2004—2022年河南省法定传染病流行趋势分析  

Analysis on the epidemic trend of notifiable infectious diseases in HenanProvince from 2004 to 2022

作　　者：马萱 刘习羽 符云强 虎蕊 沈俊如 孙长青[1,2] MA Xuan;LIU Xi-yu;FU Yun-qiang;HU Rui;SHEN Jun-ru;SUN Chang-qing(Department of Social Medicine and Health Management,School of Public Health,Zhengzhou University,Zhengzhou,Henan 450001,China)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理教研室,河南郑州450001 [2]郑州大学护理与健康学院社区护理教研室,河南郑州450001

出　　处：《现代预防医学》2024年第3期529-535,共7页Modern Preventive Medicine

基　　金：国家社会科学基金项目(20BRK041);河南省科技攻关项目(LHGJ20200681)。

摘　　要：目的 分析2004—2022年河南省法定传染病疫情流行病学特征,为河南省传染病防治工作提供参考。方法 整理2004—2022年河南省法定传染病年度发病和死亡数据,计算2004—2022年河南省法定传染病报告发病率和死亡率的平均年度变化百分比(AAPC)和年度变化百分比(APC),分析法定传染病疫情的时间变化趋势。结果 2004—2022年河南省法定传染病总发病率呈上升趋势(AAPC=1.76%,P<0.05);总死亡率上升后从2007年开始下降,APC分别为64.90%、-4.50%(P均<0.05)。位于发病第一顺位的乙型肝炎发病率先上升后从2007年开始呈下降趋势,APC分别为23.15%、-8.28%(P均<0.05);位于死亡第一顺位的艾滋病死亡率在2007—2020年呈缓慢下降趋势(APC=-3.33%,P<0.05)。通过血源及性传播的传染病年平均发病率及死亡率均高于其他传播途径,发病率在2004—2006年呈上升趋势,死亡率在2007—2022年呈下降趋势,APC分别为33.12%、-3.36%(P均<0.05)。结论 血源及性传播是河南省法定传染病的主要传播途径,近年来其发病率及死亡率开始下降并保持在相对稳定的水平;对肺结核、手足口病、其他感染性腹泻病及艾滋病等重点疾病应采取有针对性的防控措施。Objective To analyze the epidemiological characteristics of notifiable infectious diseases in Henan Province from 2004 to 2022,so as to provide reference for the prevention and treatment of infectious diseases in Henan Province.Methods The annual morbidity and mortality data of notifiable infectious diseases in Henan Province from 2004 to 2022 were collated,and the average annual change percentage(AAPC)and annual change percentage(APC)of reported incidence and mortality of notifiable infectious diseases in Henan Province from 2004 to 2022 were calculated.The time change trend of notifiable infectious diseases was analyzed.Results The total incidence of notifiable infectious diseases in Henan Province showed an upward trend from 2004 to 2022(AAPC=1.76%,P<0.05).After the increase,the total mortality decreased from 2007,and the APC was 64.90%and-4.50%,respectively(P<0.05).The incidence of hepatitis B increased first and then showed a downward trend since 2007,with APC of 23.15%and-8.28%,respectively(P<0.05).The AIDS mortality rate showed a slow downward trend from 2007 to 2020(APC=-3.33%,P<0.05).The average annual morbidity and mortality of blood-borne and sexually transmitted infectious diseases were higher than those of other routes of transmission,with an upward trend from 2004 to 2006 and a downward trend from 2007 to 2022.The APC was 33.12%and-3.36%,respectively(P<0.05).Conclusion Blood and sexual transmission are the main transmission routes of notifiable infectious diseases in Henan Province,and their morbidity and mortality have begun to decrease and remain at a relatively stable level in recent years.Targeted prevention and control measures should be taken for key diseases such as pulmonary tuberculosis,hand-foot-mouth disease,other infectious diarrheal diseases,and AIDS.

关 键 词：河南省 法定传染病 报告发病率 报告死亡率 趋势分析 

分 类 号：R181.3[医药卫生—流行病学]