Epidemiological characteristics of pulmonary tuberculosis in the elderly people in Wuhan in 2016-2020
10.3969/j.issn.1006-2483.2023.01.008
- VernacularTitle:2016—2020年武汉市老年肺结核疫情特征分析
- Author:
Zhou-qin LU
1
;
Zheng-bin ZHANG
1
;
Xiao-jun WANG
1
;
Xin REN
1
;
Dan TIAN
1
;
Gang WU
1
;
Qiong-hong DUAN
1
;
Jian-jie WANG
1
;
Mei-lan ZHOU
1
;
Yue-hua LI
1
Author Information
1. Tuberculosis Control and Management Office, Tuberculosis Control Department of Wuhan Institute for Tuberculosis Control , Wuhan , Hubei 430030 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Pulmonary tuberculosis;
Epidemic characteristics
- From:
Journal of Public Health and Preventive Medicine
2023;34(1):35-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in the elderly people in Wuhan during 2016-2020, and to provide a basis for formulating effective prevention and control strategies and measures. Methods Using the National Tuberculosis Information Management System, a descriptive statistical analysis was performed on the medical records of elderly (≥60 years old) pulmonary tuberculosis patients registered in Wuhan from 2016 to 2020. Results A total of 9 427 elderly pulmonary tuberculosis patients were registered in Wuhan during 2016-2020, accounting for 32.07% of the total number of registrations in the whole population. The reported incidence rate of tuberculosis in the elderly was significantly higher than that in the total population, and the reported incidence rates in both the elderly and the general population showed declining trends (whole population χ2trend=216.97, P<0.05, elderly population χ2trend=153.57, P<0.05). The time distribution showed that more cases occurred from April to November (70.90%). The top three districts with the largest number of registered cases were far urban areas, namely Huangpi District (13.81%), Xinzhou District (11.55%), and Jiangxia District (9.82%). The ratio of male to female with pulmonary tuberculosis in elderly patients was 2.85:1. Among the elderly pulmonary tuberculosis, the most registered cases were in the age group of 60 ~ years old, followed by 65 ~ years old. The proportion of smear-positive in elderly patients with pulmonary tuberculosis retreatment was 16.83%. Conclusion From 2016 to 2020, the epidemic situation of elderly pulmonary tuberculosis showed a downward trend in Wuhan. However, the elderly population with tuberculosis registrations still accounted for a relatively high proportion of the total population. According to the epidemiological characteristics of pulmonary tuberculosis among the elderly, the city should carry out tuberculosis prevention and control work in a timely, appropriate and focused manner.
