我国结核病疫情与社会经济因素的关系

刘剑君; 么鸿雁; 刘二勇

Abstract

刘剑君,么鸿雁,刘二勇.我国结核病疫情与社会经济因素的关系[J].Chinese journal of Epidemiology,2004,25(12):1032-1034

我国结核病疫情与社会经济因素的关系

Relationship between tuberculosis prevalence and socio-economic factors in China

Received:March 11, 2004 Revised:March 11, 2004

DOI：

KeyWord: 结核病疫情社会经济控制

English Key Word: Tuberculosis Epidemic situation Social and economic development Control

FundProject:

Author Name	Affiliation
LIU Jina-jun	National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
YAO Hong-yan	National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
LIU Er-yong	National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China

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Abstract:

目的分析社会经济因素和控制策略如何对中国结核病疫情产生影响及其影响程度的大小。方法利用全国四次结核病流行病学抽样调查数据和相应年份的社会经济发展主要指标,采用相关分析方法分析1979-2000年结核病疫情的变化与社会经济因素和实施世界银行贷款中国结核病控制项目(卫V项目)三者之间的关系。结果结核病涂阳患病率与农村人均纯收入、居民消费水平、人均GDP、人口密度呈负相关,而与农村人口比例呈正相关,且均为中等程度相关卫V项目地区和非项目地区的人均GDP增长幅度相似(分别为77.2%和77 8%),但肺结核涂阳患病率的下降幅度相差较大(分别为44.4%和12.3%) 在西部地区中,卫V项目地区和非项目地区人均GDP在10年间增长幅度分别为74.5%和67.5%,年递增率分别为14.7%和11.9%,而患病率的变化却呈相反的趋势,项目地区呈下降趋势,非项目地区却为增长趋势。结论社会经济因素,对于结核病患病率具有一定的影响:但结核病控制项目的实施,对于降低结核病患病率具有更加重要的作用。

English Abstract:

Objective In order to figure out how and to what degree the social and economic development and control strategy influencing the epidemics of tuberculosis and to provide reference fog tuberculosis prevention and control in China. Methods Based on the data from the nationwide random surveys on tuberculosis in 1979，1984/1985，1990 and 2000 and the indexes on social and economic development of China, correlation coefficient was used to analyze the relationship of three factors including (1)the change of epidemic situation of tuberculosis from 1979 to 2000; (2)the level of social and economic development; (3)the implementation of Health V Project. Results The prevalence rate of smear positive tuberculosis was significantly correlated to per capita net income of rural population, consumption level of city population, per capita GDP, density of population, and proportion of rural population. Among which the correlation with per capita net income of rural population, consumption level of city population, peg capita GDP, or density of population showed negative, correlation but the proportion of rural population showed positive. The range of GDP increase was similar in both areas with or without the implementation of Health V Project from 1990 to 2000 (77.296 and 77.896).However, the ranges of the decline o1 prevalence rate were quite different (44.40.6 and 12.396)in the two areas. In the western part of China,the range of GDP increase was similar in the areas with or without the implementation of Health V Project. However, the prevalence rate declined in the area that implementing the project but increased in other areas without the project. Conclusions The level of social and economic development had influenced the prevalence rate of tuberculosis, but the implementation of tuberculosis control project played an important role in the reduction of tuberculosis prevalence rate from 1979 to 2000 in China.

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