ABSTRACT
@#Abstract: Objective To analyze the treatment outcomes of elderly patients with pulmonary tuberculosis in Chongqing, so as to provide reference for the prevention and control strategies of the epidemic of elderly pulmonary tuberculosis. Methods The data of tuberculosis cases aged ≥65 years in Chongqing from 2015 to 2020 were collected from the National Health Insurance Information Project Disease Prevention and Control Information system. Descriptive statistical methods were used to analyze the data. Results The registration rates of elderly active pulmonary tuberculosis patients and etiological positive patients were 110.95/10-5and 32.25/10-5 in 2015 and 84.06/10-5 and 57.29/10-5 in 2020. The annual decline rate of active tuberculosis registration was 5.40%, and the annual increase rate of pathogenic-positive tuberculosis registration was 12.18%. The registration rates of active tuberculosis patients and etiological positive patients in the whole population were 70.75/10-5 and 17.63/10-5 in 2015 and 50.34/10-5 and 29.14/10-5 in 2020. The annual decline rate of active tuberculosis registration was 6.58%, and the annual increase rate of pathogenic-positive tuberculosis registration was 10.57%. From 2015 to 2020, a total of 25 931 cases of elderly pulmonary tuberculosis were registered, of which 21 374 (82.43%) cases were successfully treated and 4 010 (15.80%) cases had unfavorable outcomes. The proportion of cured and death patients showed an increasing trend year by year (χ2trend=313.853, 100.502, P<0.01). From 2015 to 2020, the average annual successful treatment rate of elderly pulmonary tuberculosis in the whole city was 82.43%, with the lowest rate in southeast Chongqing (74.23%), followed by urban areas (81.99%). The success rate of elderly pulmonary tuberculosis treatment in the whole city, west Chongqing, northeast Chongqing and southeast Chongqing showed a downward trend year by year (χ2trend=230.199, 35.278, 108.076, 112.130, all P<0.01), with annual decline rates of 2.77%, 2.26%, 3.0% and 4.12%, respectively. Among the registered elderly patients, female, 65-<75 years old, Han nationality, newly diagnosed, no complications, and negative for etiology (χ2=15.234, 255.910, 146.842, 179.998, 25.575, 131.170, P<0.01) had higher success treatment rates. Conclusions The prevalence of pulmonary tuberculosis in the elderly population in Chongqing City is declining, but the positive registration rate of etiology is increasing annually, and the success rate of treatment is decreasing. Therefore, it is necessary to strengthen the systematic management, publicity and education of elderly patients (especially those in southeast Chongqing, male, positive patients and severe patients) to effectively control the epidemic of tuberculosis in the elderly.
ABSTRACT
Objective To investigate the epidemic characteristics of pulmonary tuberculosis (TB) in Minhang District of Shanghai, and to provide a scientific basis for TB prevention and control. Methods Data from active TB patients registered in Minhang District of Shanghai from 2009 to 2019 was collected and analyzed using descriptive epidemiological method. Results From 2009 to 2019 the registration rates of TB patients in Minhang district of Shanghai showed a downward trend, with an average annual registration rate of 32.35/100 000, including 3 611 (41.08%) patients who were registered permanent residents of Shanghai and 5 179 (58.92%) patients who were non-permanent residents. The ratio of men to women was 2.04:1. Workers accounted for more cases (22.77%) than other occupations among patients without registered permanent residence, while retirees accounted for the majority of cases (38.60%) among patients with registered permanent residence. Among the TB patients without registered residence, the highest proportion (45.86%) was in the 20-29 years old group, while the highest proportion in permanent residents was in the 50-59 years old group (19.47%). The peak incidence occurred in May in patients without registered permanent residence, while the peak incidence was in June in patients with registered permanent residence. Conclusion It is necessary to strengthen the prevention and control of TB in people without registered permanent residence of Shanghai, and at the same time, to strengthen the prevention and control of TB in old people and students with registered permanent residence of Shanghai.
ABSTRACT
Objective To evaluate the under-registration rate related to mortality surveillance program in Jinan city,from 2013 to 2014,using the capture-mark-recapture method.Methods Under the stratified cluster random sampling method,samples were stratified,according to urban and rural areas.Two districts and three counties were chosen,with three towns/streets in each county/district and eight villages/communities in each township/street,randomly selected.With the participation of departments as civil affairs,public security,maternal/child institutions and community committees as well as individuals as village doctors and community leaders,a list of deaths from January 1,2013 to December 31,2014 was collected and compared to the National Mortality Surveillance System on the rates related to under-registration.Results A total of 2 903 records on deaths were collected from 2013 to 2014,while 3 113 deaths were reported in the surveillance system of the same period.3 772 (95％ CI:3 741-3 802) deaths were estimated by the capture-mark-recapture method.The two-year total under-registration rate was 17.46％.The under-registration rates in 2013 and 2014 appeared as 19.29％ and 15.57％ (x2 =8.92,P＜0.01),respectively,with the rates in urban and rural areas as 20.91％ and 11.93％ (x2 =47.35,P＜0.01).The rates on male and female were 17.87％ and 16.98％ (x2 =0.48,P＞0.05).The rates of ＜5 years old group and ≥5 years old group were 21.57％ and 17.45％ (x2 =0.03,P＞0.05) respectively.Conclusions Under-registration in the mortality surveillance was noticed in Jinan.The capture-mark-recapture method seemed useful for evaluating the under-registration rate in the mortality surveillance program.It is suggested that the survey on under-registration rate should be carried out on the regular base.The under-registration rate seemed useful in adjusting the mortality rate.
ABSTRACT
Objective To evaluate the under-registration rate related to mortality surveillance program in Jinan city,from 2013 to 2014,using the capture-mark-recapture method.Methods Under the stratified cluster random sampling method,samples were stratified,according to urban and rural areas.Two districts and three counties were chosen,with three towns/streets in each county/district and eight villages/communities in each township/street,randomly selected.With the participation of departments as civil affairs,public security,maternal/child institutions and community committees as well as individuals as village doctors and community leaders,a list of deaths from January 1,2013 to December 31,2014 was collected and compared to the National Mortality Surveillance System on the rates related to under-registration.Results A total of 2 903 records on deaths were collected from 2013 to 2014,while 3 113 deaths were reported in the surveillance system of the same period.3 772 (95％ CI:3 741-3 802) deaths were estimated by the capture-mark-recapture method.The two-year total under-registration rate was 17.46％.The under-registration rates in 2013 and 2014 appeared as 19.29％ and 15.57％ (x2 =8.92,P＜0.01),respectively,with the rates in urban and rural areas as 20.91％ and 11.93％ (x2 =47.35,P＜0.01).The rates on male and female were 17.87％ and 16.98％ (x2 =0.48,P＞0.05).The rates of ＜5 years old group and ≥5 years old group were 21.57％ and 17.45％ (x2 =0.03,P＞0.05) respectively.Conclusions Under-registration in the mortality surveillance was noticed in Jinan.The capture-mark-recapture method seemed useful for evaluating the under-registration rate in the mortality surveillance program.It is suggested that the survey on under-registration rate should be carried out on the regular base.The under-registration rate seemed useful in adjusting the mortality rate.
ABSTRACT
PURPOSE: This study was conducted to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). METHODS: This prospective observational study was conducted between January and September 2015 at the academic ED in the tertiary urban hospital. The variables examined included gender, age, address, type of insurance, history of previous psychiatric disease, suicide methods, number of previous attempts, CES-D (The Center for Epidemiologic Studies-Depression Scale), and disposition at ED. Univariate and multivariate logistic regression analysis were conducted to identify factors affecting the registration rate for the community-based post suicidal care program. RESULTS: Overall, 331 suicides were investigated, 61 (18.4%) of which were registered in the post-suicide care program. Factors such as a intervention by psychiatric physician (OR: 3.287, 95%; CI: 1.207-9.624) and levels of depression by CES-D score of 16?24 (OR: 3.635; CI: 1.055-12.526) were significantly correlated with registration for the program. CONCLUSION: The registration rate for the community-based post suicidal care program was influenced by frequent intervention by a psychiatric physician and levels of depression by CES-D score of 16-24.
Subject(s)
Depression , Emergencies , Emergency Service, Hospital , Hospitals, Urban , Insurance , Logistic Models , Observational Study , Prospective Studies , SuicideABSTRACT
PURPOSE: This study was conducted to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). METHODS: This prospective observational study was conducted between January and September 2015 at the academic ED in the tertiary urban hospital. The variables examined included gender, age, address, type of insurance, history of previous psychiatric disease, suicide methods, number of previous attempts, CES-D (The Center for Epidemiologic Studies-Depression Scale), and disposition at ED. Univariate and multivariate logistic regression analysis were conducted to identify factors affecting the registration rate for the community-based post suicidal care program. RESULTS: Overall, 331 suicides were investigated, 61 (18.4%) of which were registered in the post-suicide care program. Factors such as a intervention by psychiatric physician (OR: 3.287, 95%; CI: 1.207-9.624) and levels of depression by CES-D score of 16?24 (OR: 3.635; CI: 1.055-12.526) were significantly correlated with registration for the program. CONCLUSION: The registration rate for the community-based post suicidal care program was influenced by frequent intervention by a psychiatric physician and levels of depression by CES-D score of 16-24.
Subject(s)
Depression , Emergencies , Emergency Service, Hospital , Hospitals, Urban , Insurance , Logistic Models , Observational Study , Prospective Studies , SuicideABSTRACT
To measure the birth registration rate and the validity of birth registration data in rural area, all of the 4,014 married women under 49 years of age who had not been sterilized in Gunwee county of Kyungpook province were followed by Myun health workers for 2 years from April 1, 1985 to March 31, 1987 and 766 births were detected. All of the birth registration records of Myun offices were reviewed on September 30, 1987 and 944 births which occurred within the above mentioned period were found. Actual birth date obtained by follow-up study were compared with the birth date on registration card. Among 766 births detected by follow-up study, 576 births(75.2%) which were reported within 6 months after birth were ascertained on the official registration records and 96 births(12.5%) were not found on the records although mother stated that the birth was registered. The registration rate within legal due date was 61.3% among 576 births detected by follow-up study and also ascertained on the official records. The registration rate within legal due date was lower in mothers under 20 years of age and above 35 years and in mothers who had only primary education. It was decreased as the birth order increased. The registration rate was higher in births occurred from October to March than births occurred from April to September. All of the births of 7 neonatal deaths were not reported. The registered birth date was consistent with the actual birth date in 78.0%. Birth date on record was earlier than the actual birth date in 6.8% and later in 15.3%. The consistency rate was lower in mothers above 35 years of age(54.5%), and in infants of 4th birth order and above(56.3%). The rate was increased as the maternal education level increased. The rate of boys was higher than that of girls. A higher percentage(17.4%) of infants born in March was registered with earlier date than the actual birth date and most of these registered birth dates were lunar calendar date. This might be related with the age for entering the primary school. The study findings revealed that the birth registration rate within legal due date and accuracy of report have been increased in recent years, but the infant mortality rate derived from the birth registration seems to be very inaccurate. It is suggested to let the medical personnel who delivered the baby report the birth by mail directly to the current address of parent while infants delivered at home without professional attendant may comply with the present registration system.