与C型肝炎相关的住院率的区域差异,美国,2012-2019年
Megan G Hofmeister1, Yuna Zhong1, Anne C Moorman1
1Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Public health reports (Washington, D.C. : 1974)
|July 26, 2024
概括
从2012年到2019年,C型肝炎病毒 (HCV) 住院病例在全国范围内下降,但区域差异仍然存在. 扩大对直接作用抗病毒治疗的准入,可以进一步减少住院和传播.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 型肝炎是美国肝癌和死亡的主要原因.
- 它给住院患者带来了相当大的负担.
- 了解区域差异对于消除C型肝炎的努力至关重要.
研究的目的:
- 分析2012年至2019年美国型肝炎病毒 (HCV) 相关住院病例的区域差异.
- 为了为消除C型肝炎的策略提供信息.
主要方法:
- 分析2012-2019年全国住院患者样本出院数据.
- 根据初级或二级诊断定义的与HCV相关的住院病例.
- 美国人口普查局地理划分的HCV相关住院率的年度百分比变化建模.
主要成果:
- 据估计,在2012-2019年期间,美国发生了553,900例与HCV相关的住院治疗.
- 西南中部地区的住院率最高 (每10万人口中有34.7人),而西北中部地区的住院率最低 (每10万人口中有17.6人).
- 每年住院率在所有地区都下降,太平洋地区的下降幅度最大 (48.8%). 医疗补助是住院住院的主要保险类型.
结论:
- 在2012-2019年期间,与HCV相关的住院病例在全国和地区均有下降,但下降幅度不均.
- 对直接作用抗病毒治疗的不平等获得可能会导致差异.
- 建议扩大早期HCV治疗的机会,以减少未来的住院治疗和传播.
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