尹纯礼, 朱奇, 张迈月, 黄卓英, 李晓军. 20052021年上海市宝山区麻疹流行特征分析[J]. 上海预防医学, 2023, 35(4): 349-353. DOI: 10.19428/j.cnki.sjpm.2023.22545
引用本文: 尹纯礼, 朱奇, 张迈月, 黄卓英, 李晓军. 20052021年上海市宝山区麻疹流行特征分析[J]. 上海预防医学, 2023, 35(4): 349-353. DOI: 10.19428/j.cnki.sjpm.2023.22545
YIN Chunli, ZHU Qi, ZHANG Maiyue, HUANG Zhuoying, LI Xiaojun. Epidemiological characteristics of measles in Baoshan District of Shanghai in 2005‒2021[J]. Shanghai Journal of Preventive Medicine, 2023, 35(4): 349-353. DOI: 10.19428/j.cnki.sjpm.2023.22545
Citation: YIN Chunli, ZHU Qi, ZHANG Maiyue, HUANG Zhuoying, LI Xiaojun. Epidemiological characteristics of measles in Baoshan District of Shanghai in 2005‒2021[J]. Shanghai Journal of Preventive Medicine, 2023, 35(4): 349-353. DOI: 10.19428/j.cnki.sjpm.2023.22545

20052021年上海市宝山区麻疹流行特征分析

Epidemiological characteristics of measles in Baoshan District of Shanghai in 2005‒2021

  • 摘要:
    目的 分析上海市宝山区麻疹流行特征,了解麻疹发病特点。
    方法 利用麻疹监测信息报告系统收集2005—2021年宝山区麻疹报告病例,采用描述流行病学方法进行分析,时间聚集性采用集中度法。
    结果 2005—2021年宝山区报告麻疹病例525例,年均报告发病率为1.75/10万,总体呈波动下降趋势,呈现明显的季节性。发病人群集中于30~39岁(31.24%)、20~29岁(28.57%)及<5岁儿童(16.57%);职业以工人(18.10%)、散居儿童(16.19%)和家务及待业(12.76%)为主;中部地区工人、散居儿童、家务及待业人员均高于其他2个地区(χ2=54.515,P<0.001)。中北部街镇报告发病率高于南部(χ2=88.103,P<0.001)。33.14%病例无含麻疹成分疫苗(MCV)免疫史,53.90%病例MCV免疫史不详,非本市户籍MCV免疫史低于本地户籍(χ2=14.422,P<0.001)。
    结论 上海市宝山区麻疹发病率处于历史较低水平,发病人群主要集中在中北部的青壮年人群。建议继续加强麻疹监测,维持适龄儿童MCV高接种率的前提下持续对重点人群进行补充免疫,进一步加强健康教育工作。

     

    Abstract:
    Objective To determine the epidemiological characteristics and distributions of measles in Baoshan District, Shanghai.
    Methods This study used the measles surveillance information and reporting system to collect reported cases of measles in Baoshan District in 2005‒2021 and then conducted descriptive epidemiological methods to determine the temporality using the concentration method.
    Results In 2005‒2021, a total of 525 measles cases were reported in Baoshan District with an average annual reported incidence rate of 1.75/105, showing an overall fluctuating downward trend and obvious seasonality. The cases concentrated in 30‒39 years of age (31.24%), 20‒29 years (28.57%), and under 5 years (16.57%). Majority of them were workers (18.10%), preschool children (16.19%), and unemployed persons (12.76%). The incidence was significantly higher in the central region than in the other two regions for workers, preschool children, and unemployed persons (χ2=54.515, P<0.001). Spatially, the incidence was significantly higher in the north-central sub-districts than in the south (χ2=88.103, P<0.001). Moreover, 33.14% of measles cases did not receive measles-containing vaccine (MCV), while 53.90% of the cases remained unknown. Additionally, uptake rate of MCV in non-local residents was significantly lower than in local residents (χ2=14.422, P<0.001).
    Conclusion The measles incidence remains remarkably low in Baoshan District of Shanghai. Young and middle-aged populations in the north-central region are susceptible to measles. It is recommended to further strengthen measles surveillance, maintain high coverage of MCV among school-age children combined with catch-up immunization for at-risk populations, and improve health education.

     

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