【摘要】 目的对深圳市福田区2013年麻疹流行病学特征及发病影响因素进行分析,为下一步防控提出建议。方法采用描述性流行病学方法描述深圳市福田区2013年麻疹流行病学特征;通过1:1配对病例对照研究,采用二分类Logistic回归分析比较麻疹病例组和对照组在户籍、本地居住时间、医院暴露史、麻疹患者接触史等可能影响因素的分布差异。结果福田区2013年麻疹报告发病率65.4/100万,发病高峰在夏季;人群集中在<1岁组和≥15岁组,共占90.81%,外地户籍为主,96.56%病例免疫史为0剂或不详。二分类Logistic回归分析显示,麻疹发病的影响因素有:疫苗接种(OR95%CI为1.205~18.783,P=0.026);户籍(OR95%CI为0.142~0.565,P=0.000);病前医院暴露史(OR95%CI为1.271~5.658,P=0.010)。结论深圳市福田区2013年麻疹高发,应重点关注1岁以下、15岁以上人群,特别是流动人群;麻疹发病的危险因素有:外地户籍、病前医院暴露史,保护因素有疫苗接种。更多还原

【Abstract】 Objective To analyze the epidemiological characteristics of measles and the factors influencing its incidence in Futian District,Shenzhen City in 2013 so as to put forward suggestion for measles prevention and control. Methods Descriptive epidemiological method was used to describe the epidemiological features of measles in Futian District,Shenzhen City in 2013. A1: 1 matched case control study was performed,and binary Logistic regression analysis was employed to analyze the distribution difference regarding household register,local residence time,hospital exposure history and history of contact with measles cases between measles case group and the control group. Results The reported incidence rate of measles in Futian District in 2013 was 65. 4 /1,000,000,and the peak incidence was during the summer months. The cases gathered in people aged under 1 year and above 15 years,accounting for 90. 81%,and most of the cases were floating population. 96. 56% of the cases had no or unclear immunization history. Binary Logistic regression analysis showed that the factors influencing measles incidence were vaccination( OR95% CI: 1. 205- 18. 783,P = 0. 026),household register( OR95% CI: 0. 142- 0. 565,P = 0. 000) and hospital exposure history( OR95% CI: 1. 271- 5. 658,P = 0. 010). Conclusions The incidence of measles in Futian District,Shenzhen City in 2013 was high. More attention should be paid to people aged under 1 year and above 15 years,especially to the floating population. The risk factors of measles incidence are floating population and hospital exposure history,while the protective factor is vaccination.更多还原