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西班牙甲型肝炎:2000-2021年期间住院病例的演变
Angela Domínguez1,2, Núria Torner1,2, Núria Soldevila1,2
1Departament de Medicina, Universitat de Barcelona, Barcelona, Spain.
PloS one
|September 24, 2025
概括
在西班牙 (2000-2021年) 的甲型肝炎住院和死亡人数在男性和老年人中较高,肝硬化和共感染增加了风险. 全民疫苗接种战略减少了住院的发生率,强调了预防政策的重要性.
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:
- 甲型肝炎病毒 (HAV) 导致急性肝病.
- 患有慢性肝病,其他病毒性肝炎并发症或50岁以上的人更有可能出现并发症.
研究的目的:
- 分析2000年至2021年西班牙甲型肝炎住院和住院死亡的趋势.
- 检查人口统计因素,同时感染和疫苗接种策略对甲型肝炎结果的影响.
主要方法:
- 使用了西班牙国家卫生系统最低基本数据集的数据.
- 计算了年龄标准化的住院发生率,影响住院时间的因素和住院死亡率.
- 采用多变量逻辑回归来确定调整的赔率比率 (aOR).
主要成果:
- 总体累计住院发生率为每10万人中8.84,男性患病率高于女性.
- 长时间住院 (>7天) 和住院死亡与年龄较大 (≥60岁),肝硬化和同时感染 (HIV,HBV,HCV) 有显著关联.
- 具有普遍 A 型肝炎疫苗接种政策的地区,累计住院病例发生率较低.
结论:
- 了解住院甲型肝炎病例的流行病学对于有效的疾病控制至关重要.
- 预防政策,特别是疫苗接种策略,在减少甲型肝炎负担方面发挥着重要作用.
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