素养水平变化趋势及影响因素[J].江苏卫生保健,2024,26(4):319-322,325. YANG Z,DING D Y,SUN M M,et al.Trends and influencing factors of infectious disease prevention and control literacy among residents in Yangzhou City from 2019 to 2023[J].Jiangsu J Health Care,2024,26(4):319-322,325.(in Chinese) [12] 刘佳. 扬州市江都区环境空气质量评价与分析[J].资源节约与环保,2019(6):62-64. LIU J.Evaluation and analysis of ambient air quality in Jiangdu District,Yangzhou City[J].Resour Econom Environ Protect,2019(6):62-64.(in Chinese) [13] PENG Z X,LIU C,XU B,et al.Long-term exposure to ambient air pollution and mortality in a Chinese tuberculosis cohort[J].Sci Total Environ,2017,580:1483-1488.
