巴西帕拉纳州乙型和丙型病毒性肝炎的分布和空间自相关：2011-2019 年的生态研究。
Distribution and spatial autocorrelation of viral hepatitis B and C in Paraná, Brazil: an ecological study, 2011-2019.
机构信息
Universidade Estadual de Maringá, Programa de Pós-Graduação em Enfermagem, Maringá, PR, Brazil.
出版信息
Epidemiol Serv Saude. 2023 Aug 7;32(2):e2022888. doi: 10.1590/S2237-96222023000200015. eCollection 2023.
OBJECTIVE
to analyze the distribution and spatial autocorrelation of hepatitis B and C detection rates in the state of Paraná, Brazil.
METHODS
this was an ecological study of hepatitis B and C notifications held on the Notifiable Health Conditions Information System, between 2011 and 2019. Percentage change in detection rates between the first and last three-year periods was estimated. Spatial autocorrelation was analyzed using Moran's index.
RESULTS
there were 16,699 notifications of hepatitis B, with a greater reduction in detection in the North (-30.0%) and Northwest (-25.9%) macro-regions. There were clusters of high occurrence in the Foz do Iguaçu, Francisco Beltrão and Cascavel regions between 2011 and 2019. There were 10,920 notifications of hepatitis C, with a greater reduction in detection in the Northwest macro-region (-18.9%) and an increase in the West (51.1%). The Paranaguá region recorded a high detection cluster between 2011 and 2016.
CONCLUSION
hepatitis B and C showed heterogeneous distribution between health regions.
目的
分析巴西巴拉那州乙型和丙型肝炎检测率的分布和空间自相关。
方法
这是一项关于乙型和丙型肝炎通知的生态研究，这些通知是在 2011 年至 2019 年期间通过法定传染病报告系统收集的。估计了检测率在前三个三年期之间的变化百分比。使用 Moran 指数分析空间自相关。
结果
共收到 16699 例乙型肝炎通知，北部（-30.0%）和西北部（-25.9%）大区的检测率下降幅度较大。在 2011 年至 2019 年期间，福斯杜伊瓜苏、弗朗西斯科贝特朗和卡塞利行政区出现了乙型肝炎高发生率聚集区。共收到 10920 例丙型肝炎通知，西北部大区的检测率下降幅度较大（-18.9%），西部大区的检测率上升（51.1%）。帕拉那瓜地区在 2011 年至 2016 年期间记录了一个丙型肝炎高发生率聚集区。
结论
乙型和丙型肝炎在卫生区之间呈现出不均匀的分布。
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