德国亚热病的区域变化和时间趋势
Marie Sander1, Matthias Augustin1, Valerie Andrees1
1Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
概括
阿托皮炎,过敏性喘和过敏性犀牛结膜炎的患病率在德国有所增加. 存在区域差异,东部更常见的亚托皮性皮肤炎和西部的其他疾病.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 皮肤病学 皮肤病学
- 肺部病理学 肺部病理学
- 过敏学 过敏学
背景情况:
- 在德国,阿托邦性疾病 (阿托邦性皮肤炎,过敏性喘,过敏性犀牛结膜炎) 的流行率不断增加.
- 缺乏对这些条件的同时考虑和精确的时空数据.
- 需要详细了解疾病分布模式.
研究的目的:
- 为了研究德国的亚托皮性疾病的时空变异.
- 分析不同地区的亚托皮性皮肤炎 (AD),过敏性喘 (AA) 和过敏性犀牛结膜炎 (ARC) 的流行率.
- 为了确定疾病分布的地理模式和相关性.
主要方法:
- 对2011-2020年德国所有法定医疗保险人群的门诊护理数据的分析.
- 在县级进行的空间时间流行率分析.
- 应用统计平滑技术进行可靠的分析.
主要成果:
- 在研究期间,所有三种类型病的流行率显著增加.
- 在过敏性犀牛结膜炎 (ARC) 和过敏性喘 (AA) 之间观察到中等,显著的相关性.
- 明显的东西流行度梯度:东部较高的AD率,西部较高的AA和ARC率.
- 观察到AD和AA的显著南北梯度,在德国北部的流行率更高.
结论:
- 在过去的十年中,在德国,亚托皮性疾病的患病率有所上升.
- 在亚托邦性皮肤炎和其他亚托邦性疾病之间,区域模式不同.
- 需要进一步分析以了解这些增加和变化的驱动因素,以告知预防和医疗保健策略.
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