1990-2019年中国HBV和HCV感染疾病负担趋势

Tingting Yue, Quanquan Zhang, Ting Cai, Ming Xu, Haizhen Zhu, Mahmoud Reza Pourkarim, Erik De Clercq, Guangdi Li
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引用次数: 16

摘要

目的:本研究旨在揭示1990-2019年中国乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)疾病负担的30年动态。方法:从全球疾病负担数据库中检索HBV/HCV数据。接合点回归用于检验时间趋势。应用年龄-时期-队列模型评估患者年龄、时期和队列对HBV/ hcv相关死亡率和发病率的影响。结果:HBV疾病负担在1990-2019年间急剧下降,而HCV疾病负担自2000年以来保持稳定。患者的年龄、时期和队列对HBV和HCV感染的疾病负担有显著影响。与女性相比,男性有更高的HBV/HCV感染风险,以及HBV/HCV相关的死亡率和肝癌。超重、酒精、烟草和药物使用是与HBV/ hcv相关的肝癌相关的重要危险因素。2019- 2024年,HBV和hcv相关肝癌的发病率预计将分别下降39.4%和33.3%。结论:在过去的30年里,中国HBV/HCV感染的疾病负担有所下降,但HBV的发病率仍然很高,尤其是在男性中。高危人群仍然需要有效管理HBV和HCV感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in the disease burden of HBV and HCV infection in China from 1990-2019.

Objectives: This study aimed to reveal the 30-year dynamics of hepatitis B virus (HBV) and hepatitis C virus (HCV) disease burden in China from 1990-2019.

Methods: HBV/HCV data were retrieved from the Global Burden of Disease database. Joinpoint regression was used to examine temporal trends. Age-period-cohort models were applied to evaluate effects of patient age, period, and cohort on HBV/HCV-associated mortality and incidences.

Results: A dramatic decrease in the disease burden of HBV was found from 1990-2019, but the disease burden of HCV has remained stable since 2000. Patient age, period, and cohort exerted a significant effect on the diseases burden of HBV and HCV infection. Compared with women, men had a higher risk of HBV/HCV infections as well as HBV/HCV-associated mortality and liver cancer. Overweight, alcohol, tobacco, and drug use were important risk factors associated with HBV/HCV-associated liver cancer. The incidences of HBV- and HCV-associated liver cancer from 2019-2044 are expected to decrease by 39.4% and 33.3%, respectively.

Conclusion: The disease burden of HBV/HCV infection has decreased in China over the past 30 years, but HBV incidences remain high, especially in men. Effective management of HBV and HCV infections is still needed for high-risk populations.

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