巴西和地区的肝炎死亡率,2001-2020年:时间趋势和空间分析
Laryssa Fialho de Oliveira Sousa1, Evelen Rouse de Souza Santos1, Rayssa Mendonça Oliveira1
1Universidade Tiradentes - Aracaju (SE), Brazil.
概括
在2001-2020年期间,巴西的甲型,乙型肝炎和未指定的病毒性肝炎死亡率下降. 然而,慢性病毒性肝炎死亡人数在北方和东北地区上升,这表明了令人担忧的空间趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 肝炎仍然是全球和巴西的重大公共卫生问题.
- 了解肝炎死亡率的流行病学模式对于有针对性的干预至关重要.
研究的目的:
- 分析2001年至2020年巴西肝炎死亡率的空间分布和时间趋势.
- 为了确定肝炎相关死亡的区域差异和时间变化.
主要方法:
- 一项生态研究利用了2001-2020年巴西死亡率信息系统 (SIM/DATASUS) 的数据.
- 标准化死亡率 (SMR) 被计算并按年,地区和市区分层.
- 使用普莱斯-温斯顿回归来评估时间趋势,使用全球莫兰指数 (GMI) 分析空间分布.
主要成果:
- 慢性病毒性肝炎的SMR最高 (0.88/100,000),其次是其他病毒性肝炎 (0.22/100,000).
- 甲型肝炎,乙型肝炎,其他病毒性肝炎和未指定的肝炎的死亡率显示出显著的时间趋势.
- 相反,慢性病毒性肝炎导致的死亡率在北 (5.74%) 和东北 (4.95%) 地区呈现上升趋势.
结论:
- 甲型肝炎,乙型肝炎,其他病毒性肝炎和未指定肝炎的死亡率趋势在全国范围内正在下降.
- 在巴西的北部和东北部地区观察到慢性病毒性肝炎死亡率的令人担忧的增加.
- 空间分析显示了所有肝炎类型的显著聚类,突出区域差异.
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