波兰由于C型肝炎病毒感染和死亡的流行病学模式正在发生变化
Agnieszka Genowska1, Dorota Zarębska-Michaluk2, Birute Strukcinskiene3
1Department of Public Health, Medical University of Bialystok, 15-295 Bialystok, Poland.
Journal of clinical medicine
|June 28, 2023
概括
波兰的C型肝炎病毒 (HCV) 诊断率在COVID-19大流行期间显著下降,特别是在城市和农村地区. 持续监测和查对于管理HCV感染趋势至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 关于中欧地区C型肝炎病毒 (HCV) 感染趋势的数据有限.
- 本研究通过分析波兰的HCV流行病学来解决知识差距.
研究的目的:
- 分析2009-2021年波兰HCV流行病学的趋势.
- 检查影响HCV感染模式的社会人口因素.
- 评估COVID-19大流行对HCV诊断和死亡率的影响.
主要方法:
- 利用国家登记处的HCV病例数据 (诊断和死亡).
- 员工连接点分析以确定随时间的流行病学趋势.
- 分析了按性别,地理位置 (城市/农村) 和流行病时期分层的趋势.
主要成果:
- 在2009年至2021年期间,HCV诊断趋势从增加转变为下降.
- 在城市和农村地区,男性的HCV诊断率在2016年之前显著增加,随后有微弱的减少.
- 由于COVID-19大流行,HCV诊断率在所有地区 (农村和城市) 两性均大幅下降.
- 从2014-2015年左右开始,在农村和城市地区的男性中观察到HCV死亡率的显著下降.
结论:
- 在波兰,COVID-19大流行大大降低了HCV诊断率.
- 尽管流行病相关的减少,持续监测HCV趋势是必不可少的.
- 建议国家查计划和加强与护理的联系,以有效管理HCV.
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