何寒青, 陈恩富, 李倩, 符剑, 严睿, 唐学雯. 浙江省成年人麻疹分布特征和危险因素研究[J]. 疾病监测, 2011, 26(5): 351-354.
引用本文: 何寒青, 陈恩富, 李倩, 符剑, 严睿, 唐学雯. 浙江省成年人麻疹分布特征和危险因素研究[J]. 疾病监测, 2011, 26(5): 351-354.
HE Han-qing, CHEN En-fu, LI Qian, FU Jian, YAN Rui, TANG Xue-wen. Distribution of measles cases and risk factors among adults in Zhejiang province[J]. Disease Surveillance, 2011, 26(5): 351-354.
Citation: HE Han-qing, CHEN En-fu, LI Qian, FU Jian, YAN Rui, TANG Xue-wen. Distribution of measles cases and risk factors among adults in Zhejiang province[J]. Disease Surveillance, 2011, 26(5): 351-354.

浙江省成年人麻疹分布特征和危险因素研究

Distribution of measles cases and risk factors among adults in Zhejiang province

  • 摘要: 目的 了解成年人麻疹病例分布特征和发病危险因素,为制订消除麻疹策略提供依据。 方法 采用描述性流行病学方法,分析国家麻疹监测信息管理系统报告的浙江省2010年麻疹病例中成年人分布特征,采用2检验比较不同特征分布差异;以监测系统报告的麻疹确诊病例作为病例组,非麻疹病例为对照组,开展频数匹配的病例对照研究,用logistic回归分析法研究危险因素。 结果 浙江省15岁成年人麻疹病例占40%以上,主要集中在20~35岁。与无免疫史比,有麻疹疫苗免疫史的成年人患麻疹的OR值为0.35(95%CI:0.22~0.58);发病前7~21 d有医院就诊史的OR值为2.82(95%CI:1.99~4.00);与本地户籍人口比,流动人口成年人麻疹发生的OR值为1.55(95%CI:1.17~2.04)。 结论 浙江省成年人麻疹主要集中在20~35岁,疫苗接种是有效的保护措施,院内感染和流动人口是相关的危险因素。建议通过实施成年人麻疹疫苗免疫接种策略,加强流动人口管理和院内感染控制工作。

     

    Abstract: Objective To understand the epidemiological characteristics of measles cases in adults and related risk factors, provide evidence for the development of measles elimination strategies. Methods Descriptive epidemiological analysis was conducted on the incidence data of measles in adults in 2010 in Zhejiang collected from national measles surveillance information management system. 2 test was conducted to compare the difference on case distribution, frequency matching case control study was performed (case group: measles cases reported by surveillance system, control group: non measles cases) and logistic regression analysis was conducted on risk factors. Results The cases in people aged 15 years accounted for 40% of the total and were mainly distributed in age group of 20-35 years old, Compared with people unvaccinated, The OR of contracting measles for people vaccinated was 0.35 (95% CI:0.22-0.58), the OR for people visiting hospital 7 days prior to onset was 2.82 (95% CI:1.99-4.00), and compared with local population, the OR for floating population was 1.55 (95% CI:1.17-2.04). Conclusion The measles cases in adults were mainly distributed in age group of 20-35 years old in Zhejiang. Nosocominal infection and being floating population were the risk factors. As measles vaccination is an effective protective measure, it is suggested to conduct adult Immunization to control the nosocominal infection and measles in floating population.

     

/

返回文章
返回