目的 了解黄山市2011—2020年肺结核报告发病水平,评估结核病防控效果。方法 根据黄山市肺结核监测资料,采用第六次全国人口普查数据,对黄山市2011—2020年肺结核发病情况进行分析,分析报告发病率,标化发病率,估算率值年度变化百分比(Annual percentage change,APC)。结果 黄山市2011—2020年共报告肺结核7 480例,报告发病率为54.36/10万,标化发病率为49.78/10万,2011年标化发病率为53.10/10万,2020年标化发病率为38.32/10万,标化发病率整体呈下降趋势(APC=-3.632%,t=-5.223,P＜0.001)。2011—2020年各县(区)肺结核标化报告发病率除屯溪区、休宁县外均有下降,下降幅度最大的为歙县(APC=-5.541,t=8.006,P<0.001)。结论 黄山市2011—2020年肺结核报告发病率总体呈下降趋势,但各县(区)肺结核发病情况不同,需要针对性地分地区采取有效防控策略。

Objective To analyze the reported incidence data of pulmonary tuberculosis in Huangshan City from 2011 to 2020,and to evaluate the effect of tuberculosis control and prevention. Methods According to the monitoring data of tuberculosis in Huangshan City and the data of the sixth national census,the incidence of pulmonary tuberculosis in Huangshan City from 2011 to 2020 was analyzed.The incidence rate and the standardized incidence rate was analyzed,and the annual percentage change (APC) of the estimated rate value was calculated. Results A total of 7 480 cases of pulmonary tuberculosis were reported in Huangshan City from 2011 to 2020,the reported incidence rate was 54.36/100 000,and the standardized incidence rate was 49.78/100 000.The standardized incidence rate was 53.10/100 000 in 2011,and the standardized incidence rate was 38.32/100 000 in 2020,which showed a downward trend overall(APC=-3.632%,t=-5.223,P＜0.001).The incidence rate of pulmonaryt uberculosis in counties (districts) decreased except for Tunxi and Xiuning counties.The largest decline was in Shexian County (APC=-6.761%,t=-8.679,P<0.001). Conclusion The overall reported incidence rate of pulmonary tuberculosis in Huangshan City from 2011 to 2020 showed a downward trend,but the incidence of pulmonary tuberculosis in each county (District) was different,so it was necessary to adopt more targeted and effective prevention and control strategies in different regions.