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2010-2022年内江市其他感染性腹泻流行特征及疾病负担研究

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目的 描述2010-2022年内江市其他感染性腹泻的流行特征并估计其造成的疾病负担,为疾病防控政策的制定提供科学依据.方法 从中国疾病预防控制信息系统中导出 2010-2022年内江市其他感染性腹泻报告卡,使用描述性流行病学方法分析其流行病学特征,年报告发病率的比较采用趋势x2检验,检验水准α=0.05,运用ArcGIS 10.8软件进行空间统计和数据可视化.结果 2010-2022年内江市报告其他感染性腹泻病例23601例,年平均报告发病率为49.33/10万(41.67/10万~81.32/10万),总体呈上升趋势(x2趋势=258.39,P<0.05).全年均有病例报告,发病时间上呈现"双峰"(夏季和冬季)分布.5岁及以下儿童报告病例数最多为14813例(62.76%),以散居儿童为主(5 642例,66.27%).全局Moran's I显示2010-2022年感染性腹泻存在空间聚集性,LISA指数提示"热点"在内江市中区和东兴区大部分街道乡镇."冷点"从隆昌市逐渐变为威远县北部和资中县的西部.健康寿命损失年(YLD)为34.20人年(2.10~3.42人年),年均YLD强度为0.07人年/10万.结论 内江市其他感染性腹泻报告发病率呈上升趋势,5岁以下儿童为主,夏季和冬季为两个发病高峰,疾病负担增加.
Study on the epidemiological characteristics and disease burden of other infectious diarrhea in Neijiang City from 2010 to 2022
Objective To describe the epidemiological characteristics and estimate the disease burden of other infectious diarrhea in Neijiang City from 2010 to 2022,and to provide scientific basis for disease prevention and control.Methods The report cards of other infectious diarrhea in Neijiang City from 2010-2022 were derived from the China Disease Prevention and Control Information System.Epidemiological characteristics of diseases were analyzed by descriptive epidemiological methods.Annual reported incidence rates were compared by trend x2 test.The test level was α=0.05.Spatial statistics and data visualization were performed with ArcGIS(version 10.8).Results From 2010 to 2022,a total of 23 601 cases of other infectious diarrhea were reported in Neijiang City,with an average annual incidence rate of 49.33/105(41.67/105-81.32/105),showing an overall increasing trend(x2trend=258.39,P<0.05).Cases were reported all year round,with two peaks(summer and winter)in onset.The largest number of reported cases was 14 813(62.76%)in children aged 5 years and below,and the majority of cases were scattered children(15 642 cases,66.27%).The global Moran's I showed a spatial aggregation of infectious diarrhea from 2010 to 2022,with the LISA index suggesting that the"hot spots"were in most of the streets and towns in the central areas of Neijiang City and Dongxing district.The"cold spots"gradually changed from Longchang City to the north of Weiyuan County and the west of Zizhong County.The years lived with disability(YLD)were 34.20 person-years(2.10-3.42 person-years),and the average annual YLD intensity was 0.07 person-years/105.Conclusions There was an increasing trend in the reported incidence of other infectious diarrhea in Neijiang City,with a predominance of children under 5 years old,two peaks(summer and winter)and an increasing disease burden.

other infectious diarrheaepidemiological characteristicsdisease burden

徐勇、唐烊阳、杨璐琪、谭爱、应俊强

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内江市疾病预防控制中心,四川 内江 641000

西南医科大学公共卫生学院,四川 泸州 646000

其他感染性腹泻 流行特征 疾病负担

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(6)