首页|2004-2023年宁夏回族自治区流行性腮腺炎流行病学特征和中断时间序列分析

2004-2023年宁夏回族自治区流行性腮腺炎流行病学特征和中断时间序列分析

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目的 分析不同免疫策略时期宁夏回族自治区流行性腮腺炎(流腮)流行病学特征和发病率变化.方法 通过中国疾病预防控制信息系统收集2004-2023年宁夏流腮发病数据,描述性分析流行病学特征.采用中断时间序列分析,评价含腮腺炎成分疫苗未纳入免疫规划(EPI)时期(2004年1月-2008年6月)、1剂次免疫时期(2008年7月-2020年5月)和2剂次免疫时期(2020年6月-2023年12月)流腮发病率变化.结果 2004-2023年宁夏流腮年均报告发病率为40.82/10万(54 455例),其中0-4岁、5-9岁、10-14岁、≥ 15岁分别为77.57/10万、192.37/10万、84.84/10万、4.26/10万;三个免疫策略时期分别为44.26/10万、46.31/10万、15.49/10万.中断时间序列分析显示,未纳入EPI时期全人群流腮月均发病率平均增加0.063/10万(t=2.83,P=0.005),1剂次免疫时期平均每月减少 0.116/10 万(t=-5.06,P<0.001),2 剂次免疫时期平均每月减少 0.079/10 万(t=-2.08,P=0.039).结论 2004-2023年宁夏全人群和各年龄组流腮发病率均呈下降趋势,以5-9岁儿童发病为主;2剂次含腮腺炎成分免疫策略使发病率进一步下降并维持在低水平.
Descriptive epidemiology and interrupted time series analyses of mumps in Ningxia Hui Autonomous Region,2004-2023
Objective To describe the epidemiological characteristics and trends in incidence of mumps under different vaccination strategies in Ningxia Hui Autonomous Region.Methods We obtained data on mumps cases reported during 2004-2023 to the China Disease Control and Prevention Information System and conducted descriptive epidemiological analyses.We used interruption time series analysis to evaluate trends in mumps incidence prior to introduction of mumps vaccine into the Expanded Program on Immunization(EPI)(January 2004 to June 2008),during the one mumps vaccine dose period(July 2008 to May 2020),and during the two-dose period(June 2020 to December 2023).Results The average annual reported incidence of mumps during 2004-2023 in Ningxia was 40.82 per 100 000 population(54 455 cases),with incidences of 77.57,192.37,84.84,and 4.26 for 0-4-,5-9-,10-14-,and≥15-year-olds,and 44.26,46.31,and 15.49 for the three mumps vaccination policy periods.Interrupted time series analysis showed that the average monthly incidence of mumps per 100 000 total population increased by 0.063(t=2.83,P=0.005)during the non-EPI period,decreased by 0.116(t=-5.06,P<0.001)per month during the one-dose vaccination period,and decreased by 0.079(t=-2.08,P=0.039)per month during the two-dose vaccination period.Conclusions The incidence of mumps decreased from 2004 to 2023 among the whole population and all age groups of Ningxia,with the highest incidence among children 5-9 years of age.The two-dose mumps vaccination schedule further reduced the incidence and sustained the reduction.

MumpsIncidenceEpidemiological characteristicsInterrupted time series analysis

刘玮、张颖、周路平、石晓娟、周莉薇

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宁夏回族自治区疾病预防控制中心,宁夏银川 750004

流行性腮腺炎 发病率 流行病学特征 中断时间序列分析

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
年,卷(期):2024.30(6)