Analysis on the incidence trend of pulmonary tuberculosis before and after the COVID-19 in Hotan,Xinjiang,from 2015 to 2021
10.19405/j.cnki.issn1000-1492.2024.04.019
- VernacularTitle:2015-2021年新疆和田地区新冠疫情前后肺结核发病趋势分析
- Author:
Yilihamu YILIPA
1
;
Yuemaier NUERBIYE
;
Di WU
;
Yu SHI
;
Yanling ZHENG
;
Liping ZHANG
Author Information
1. 新疆医科大学公共卫生学院流行病与统计学教研室,乌鲁木齐 830017
- Keywords:
pulmonary tuberculosis;
trend analysis;
joinpoint regression model;
interrupt time series model;
CO-VID-19;
epidemic prevention and control
- From:
Acta Universitatis Medicinalis Anhui
2024;59(4):678-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence characteristics and trends in pulmonary tuberculosis in the Hotan prefecture,before and after the epidemic,and to provide a reference basis for the formulation and evaluation of tu-berculosis prevention and control measures in the Hotan prefecture.Methods The Hotan prefecture's pulmonary tuberculosis incidence data was collected between 2015 and 2021.Joinpoint regression(JPR)model and Interrupt-ed Time Series(ITS)model were established to explore the incidence trend of pulmonary tuberculosis,as well as the impact of COVID-19 prevention and control measures in Xinjiang on the incidence trend in Hotan,respectively.Furthermore,an analysis of variations in incidence among different age and gender subgroups was carried out.Re-sults The results of the JPR model showed that from 2015 to 2021,the reported incidence rate of pulmonary tuber-culosis in the Hotan prefecture initially increased and then decreased,with a turning point appearing in December 2018.The incidence rate in males was slightly higher than that in females,and the turning point and incidence trend were consistent with the overall trend.Among all age subgroups,those≥60 age group had the highest inci-dence rate,with the trend also showing an initial increase followed by a decrease.A turning point in the incidence rate for the under 18 age group appeared in June 2021,yet the trend was not statistically significant(P>0.05).The turning points in the 19-59 age group and in those aged≥60 were consistent with the overall trend.The re-sults of the ITS model showed that the incidence rate of pulmonary tuberculosis in the Hotan prefecture significantly decreased since January 2020,dropping from 319.28 per 100 000 in 2019 to 155.88 per 100 000 in 2021,a de-crease of 51.16%year-on-year,with a monthly average reduction of 0.049 per 100 000.Conclusion In 2018,Xinjiang province integrated tuberculosis screening into the universal health checkup for the entire population,which led to the identification of numerous cases of tuberculosis.In the Hotan prefecture,the reported incidence of pulmonary tuberculosis peaked in December 2018 and then started to decline.Under the impact of COVID-19 isola-tion measures in Xinjiang,the reported incidence rate showed a notable decrease starting in January 2020.Reitera-ting preventive measures and remaining watchful for the possible appearance of latent tuberculosis patients is crucial as the pandemic fades.
- Full text:20240703205737076852015-2021年新疆和...疫情前后肺结核发病趋势分析_依里帕·依力哈木.pdf