[中国人群带状疱疹患病率及影响因素]。

Q1 Medicine

中华流行病学杂志 Pub Date : 2025-07-10 DOI:10.3760/cma.j.cn112338-20250203-00067

J X Ai, Y Q Xia, W H Zhu, Z Y Shi, P He

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引用次数: 0

摘要

目的：了解中国人群带状疱疹流行情况及其影响因素，为制定带状疱疹预防策略提供参考。方法：于2024年7 - 9月在中国25个省份对27868名研究对象进行调查。计算带状疱疹患病率，并进行多因素logistic回归分析，确定影响因素。结果：中国人群带状疱疹总患病率为6.15% (95%CI: 5.87% ~ 6.43%)，加权总患病率为5.89% （95%CI: 5.61% ~ 6.17%）。女性患病率（6.74%,95%CI: 6.32% ~ 7.15%）高于男性患病率（5.56%,95%CI: 5.18% ~ 5.94%）。患病率随年龄增长而增加，0 ~ 17岁年龄组患病率为1.33% (95%CI: 1.05% ~ 1.62%)，≥70岁年龄组患病率为12.95% （95%CI: 11.77% ~ 14.13%）。城市人群患病率（6.95%,95%CI: 6.54% ~ 7.37%）高于农村人群患病率（5.30%,95%CI: 4.92% ~ 5.67%）。不同文化程度人群患病率不同，随文化程度的增加而增加。不同收入水平人群的患病率存在显著差异。成人慢性疾病患者带状疱疹患病率（11.09%,95%CI: 10.45% ~ 11.72%）高于无慢性疾病患者（4.60%,95%CI: 4.24% ~ 4.97%）。多因素logistic回归分析显示，女性患带状疱疹的风险是男性的1.28倍（95%CI: 1.15-1.42）。年龄较大、受教育程度较高、居住在城市以及患有慢性疾病都与带状疱疹的风险增加有关。结论：中国人群带状疱疹患病率较高。在带状疱疹的预防和治疗中，有必要针对重点人群，如妇女、慢性病患者、中老年人采取有针对性的保护措施。

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[Prevalence of herpes zoster and influencing factors in population in China].

Objective: To understand the prevalence of herpes zoster and its influencing factors in population in China, and provide reference for the development of herpes zoster prevention strategies. Methods: A survey was conducted in 27 868 study participants in 25 provinces in China from July to September 2024. The prevalence of herpes zoster was calculated, and multivariate logistic regression analysis was conducted to identify influencing factors. Results: The overall prevalence of herpes zoster in population in China was 6.15% (95%CI: 5.87%-6.43%) and the weighted overall prevalence was 5.89% (95%CI: 5.61%-6.17%). The prevalence in women (6.74%, 95%CI: 6.32%-7.15%) was higher than that in men (5.56%, 95%CI: 5.18%-5.94%). The prevalence increased with age, and the prevalence was 1.33% (95%CI: 1.05%-1.62%) in age group 0-17 years and 12.95% (95%CI: 11.77%-14.13%) in age group ≥70 years. The prevalence in urban population (6.95%, 95%CI: 6.54%-7.37%) was higher than that in rural population (5.30%, 95%CI: 4.92%-5.67%). The prevalence varied in people with different educational levels and increased with the increase of educational level. The prevalence had significant differences among people with different income levels. The prevalence of herpes zoster in adults with chronic diseases (11.09%, 95%CI: 10.45%-11.72%) was higher than that in those without chronic diseases (4.60%, 95%CI: 4.24%-4.97%). Multivariate logistic regression analysis showed that the risk for herpes zoster in women was 1.28 (95%CI: 1.15-1.42) times higher that in men. Older age, higher educational level, urban residence, and suffering from chronic diseases were all associated with increased risk for herpes zoster. Conclusions: The prevalence of herpes zoster was high in population in China. In the prevention and treatment of herpes zoster, it is necessary to take targeted protection measures for key populations, such as women, patients with chronic diseases, middle-aged and elderly people.

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来源期刊

中华流行病学杂志 Medicine-Medicine (all)

CiteScore

5.60

自引率

0.00%

发文量

8981

期刊介绍： Chinese Journal of Epidemiology, established in 1981, is an advanced academic periodical in epidemiology and related disciplines in China, which, according to the principle of integrating theory with practice, mainly reports the major progress in epidemiological research. The columns of the journal include commentary, expert forum, original article, field investigation, disease surveillance, laboratory research, clinical epidemiology, basic theory or method and review, etc. The journal is included by more than ten major biomedical databases and index systems worldwide, such as been indexed in Scopus, PubMed/MEDLINE, PubMed Central (PMC), Europe PubMed Central, Embase, Chemical Abstract, Chinese Science and Technology Paper and Citation Database (CSTPCD), Chinese core journal essentials overview, Chinese Science Citation Database (CSCD) core database, Chinese Biological Medical Disc (CBMdisc), and Chinese Medical Citation Index (CMCI), etc. It is one of the core academic journals and carefully selected core journals in preventive and basic medicine in China.