The analysis of influencing factors about the measles epidemicin Chongqing downtown.docVIP

重庆市主城区麻疹流行影响因素研究 杨以平,陈俊国 (重庆 400038，第三军医大学………..？) [摘要] 目的 了解近10年重庆市主城区麻疹的流行特征及其影响因素，为制定重庆市主城区麻疹控制策略提供依据。方法 收集1997-2007年重庆市南岸区、沙坪坝区、九龙坡区和大渡口区四个主城区的麻疹病例资料，并对这些资料进行综合分析。结果 1997年-2007年间，麻疹发病率经历了升高-降低-升高的过程。麻疹发病的高发月份是4、5、6月；高发年龄为0岁组和青年组，8个月以下婴儿发病比例为20.91%；没有性别差异；流动儿童占病例中的36.7%；职业以学生、散居儿童和托幼儿童为主（90.25%）；诊断麻疹的多因素logistic回归分析显示，年龄、接种疫苗、卡他性鼻炎、结膜炎为是否确诊为麻疹的主要影响因素。结论 近10年重庆市主城区麻疹发病率经历了升高-降低-升高的一个过程，还有继续升高的趋势，确诊麻疹的主要影响因素为接种疫苗、卡他性鼻炎、结膜炎。 关键词：麻疹；流行特征；影响因素 The analysis of influencing factors about the measles epidemicin Chongqing downtown Yang Yiping, Chen Junguo (Third Military Medical University ) Abstract: Objective The present study was conducted to explore epidemiological features and influencing factors of Chongqing downtown over the past 10 years basis on which to formulate the strategies applicable for measles control. Methods We collected the datum of measles patients in Nan’an District, Shapingba District, Jiulongpo District and Dadukou District of Chongqing, and analyzed these datum. Results From 1997 year to 2007 year, measles incidences were in the course of first advancing, then degrading and eventually advancing. The epidemic months were April, May and June. The higher age stages of onset were infancy no more than one year’s old and adolescent age, babies who were younger than eight months’ old age occupied the ratio of 20.91%. It had no gender difference. The children who resided many cities were occupied 36.7% proportion of total patients. We classified the patients in occupation, and found that students, scattered children and kindergarten children?occupied 90.25% proportion. By Logistic regression analyzing, we found age, vaccination, Catarrhal rhinitis and Conjunctivitis?are the factors affecting the incidence. Conclusions Measles incidences were in the course of first advancing, then degrading and eventually advancing in ten years. And it has the trend to advance in future. Vaccination, Catarrhal rhinitis and conjunctivitis?are the factors affecting