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[Spatio-temporal distribution and correlation of reported cases of hepatitis C and HIV/AIDS in China, 2012-2017]
1Division of Hepatitis C/STD Prevention and Treatment, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Insights
Hepatitis C and HIV/AIDS cases show similar temporal and spatial distributions in China. Targeted prevention programs in high-prevalence provinces are recommended for both infectious diseases.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Control
Background:
- Hepatitis C (HCV) and Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) are significant public health concerns in China.
- Understanding the spatiotemporal patterns and correlation between these two infections is crucial for effective control strategies.
Purpose of the Study:
- To compare the temporal and spatial distribution of Hepatitis C and HIV/AIDS cases in China from 2012 to 2017.
- To analyze the correlation between reported cases of Hepatitis C and HIV/AIDS at the provincial level.
Main Methods:
- Utilized data from China's Direct Reporting System of Infectious Diseases Information Network (2012-2017).
- Analyzed annual provincial data based on review date and current address.
- Employed simple correlation and linear regression analyses to assess the relationship between HCV and HIV/AIDS cases.
Main Results:
- Hepatitis C cases remained stable, while HIV/AIDS cases showed a steady increasing trend during the study period.
- Both infections were concentrated in the same top six provinces: Henan, Guangdong, Xinjiang, Guangxi, Hunan, and Yunnan.
- Significant positive correlations (r>0.5, P<0.01) were found between provincial-level Hepatitis C and HIV/AIDS cases, with a strong linear increase over time (r=0.966).
Conclusions:
- Temporal and spatial correlations exist between reported Hepatitis C and HIV/AIDS cases in China.
- Integrated prevention and control programs are recommended for areas with serious epidemics, particularly focusing on blood-borne transmission routes.
Abstract:
Objective: To compare the time and spatial distribution of hepatitis C and HIV/AIDS cases and its correlation, in China from 2012 to 2017. Methods: Data on reported hepatitis C and HIV/AIDS cases was gathered from the Direct Reporting System of Infectious Diseases Information Network in China, 2012 to 2017 while annually collected provincial data was based on the date of review and current address. Correlation of the data was analyzed, using both simple correlation and linear regression methods. Results: The number of reported cases of hepatitis C remained stable in China, in 2012-2017, with the number of annual reported cases as 201 622, 203 155, 202 803, 207 897, 206 832 and 214 023, respectively. The number of reported cases on HIV/AIDS showed a steady growing trend, from 82 434, 90 119, 103 501, 115 465, 124 555 to 134 512. However, the numbers of hepatitis C and HIV/AIDS cases were in the same, top six provinces: Henan, Guangdong, Xinjiang, Guangxi, Hunan and Yunnan. Results from the simple correlation analysis indicated that there was a positive correlation (r>0.5, P<0.01) existed between the above-said two kinds of cases at the provincial level in China, in 2012-2017. Again, results from the linear regression analysis also showed that the correlation coefficient r(s) and year was strongly correlated (r=0.966) while r(s) had been linearly increasing with time. Conclusions: Our data showed that there were temporal and spatial correlations existed between the reported cases of hepatitis C and HIV/AIDS at the provincial level, suggesting that relevant prevention and control programs be carried out in areas with serious epidemics. Combination of the two strategies should be encouraged, especially on prevention and treatment measures related to blood transmission.
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