云南省2005—2022年其他感染性腹泻流行病学特征及趋势分析  

Epidemiological characteristics and trend analysis of other infectious diarrheal diseases in Yunnan Province from 2005 to 2022

作　　者：沈秀莲[1] 何继波[1] 黄甜[1] 贾豫晨 郑尔达 SHEN Xiulian;HE Jibo;HUANG Tian;JIA Yuchen;ZHENG Erda(Epidemic Surveillance and Public Health/Emergency Response Center,Yunnan Center for Disease Control and Prevention,Kunming,Yunnan Province 650022,China)

机构地区：[1]云南省疾病预防控制中心疫情监测/突发公共卫生事件处置中心,云南昆明650022

出　　处：《中国热带医学》2024年第9期1153-1160,共8页China Tropical Medicine

摘　　要：目的深入探究云南省其他感染性腹泻的流行特征及变化趋势,为制定更具针对性的防控策略提供科学依据。方法对云南省2005—2022年其他感染性腹泻病例数据进行描述流行病学分析,采用Joinpoint Regression Program(JRP)4.9.1.0软件对病例数进行回归统计分析,采用GeoDa1.14.0.0软件对病例分布进行空间自相关分析。结果云南省2005—2022年累计报告其他感染性腹泻病例301083例,年均报告发病率为35.98/10万;病例以散居儿童为主(占74.51%);男性发病率(39.47/10万)高于女性(32.23/10万);发病年龄以≤3岁组为主(占70.84%);发病季节趋势显著,呈双峰分布;病原学诊断以病毒感染为主(占99.06%);年均发病率排前3位的地区分别是昆明市(83.27/10万)、玉溪市(67.70/10万)、西双版纳州(63.31/10万);发病具有明显的空间聚集性,共探测到17个“热点”地区(分布在昆明市、玉溪市和楚雄州)和22个“冷点”地区(分布在大理州和临沧市);2005—2022年总人群报告发病率整体呈上升趋势;2019—2022年间男性与女性报告发病率均呈下降趋势;各年龄组发病率在2005—2019年均呈上升趋势,0~<1岁、1~<2岁组在2019—2022年间发病率呈快速下降趋势;保山市、大理州、迪庆州、红河州、丽江市、怒江州、昭通市7个州(市)整体均呈上升趋势。结论2005—2022年云南省其他感染性腹泻具有明显的人群特征、季节性和空间聚集性,流行趋势变化明显,发病率总体仍呈较高水平,各州(市)应掌握当地疫情发展趋势,探索引起聚集的原因和机制,进一步采取有效防控措施。Objective To investigate the epidemiological characteristics and trends of other infectious diarrhea in Yunnan Province,and to provide a scientific basis for the development of more targeted prevention and control strategies.Methods A descriptive epidemiological analysis was conducted on data of other infectious diarrhea diseases in Yunnan Province from 2005 to 2022 using Joinpoint Regression Program(JRP)4.9.1.0 for regression statistical analysis of case numbers,and GeoDa 1.14.0.0 for spatial autocorrelation analysis of case distribution.Results From 2005 to 2022,a total of 301083 cases of other infectious diarrhea were reported in Yunnan Province,with an average annual reported incidence rate of 35.98/100000;cases were predominantly among children in the diaspora(74.51%);the incidence rate of males(39.47/100000)was higher than that of females(32.23/100000);the primary age group affected was≤3 years of age(70.84%);seasonal trend of incidence was significant,with a bimodal distribution;aetiologic diagnosis was dominated by viral infections(99.06%);the top three regions with the highest annual average incidence rates were Kunming City(83.27/100000),Yuxi City(67.70/100000),and Xishuangbanna Prefecture(63.31/100000);and the incidence of the disease exhibited clear spatial clustering,with 17"hot spot"regions detected(distributed in Kunming City,Yuxi City and Chuxiong Prefecture)and 22“cold spot”areas(distributed in Dali Prefecture and Lincang City).The overall reported incidence rate increased from 2005 to 2022.Both male and female reported incidence rates decreased from 2019 to 2022;the incidence rates for all age groups rose from 2005 to 2019,with significant declines in the 0-<1 and 1-<2 age groups from 2019 to 2022.Seven cities(prefectures)including Baoshan City,Dali Prefecture,Diqing Prefecture,Honghe Prefecture,Lijiang City,Nujiang Prefecture,and Zhaotong City showed an overall increasing trend.Conclusion During 2005-2022,other infectious diarrheal diseases epidemic situations in Yunnan Province presented

关 键 词：其他感染性腹泻 流行病学特征 趋势分析 云南省 

分 类 号：R181.3[医药卫生—流行病学]