2015-2023年重庆市渝北区其他感染性腹泻病流行特征分析

Epidemiological characteristics of other infectious diarrheal diseases in Yubei district, Chongqing, 2015−2023

  • 摘要:
    目的  分析重庆市渝北区其他感染性腹泻病流行特征及变化趋势,为制订防控措施提供科学依据。
    方法 数据来自中国疾病预防控制信息系统传染病监测报告系统,采用描述性流行病学研究方法、Joinpoint回归模型、空间自相关分析方法,对重庆市渝北区其他感染性腹泻病流行特征进行分析。
    结果  2015—2023年重庆市渝北区累计报告其他感染性腹泻病29 455例,年均报告发病率为180.68/10万。 报告发病人群主要为3岁以下的散居儿童;报告发病时间以冬春季为主;渝北区龙溪街道、人和街道和鸳鸯街道为高发街道。 发病率趋势分析显示,渝北区其他感染性腹泻病报告发病率以2017年为转折点分成2个区段,其中2015—2017年呈上升趋势,年度变化百分比(APC)为17.94% 95%置信区间(CI):0.33%~37.84%,2017—2023年呈下降趋势,APC为−6.86%(95%CI:−15.17%~−3.96%);按照年龄分组分析显示,7~10岁年龄组报告发病率呈上升趋势,APC为11.22%(95%CI:5.51%~19.72%),10~65和65岁以上年龄组报告发病率呈下降趋势,APC分别为−4.27%(95%CI:−6.45%~−1.96%)和−10.68%(95%CI:−17.87%~−2.98%)。 空间自相关分析显示,2015—2023年渝北区其他感染性腹泻病的聚集区增多,空间依赖性不断增强,高−高聚集区域逐渐由龙山街道和龙溪街道向礼嘉街道和悦来街道方向偏移。
    结论 2015—2023年渝北区其他感染性腹泻病年均报告发病率高于全国大部分地区,作为感染性腹泻病的重点防控区域,应结合该疾病季节性高发,对重点人群、重点地区采取针对性措施以控制该疾病的传播与流行。

     

    Abstract:
    Objective  To analyze the epidemiological characteristics and change trend of other infectious diarrheal diseases in Yubei district of Chongqing, and provide evidence for the prevention and control of other infectious diarrheal disease.
    Methods  The incidence data of of other infectious diarrheal disease in Yubei during 2015−2023 were collected from the infectious disease surveillance and reporting system of China Disease Prevention and Control Information System. Descriptive epidemiological method, Joinpoint regression model and spatial autocorrelation analysis were used to analyze the epidemiological characteristics of other infectious diarrheal diseases in Yubei.
    Results  A total of 29 455 cases of other infectious diarrheal diseases were reported in Yube from 2015 to 2023, with an average annual incidence of 180.68/100 000. The reported cases were mainly children living scatteredly under 3 years old, and the reported cases mainly occurred in winter and spring. Longxi, Renhe and Yuanyang communities were the areas with high incidences. The incidence trend analysis showed that the reported incidence of other infectious diarrheal diseases in Yubei increased from 2015 to 2017, with an average annual percent change (APC) of 17.94% 95% confidence interval (CI): 0.33%−37.84% and decreased from 2017 to 2023, with an APC of −6.86% (95% CI: −15.17%− −3.96%) . The age group specific analysis indicated that the incidence rate in age group 7~10 year increased with an APC of 11.22%(95%CI: 5.51%−19.72%)), and the incidence rate in age groups 10−65 years and ≥ 65 years decreased with APCs of −4.27% (95%CI: −6.45%− −1.96%) and −10.68% (95%CI: −17.87%− −2.98%). Spatial autocorrelation analysis showed that the clustering areas of other infectious diarrheal diseases increased in Yubei from 2015 to 2023, and the spatial dependence was more obvious, and the high-high clustering area gradually shifted from Longshan and Longxi communities to Lijia and Yuelai communities.
    Conclusion  The average annual reported incidence of other infectious diarrheal diseases in Yubei was higher than that in most regions in China from 2015 to 2023. It is necessary to to take targeted measures to control the spread of other infectious diarrhea diseases in key populations and key areas based on the seasonality of the disease.

     

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