1989-2016年北京市丰台区甲乙类传染病流行趋势分析  

Incidence pattern of notifiable communicable diseases in Fengtai district of Beijing,1989-2016

作　　者：王琳[1] 刘晓君[1] 谢俊卿[1] 王梅[1] 白俊梅[1] 武宇晨 信振江[1] Wang Lin;Liu Xiaojun;Xie Junqing;Wang Mei;Bai Junmei;Wu Yuchen;Xin Zhenjiang(Fengtai District Center for Disease Control and Prevention,Beijing 100071,China)

机构地区：[1]北京市丰台区疾病预防控制中心,北京100071

出　　处：《疾病监测》2018年第6期498-502,共5页Disease Surveillance

摘　　要：目的了解1989-2016年北京市丰台区甲乙类传染病流行趋势。方法采用年估计百分比变化法描述甲乙类传染病发病、死亡的时间变化,采用Pearson相关性分析研究全病种与持续监测病种发病、死亡趋势的相关关系。结果1989-2016年,丰台区甲乙类传染病发病率由778.43/10万下降到170.91/10万,发病以肠道传染病为主,呼吸道传染病发病构成上升;艾滋病发病率由0.26/10万上升到5.77/10万,梅毒发病率由0.14/10万上升到18.24/10万;肺结核发病顺位由第4位升至第2位,梅毒由第5位升至第3位;全病种与持续监测病种发病、死亡趋势一致(发病:r=0.989,P<0.001;死亡:r=0.924,P<0.001);死因顺位前3位为病毒性肝炎、肺结核和艾滋病;2004-2016年甲乙类传染病粗死亡率由0.59/10万上升到1.59/10万,标化死亡率由0.75/10万下降到0.54/10万。结论 28年间丰台区甲乙类传染病发病率明显下降,持续监测病种较全病种年均死亡率上升更明显;细菌性痢疾、肺结核、艾滋病与梅毒是丰台区甲乙类传染病中应重点防控的疾病。Objective To understand the incidence pattern of communicable diseases in class A and B in Fengtai district of Beijing from 1989 to2016. Methods The estimated annual percentage change was calculated to describe the changes in morbidity and mortality rates of the communicable diseases over time,and correlation analysis was conducted to assess the trends of morbidity and mortality between the communicable diseases under consecutive surveillance and all the communicable diseases in class A and B. Results From1989 to2016,the morbidity rate of communicable diseases in class A and B in Fengtai decreased from778.43/100 000 to170.91/100 000. Intestinal infectious infections were the major diseases and the proportion of respiratory infectious diseases increased. The morbidity rate of AIDS increased from0.26/100 000 to5.77/100 000,while the morbidity of syphilis increased from0.14/100 000 to18.24/100 000. The morbidity of pulmonary tuberculosis ranked 2^（nd） from 4^（th） and the morbidity of syphilis ranked3 rdfrom5 th. The morbidity and mortality of the communicable diseases under consecutive surveillance were similar to those of all the communicable diseases（morbidity：r=0.989,P=0.000;mortality：r=0.924,P=0.000）. The first three leading causes of deaths were viral hepatitis,pulmonary tuberculosis and AIDS. From2004 to2016,the crude mortality rate of the communicable diseases in class A and B increased from0.59/100 000 to1.59/100 000,while the standardized mortality rate decreased from0.75/100 000 to0.54/100 000.Conclusion The overall morbidity rate of communicable diseases in Class A and B decrease decreased in Fengtai during this period. The average annual mortality rate of the communicable diseases under consecutive surveillance increased more obviously compared with that of all the communicable diseases. Bacterial dysentery,pulmonary tuberculosis,AIDS and syphilis were the major diseases,to which much attention should be paid.

关 键 词：传染病 发病率 死亡率 流行趋势 

分 类 号：R183[医药卫生—流行病学]