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Objective To analyze the registration of pulmonary tuberculosis (PTB)among students in Hunan Province,understand the epidemiological characteristics,provide evidence for improving tuberculosis control strate-gy in schools in Hunan Province.Methods Registration rate and epidemiological characteristics of students with tu-berculosis in Hunan Province were analyzed through data registered in China Tuberculosis Information Management System between 2012 and 2017.Results From 2012 to 2017,7 940 students with PTB were found in Hunan Prov-ince,the registered incidence was 13.23/1 00 000,2 203 cases were smear positive for PTB,registered incidence was 3.67/1 00 000.Registered incidence of active PTB students in 2012－2017 was significantly different (χ2＝80.079,P＜0.001);registered incidence of smear positive PTB students in 2012－2017 was significantly different (χ2＝112.213,P＜0.001).The number of registered PTB students in the second quarter was the largest (32.2%), mainly male (60.8%)and students aged 15－19 years (61.8%).There was a significant difference in the registra-tion of PTB students in different cities from 2012 to 2017 (χ2＝320.432,P＜0.001).The top three regions of the total number of registrations were Changsha,Xiangxi and Hengyang.From 2012 to 2017,the registered PTB students were mainly referral (38.8%),99.8% of the patients received anti-tuberculosis treatment,diagnosis and treatment were mainly for smear-negative,non-severe,non-drug-resistant,and newly treated patients,accounting for 67.9%,95.2%,99.5%,and 99.3% respectively.Conclusion It is necessary to strengthen the prevention and control of tuberculosis in schools,screen tuberculosis among freshmen in high schools and universities,publicize tu-berculosis knowledge,and improve awareness of tuberculosis prevention and control in schools.
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<p><b>OBJECTIVE</b>To investigate the incidence of falls and recurrent falls, and explore associated factors for single and recurrent falls among urban community-dwelling elderly in Beijing.</p><p><b>METHODS</b>A cross-sectional study was conducted in 472 elderly in the Longtan community of Dongcheng district, Beijing in 2009. Data regarding the incidence of fall and recurrent falls in the previous year, as well as associated factors were collected from the elderly through face-to-face interviews.</p><p><b>RESULTS</b>The incidence of falls and recurrent falls was 17.8% and 6.1%, respectively, and it increased with age (χ2for trend=21.06, 19.20, P=0.001, 0.002). Binary logistic stepwise regression analysis showed that age (OR=2.20), living alone (OR=4.67) and gait disturbance (OR=1.27) were risk factors, while housing with elevators (OR=0.35), appropriate width/height of stair steps (OR=0.78), sufficient lighting for stairway (OR=0.45) and regular exercise (OR=0.12) could lower the risk for single fall; factors such as low monthly family income (OR=1.39), poor vision (OR=1.83), low physical ability (OR=4.47), abnormal static balance (OR=2.48), and fear of falls(OR=2.23) were risk factors, while appropriate width/height of stair steps (OR=0.49) and easiness of access to daily supplies (OR=0.41) were protective factors for recurrent falls.</p><p><b>CONCLUSION</b>The incidence of falls in community-dwelling elderly people in Beijing is common, and falls and their related injuries have been associated with both intrinsic and extrinsic factors.</p>
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Accidental Falls , China , Epidemiology , Cities , Incidence , Recurrence , Wounds and Injuries , EpidemiologyABSTRACT
<p><b>OBJECTIVE</b>To investigate the incidence and risk factors for recurrent falls in community-dwelling elderly in Beijing.</p><p><b>METHODS</b>A cross-sectional study was conducted in 472 elderly in the Longtan community of Dongcheng district,Beijing in 2009. Data on recurrent falls within the past 12 months were collected through face-to-face interview, with both single factor analysis and logistic regression analysis used to explore the related factors on recurrent falls in the elderly.</p><p><b>RESULTS</b>The incidence of recurrent falls among 472 older adults was 6.1% (29) within the past 12 months. Results from logistic regression analysis showed that factors as higher family monthly income(OR = 1.39, 95% CI:0.67-2.16), afraid of being fallen(OR = 2.23, 95% CI:1.47-3.85)and abnormal static balance(OR = 2.48, 95% CI:1.84-4.05)were risk factors, while bench height in the surrounding environment(OR = 0.49, 95% CI:0.21-1.12)and easiness of access to daily supplies (OR = 0.41, 95%CI:0.14-1.16)were protective factors for recurrent falls.</p><p><b>CONCLUSION</b>The incidence of recurrent falls among the elderly from the communities in Beijing was high. Since falls could be caused by various factors, intervention should be targeting on risk factors in a multi-dimensional way.</p>