中国疫苗和免疫2024,Vol.30Issue(6) :642-646.DOI:10.19914/j.CJVI.2024105

2005-2023年中国流行性腮腺炎发病趋势的Joinpoint回归模型和年龄-时期-队列模型分析

Trends in the incidence of mumps from 2005 to 2023 in China,Joinpoint regression and age-period-cohort model analyses

王晓琪 周泽玫 许侠 刘斯宇 唐林 刘晓雪 杨宏 温宁 尹遵栋 王富珍
中国疫苗和免疫2024,Vol.30Issue(6) :642-646.DOI:10.19914/j.CJVI.2024105

2005-2023年中国流行性腮腺炎发病趋势的Joinpoint回归模型和年龄-时期-队列模型分析

Trends in the incidence of mumps from 2005 to 2023 in China,Joinpoint regression and age-period-cohort model analyses

王晓琪 1周泽玫 1许侠 1刘斯宇 1唐林 1刘晓雪 1杨宏 1温宁 1尹遵栋 1王富珍1
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作者信息

  • 1. 传染病溯源预警与智能决策全国重点实验室,中国疾病预防控制中心,北京 102206;中国疾病预防控制中心免疫规划中心,北京 100050
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摘要

目的 分析中国流行性腮腺炎(流腮)的发病趋势.方法 利用中国疾病预防控制信息系统收集2005-2023年流腮报告发病率数据,采用Joinpoint回归模型分析流腮发病率变化,并采用年龄-时期-队列模型分析0-9岁儿童年龄别发病率变化、时期和出生队列的率比(Rate ratio,RR).结果 2005-2023年中国报告流腮4 787 482例,年均报告发病率为18.53/10万.Joinpoint回归分析显示,发病率平均年度变化百分比为-6.99%(95%CI:-11.57%~-4.59%),拐点分别为2012年、2015年和2019年.年龄-时期-队列模型分析显示,年龄别发病率从0岁的5.28/10万上升至6岁的125.04/10万,随后下降至9岁的74.13/10万;时期RR从2005年的0.87(95%CI:0.74-1.02)上升至 2012 年的 2.51(95%CI:2.25-2.81),随后下降至 2023 年的 0.38(95%CI:0.32-0.45);队列 RR 在 1996-2006 年出生队列中呈下降趋势,在2007-2023年出生队列中趋于稳定,在2013-2016年出生队列中最低.结论 2005-2023年中国流腮报告发病率呈下降趋势,2020年开始实施的2剂次含腮腺炎成分疫苗接种降低了 0-9岁儿童流腮发病风险.

Abstract

Objective To analyze trends in the incidence of mumps in China.Methods We obtained data on mumps incidence reported to the National Information System for Disease Control and Prevention during 2005-2023.We used Joinpoint regression to analyze changes in mumps incidence and used an age-period-cohort model to determine changes in age-specific incidences and incidence rate ratios(RR)by period and birth cohort for 0-9-year-old children.Results There were 4 787 482 mumps cases reported during 2005-2023 in China,yielding an average annual reported incidence of 18.53 cases per 100 000 total population.Joinpoint regression showed that the average annual percentage change in incidence was-6.99%(95%CI:-11.57%to-4.59%),with inflection points in 2012,2015,and 2019.The age-period-cohort model showed that the age-specific incidence per 100 000 was 5.28 in infants,125.04 in 6-year-olds,and 74.13 in 9-year-olds.Period RRs increased from 0.87(95%CI:0.74-1.02)in 2005 to 2.51(95%CI:2.25-2.81)in 2012 and then declined to 0.38(95%CI:0.32-0.45)in 2023.The cohort RR declined continuously in the 1996-2006 birth cohorts and remained stable in the 2007-2023 cohorts,with the lowest RR in the 2013-2016 cohorts.Conclusions The reported incidence of mumps decreased during 2005-2023 in China.The two-dose mumps vaccination schedule that started in 2020 reduced the incidence of mumps for 0-9-year-old children.

关键词

流行性腮腺炎/发病率/Joinpoint回归模型/年龄-时期-队列模型

Key words

Mumps/Incidence/Joinpoint regression model/Age-period-cohort model

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出版年

2024
中国疫苗和免疫
中国疾病预防控制中心

中国疫苗和免疫

CSTPCD北大核心
影响因子:2.311
ISSN:1006-916X
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