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目的探讨影响我国新疆地区结核病发病的危险因素,为结核病的防制提供参考依据。方法按照1:2配比的方法选择病例与对照,单因素组间比较采用卡方检验,以单因素分析中有意义的变量为自变量进行二分类logistic回归分析。结果累计调查病例118例,年龄最小18岁,最大81岁,平均(45.21±18.71)岁,其中男性69例,女性49例,构成比分别为58.5%和41.5%;累计调查对照组236例,年龄最小18岁,最大82岁,平均(45.26±18.56)岁,其中男性138例,女性98例;单因素分析显示,肺结核患者与对照组相比,在户籍、职业、学历、有无医疗保障、锻炼、居住环境是否干燥及焦虑7个方面差异有统计学意义(P<0.05);经Logistic分析排除混杂因素后,无医疗保障、不锻炼及焦虑为结核病的危险因素,有医保及长期锻炼为保护性因素,焦虑为危险性因素(OR=3.795),差异有统计学意义(P<0.05)。结论有医保及长期锻炼为结核病的保护性因素,焦虑为危险性因素,且危险度为3.795。
Objective To explore the risk factors that affect the incidence of tuberculosis in Xinjiang in China and provide a reference for the prevention and control of tuberculosis. Methods The cases and controls were selected according to the ratio of 1: 2. The single-factor groups were compared by chi-square test. Two-class logistic regression analysis was performed with significant variables in univariate analysis as independent variables. Results A total of 118 cases were investigated, the youngest was 18 years old and the oldest was 81 years old, with an average of (45.21 ± 18.71) years. There were 69 males and 49 females, accounting for 58.5% and 41.5% The youngest 18 years old, the oldest is 82 years old, with an average of (45.26 ± 18.56) years old, including 138 males and 98 females. Univariate analysis showed that compared with the control group, tuberculosis patients , Exercise, whether the living environment is dry and anxiety in seven aspects were statistically significant (P <0.05); Logistic analysis exclude the confounding factors, no medical security, no exercise and anxiety as risk factors for tuberculosis, Medicare and long-term exercise For the protective factors, anxiety as a risk factor (OR = 3.795), the difference was statistically significant (P <0.05). Conclusions Medicare and long-term exercise are protective factors for tuberculosis. Anxiety is a risk factor and the risk is 3.795.