黑龙江省急性胃肠炎疾病负担流行病学调查
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(黑龙江省疾病预防控制中心,黑龙江 哈尔滨 150036)

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刘忠卫 男 主任医师 研究方向为营养与食品卫生 E-mail:1127754107@qq.com 高飞 男 副主任技师 研究方向为营养与食品卫生 E-mail:gflord@163.com

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基金项目:

黑龙江省卫生和计划生育委员会科研课题(2017-531);国家重点研发计划(2017YFC1601904)


Study on the epidemiological burden of acute gastroenteritis in Heilongjiang Province
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(Heilongjiang Center for Disease Control and Prevention, Heilongjiang Harbin 150036, China)

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    摘要:

    目的 了解黑龙江省急性胃肠炎流行病学负担及影响因素。方法 采用多阶段分层随机抽样方法抽取调查对象,每月入户调查其过去4周内急性胃肠炎发病情况。结果 共调查19 171人,人群急性胃肠炎月患病率为3.51%[95%置信区间(95%CI):3.25%~3.77%],年发病比例为37.24%,年发病率为0.466次/人,加权月患病率为3.61%,加权年发病比例为38.07%,加权年发病率为0.479次/人。估计全省急性胃肠炎平均每年1 442.3万人发病,共发病1 814.7万人次。多因素Logistic回归分析结果显示,居住地性质、季节、年龄、过去2周是否因出差旅游离开居住地、家庭年人均收入为居民急性胃肠炎患病的影响因素。58.66%的急性胃肠炎病例认为是受污染的食物导致。结论 黑龙江省急性胃肠炎流行病学负担较重,食源性比例较高,应予以足够的关注和重视。

    Abstract:

    Objective The objective is to reveal the epidemiological burden and predictors of acute gastroenteritis in Heilongjiang Province. Methods A multi-stage stratified random sampling method was used to collect the incidence of acute gastroenteritis in the past 4 weeks. Results A total of 19 171 people were investigated. The monthly prevalence of acute gastroenteritis was 3.51% [95% confidence interval(95%CI):3.25%-3.77%], the annual incidence rate was 37.24%, and the incidence rate was 0.466 times per person-year. The weighted monthly prevalence rate was 3.61%, the weighted annual incidence rate was 38.07%, and the weighted incidence rate was 0.479 times per person-year. It was estimated that the average annual incidence of acute gastroenteritis in this province was 14.423 million people per year, with a total of 18.147 million cases. Multivariate Logistic regression analysis showed that the nature of the residence, season, age, whether they had left their residence due to business or trips in the past 2 weeks, and the annual per capita income of the family were the influencing factors.58.66% of acute gastroenteritis cases were attributed to contaminated food. Conclusion Acute gastroenteritis in Heilongjiang Province had a heavy epidemiological burden and a high proportion of foodborne diseases, which should be paid more attention to.

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刘忠卫,张剑峰,高飞.黑龙江省急性胃肠炎疾病负担流行病学调查[J].中国食品卫生杂志,2020,32(4):409-414.

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  • 收稿日期:2020-05-12
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  • 在线发布日期: 2020-08-30
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