2020年北京市顺义区15岁及以上人群发热呼吸道疾病发病和就诊情况调查

刘才兄 陈伟 张文增 林胜红 黄硕 邓源 张翠红 张丽杰 彭质斌 王丽萍

刘才兄, 陈伟, 张文增, 林胜红, 黄硕, 邓源, 张翠红, 张丽杰, 彭质斌, 王丽萍. 2020年北京市顺义区15岁及以上人群发热呼吸道疾病发病和就诊情况调查[J]. 疾病监测, 2022, 37(5): 629-634. doi: 10.3784/jbjc.202111230608
引用本文: 刘才兄, 陈伟, 张文增, 林胜红, 黄硕, 邓源, 张翠红, 张丽杰, 彭质斌, 王丽萍. 2020年北京市顺义区15岁及以上人群发热呼吸道疾病发病和就诊情况调查[J]. 疾病监测, 2022, 37(5): 629-634. doi: 10.3784/jbjc.202111230608
Liu Caixiong, Chen Wei, Zhang Wenzeng, Lin Shenghong, Huang Shuo, Deng Yuan, Zhang Cuihong, Zhang Lijie, Peng Zhibin, Wang Liping. Investigation of incidence of febrile respiratory illness and related hospital visits in local residents aged 15 years or older in Shunyi district, Beijing, 2020[J]. Disease Surveillance, 2022, 37(5): 629-634. doi: 10.3784/jbjc.202111230608
Citation: Liu Caixiong, Chen Wei, Zhang Wenzeng, Lin Shenghong, Huang Shuo, Deng Yuan, Zhang Cuihong, Zhang Lijie, Peng Zhibin, Wang Liping. Investigation of incidence of febrile respiratory illness and related hospital visits in local residents aged 15 years or older in Shunyi district, Beijing, 2020[J]. Disease Surveillance, 2022, 37(5): 629-634. doi: 10.3784/jbjc.202111230608

2020年北京市顺义区15岁及以上人群发热呼吸道疾病发病和就诊情况调查

doi: 10.3784/jbjc.202111230608
基金项目: 国家自然科学基金(No. 91846302)
详细信息
    作者简介:

    刘才兄,女,青海省海东市人,硕士研究生,主要从事传染病防控工作,Email:1160373486@qq.com

    通讯作者:

    张丽杰,Tel:010–58900541,Email:zhanglj@chinacdc.cn

    彭质斌,Tel:010–58900541,Email:pengzb@chinacdc.cn

    王丽萍,Tel:010–58900546,Email:wanglp@chinacd.cn

  • 中图分类号: R211; R373.1; R515

Investigation of incidence of febrile respiratory illness and related hospital visits in local residents aged 15 years or older in Shunyi district, Beijing, 2020

Funds: This study was funded by the National Natural Science Foundation of China (No. 9184630)
More Information
  • 摘要:   目的  了解2020年北京市顺义区15岁及以上人群发热呼吸道疾病(FRI)发病和就诊情况。  方法  以顺义区医院为中心确定调查范围,采用多阶段抽样方法抽取该范围内15岁及以上社区人群,以在线调查方式完成调查。 计算人群FRI报告发病率和就诊率,并按照顺义区人口构成计算调整发病率和就诊率。 比较不同特征人群发病率和就诊率差异,并采用单因素和多因素logistic回归分析方法对人群就诊率可能的影响因素进行分析。  结果  共完成2723例居民的调查,2020年居民自报发病率13.5%,调整发病率12.8%,不同职业、健康自评价状况和有无基础疾病史的人群间FRI发病率差异有统计学意义(P<0.05);2020年自报发病居民中221人选择医疗机构就诊,就诊率为60.2%,调整就诊率为57.7%。 多因素logistic回归分析发现,居民的年龄、职业、有无基础疾病史以及发病后出现的主要症状(如寒战、干咳等)为影响居民是否就诊的主要因素。  结论  2020年在全球新型冠状病毒肺炎疫情大流行及我国“外防输入,内防反弹”防控策略背景下,北京市顺义区15岁及以上人群FRI发病率较高且就诊率明显增加。 该研究结果可为FRI负担的评估和防控干预提供参考。
  • 表  1  主要研究因素赋值方法

    Table  1.   Assignment approach of main study factors

     变量赋值方法
    性别0=女 1=男
    年龄(岁)0=15~  1=45~ 2=≥60
    文化程度0=初中及以下 1=高中/中专 2=本科及以上
    职业0=学生 1=企事业单位a 2=服务业人员 3=工人 4=农民 5=离退休人员 6=待业及其他人员
    有无医保0=无 1=有b
    人均月收入(元)0=≤2 000 1=2 000~ 2=4000~ 3=≥6000
    健康自评价c0=好 1=一般 2=差
    基础疾病史0=无 1=有d
    流感疫苗0=无接种 1=接种e
    症状f0=无 1=有
    自报发病0=无 1=有
    就诊0=无 1=有
    注:a. 教师、干部职员、医务人员;b. 城镇职工医疗保险、城镇居民医疗保险、新型农村合作医疗保险、农民工医疗保险、商业医疗保险;c. 近2年健康状况如何;d. 糖尿病、高血压、慢性阻塞性支气管炎、慢性支气管炎/支气管炎、哮喘、高血压、心脏病、心肌梗死、脑卒中、恶性肿瘤、肾炎;e. 2019年接种、2020年接种和两年均接种;f. 自觉发热、寒战、鼻塞/流涕、咽喉不适、咽痛、咳嗽、干咳、咳痰、乏力、肌肉酸痛、嗅觉减退
    下载: 导出CSV

    表  2  2020年北京市顺义区被调查人员基本情况

    Table  2.   Basic information of study subjects in Shunyi, Beijing, 2020

     变量调查人数(例)构成比(%)
    性别
     女性157858.0
     男性114542.0
    年龄组(岁)
     15~145853.5
     45~74627.4
     ≥6051919.1
    文化程度
     初中及以下78628.9
     高中/中专80729.6
     本科及以上113041.5
    职业
     学生1425.2
     企事业人员29911.0
     服务业人员32311.9
     工人41015.1
     农民36413.4
     离退休人员36613.4
     待业及其他人员81930.1
    医疗保险
     有267198.1
     无521.9
    人均月收入(元)
     <2 0002117.7
     2 000~83030.5
     4 000~62523.0
     ≥6 00050318.5
     拒绝回答55420.3
     合计2723100.0
    下载: 导出CSV

    表  3  2020年北京市顺义区不同特征居民发病情况统计分析

    Table  3.   Incidence of FRI in residents with different characteristics in Shunyi, Beijing, 2020

     变量调查
    总数
    发病
    发病率
    (%)
    调整发
    病率
    (%)
    χ2P
    性别1.7790.273
     女性157823014.613.6
     男性114513712.011.9
    年龄组(岁)4.9310.102
     15~145821915.013.5
     45~7467810.510.3
     ≥605197013.513.8
    职业26.2110.007
     学生1422618.320.3
     企事业单位2995217.413.4
     服务业人员3233811.810.9
     工人4104711.511.3
     农民364298.07.7
     离退休人员3664412.012.5
     待业及其他人员81913116.013.1
    健康自评价84.421<0.001
     好214022310.410.1
     一般54913023.723.3
     差341441.241.9
    基础疾病史48.053<0.001
     有57712621.822.4
     无214624111.210.7
    流感疫苗0.2990.649
     接种5777613.212.2
     无接种214629113.613.0
     合计272336713.512.8
    下载: 导出CSV

    表  4  2020年北京市顺义区不同特征发病居民就诊情况统计分析

    Table  4.   Hospital visits due to FRI in residents with different characteristics in Shunyi, Beijing, 2020

     变量发病数就诊数就诊率(%)调整就诊率(%)χ2P
    性别0.7640.492
     女性23013458.355.3
     男性1378763.560.1
    年龄组(岁)10.290.007
     15~21912557.152.6
     45~784760.361.4
     ≥60704970.076.0
    文化程度 7.029 0.074
     初中及以下755168.072.6
     高中/中专884955.753.4
     本科及以上20412159.355.1
    职业 18.253 0.053
     学生261142.340.9
     企事业人员523465.468.2
     服务业人员382257.954.3
     工人472961.761.4
     农民291965.570.8
     离退休人员443272.775.8
     待业及其他人员1317456.553.9
    人均月收入(元)3.5240.467
     <2 000221881.876.5
     2 000~965557.358.6
     4 000~1076358.956.5
     ≥6 000825465.964.8
    健康自评价 6.2680.082
     好22312556.153.4
     一般1308565.464.0
     差141178.676.9
    基础疾病史12.170.002
     有1268769.071.3
     无24113455.651.7
    呼吸道症状2.3530.473
     1种1035654.454.4
     2种885360.254.5
     3种以上17611263.661.7
     合计36722160.257.7
    注:分析人均月收入时 ,剔除了拒绝回答的人数
    下载: 导出CSV

    表  5  2020年北京顺义居民就诊多因素logistic回归分析

    Table  5.   Multivariate logistic regression analysis on hospital visiting due to FRI in residents in Shunyi, Beijing, 2020

     项目参数β值标准误POR95% 置信区间
    下限上限
    (截距)−3.4411.0280.0010.0320.004 0.242
    年龄15~(0) 0.3580.4910.4661.4310.545 3.756
    45~(1) 0.390 0.4480.3841.4770.613 3.562
    ≥60(2)0.0001.000
    职业学生(0) 0.3710.5130.4711.4490.528 3.976
    企事业人员(1)−0.6010.4040.1380.5480.248 1.214
    服务业人员(2)−0.1950.460 0.6720.8230.333 2.035
    工人(3)−0.3960.4050.3290.6730.304 1.492
    农民(4)−0.4530.5090.3740.6360.234 1.729
    离退休人员(5)−0.6240.5070.2190.5360.198 1.452
    待业及其他人员(6)0.0001.000
    基础疾病史无(0) 0.5020.3150.1121.6520.889 3.068
    有(1)0.0001.000
    寒战无(0) 2.1460.870 0.0148.5521.54447.356
    有(1)0.0001.000
    干咳无(0) 0.6140.3880.1141.8490.863 3.962
    有(1)0.0001.000
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-11-23
  • 录用日期:  2022-04-15
  • 网络出版日期:  2022-04-15
  • 刊出日期:  2022-05-31

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