巴西C型肝炎相关死亡率的时间趋势和空间模式
Elodie Bomfim Hyppolito1,2,3, Alberto Novaes Ramos Júnior1, Anderson Fuentes Ferreira1
1Universidade Federal do Ceará. Faculdade de Medicina. Programa de Pós-graduação em Saúde Pública. Fortaleza, CE, Brasil.
Revista de saude publica
|March 26, 2025
概括
巴西的C型肝炎死亡率增加到2015年,然后下降,男性和老年人的死亡率更高. 空间分析揭示了持续存在的高风险地区和新出现的热点,为区域消除战略提供了信息.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 空间分析 空间分析
背景情况:
- 在全球范围内,C型肝炎仍然是一个重大的公共卫生问题.
- 了解时间和空间死亡趋势对于有效的控制策略至关重要.
研究的目的:
- 分析2000年至2020年巴西C型肝炎相关死亡率的趋势和空间模式.
- 确定针对性干预的高风险地区和死亡率的时间转移.
主要方法:
- 一项以人口为基础的混合生态研究,利用死亡证明登记处的二次数据.
- 使用联合点回归的时间趋势分析.
- 空间分析包括调整率,局部莫兰指数和Getis-Ord Gi*指数.
主要成果:
- 在2000年至2020年期间,共有64,029人因C型肝炎死亡.
- 从2000年到2015年,死亡率呈现上升趋势,随后从2016年到2020年,死亡率呈现下降趋势.
- 在巴西南部确定了持续高死亡率的地区,亚马逊地区出现了新兴的热点. 在男性和60岁以上的人群中观察到更高的发病率.
结论:
- 在巴西的C型肝炎死亡趋势中存在显著的区域差异.
- 数据支持根据区域特点制定量身定制的型肝炎消除策略.
- 需要针对高风险人群和地理区域进行有针对性的干预.
相关概念视频
Diseases of the Liver and Gallbladder
2.1K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
2.1K
Hepatic Drug Excretion: Influencing Factors
818
The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
818
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
382
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
382
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
271
In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
271
Hepatitis
86
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
86
Viral Hepatitis I: Introduction
25
Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion...
25


