Background:The incidence of hepatitis B virus(HBV)has decreased year by year in China after the expansion of vaccination,but there is still a high disease burden in Jiangsu Province of China.Methods:The year-by-year i...Background:The incidence of hepatitis B virus(HBV)has decreased year by year in China after the expansion of vaccination,but there is still a high disease burden in Jiangsu Province of China.Methods:The year-by-year incidence data of HBV in Jiangsu Province from 1990 to 2021 were collected.The incidence rates of males and females age groups were clustered by systematic clustering,and the incidence rates of each age group were analyzed and studied by using Joinpoint regression model and age-period-cohort effect model(APC).Results:Joinpoint regression model and APC model showed a general decrease in HBV prevalence in both males and females.In addition,the results of the APC model showed that the age,period,and cohort effects of patients all affected the incidence of HBV,and the incidence was higher in males than in females.The incidence is highest in the population between the ages of 15 and 30 years(mean:21.76/100,000),especially in males(mean:31.53/100,000)than in females(mean:11.67/100,000).Another high-risk group is those over 60 years of age(mean:21.40/100,000),especially males(mean:31.17/100,000)than females(mean:11.63/100,000).The period effect of the APC model suggests that HBV vaccination is effective in reducing the incidence of HBV in the population.Conclusions:The incidence of HBV in Jiangsu Province showed a gradual downward trend,but the disease burden in males was higher than that in females.The incidence is higher and increasing rapidly in the population between the ages of 15 and 30 years and people over 60 years of age.More targeted prevention and control measures should be imple-mented for males and the elderly.展开更多
基金supported by the Fundamental Research Funds for the Central Universities,20720230001self-supporting Program of Guangzhou Laboratory,SRPG22-007research Project on Education and Teaching Reform of Undergraduate Universities of Fujian Province,FBJG20210260.
文摘Background:The incidence of hepatitis B virus(HBV)has decreased year by year in China after the expansion of vaccination,but there is still a high disease burden in Jiangsu Province of China.Methods:The year-by-year incidence data of HBV in Jiangsu Province from 1990 to 2021 were collected.The incidence rates of males and females age groups were clustered by systematic clustering,and the incidence rates of each age group were analyzed and studied by using Joinpoint regression model and age-period-cohort effect model(APC).Results:Joinpoint regression model and APC model showed a general decrease in HBV prevalence in both males and females.In addition,the results of the APC model showed that the age,period,and cohort effects of patients all affected the incidence of HBV,and the incidence was higher in males than in females.The incidence is highest in the population between the ages of 15 and 30 years(mean:21.76/100,000),especially in males(mean:31.53/100,000)than in females(mean:11.67/100,000).Another high-risk group is those over 60 years of age(mean:21.40/100,000),especially males(mean:31.17/100,000)than females(mean:11.63/100,000).The period effect of the APC model suggests that HBV vaccination is effective in reducing the incidence of HBV in the population.Conclusions:The incidence of HBV in Jiangsu Province showed a gradual downward trend,but the disease burden in males was higher than that in females.The incidence is higher and increasing rapidly in the population between the ages of 15 and 30 years and people over 60 years of age.More targeted prevention and control measures should be imple-mented for males and the elderly.