Article(id=1241065992101614104, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202409049, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1725292800000, receivedDateStr=2024-09-03, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773822790408, onlineDateStr=2026-03-18, pubDate=1740412800000, pubDateStr=2025-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773822790408, onlineIssueDateStr=2026-03-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773822790408, creator=13701087609, updateTime=1773822790408, updator=13701087609, issue=Issue{id=1241065978004557893, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='4', pageStart='577', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773822787047, creator=13701087609, updateTime=1773823194927, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241067688831808347, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241067688831808348, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=725, endPage=730, ext={EN=ArticleExt(id=1241065992588153395, articleId=1241065992101614104, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Analysis of the epidemiological characteristics and trends of notifiable infectious diseases among people aged 60 and above in Chaoyang District, 2014-2023, columnId=1228016573156360233, journalTitle=Modern Preventive Medicine, columnName=Disease Control and Prevention, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the epidemiological characteristics and trends of notifiable infectious diseases among ≥ 60-year-olds in Chaoyang District, Beijing, and to provide a basis for the prevention and control of infectious diseases in the elderly population.
Methods The data of ≥ 60-year-old cases of notifiable infectious diseases in Chaoyang District from 2014 to 2023 were collected through the Infectious Disease Reporting Information System of the Chinese Information System for Disease Control and Prevention, and the incidence trends and epidemiological characteristics of cases were descriptively analyzed.
Results From 2014 to 2023, the average annual incidence rate of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District was 864.01/100 000 showing an upward trend over the years (AAPC=31.50%, P<0.05). The incidence was highest in the ≥ 85-year-old population, and the incidence rate of males was 1 020.40/100 000 and higher than that of females (922.03/100 000) (χ2=150.333, P<0.001). 48 979 cases were mainly respiratory infections, accounting for 84.56%, its incidence showed an increasing trend, while that of intestinal infectious diseases showed a decreasing trend (AAPC=40.77%, -9.12%, P<0.05). A total of 317 deaths had been reported, with an average annual mortality rate of 4.63 per 100 000.
Conclusion From 2014 to 2023, the incidence of notifiable infectious diseases among ≥ 60-year-old population in Chaoyang District showed a significant upward trend, and it is necessary to pay attention to tuberculosis, AIDS and influenza. Males are at high risk of respiratory and bloodborne and sexually transmitted infections; The incidence of respiratory and intestinal infectious diseases from 2020 to 2023 has no obvious seasonal characteristics, and the peak increases.
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目的 了解北京市朝阳区≥60岁人群法定传染病流行特征及趋势,为老年人群传染病防控提供依据。
方法 通过中国疾病预防控制信息系统传染病报告信息系统收集2014—2023年朝阳区法定传染病≥60岁病例资料,对其流行特征和发病趋势进行描述性分析。
结果 2014—2023年朝阳区≥60岁人群法定传染病年均发病率为864.01/10万,历年呈上升趋势(AAPC=31.50%,P<0.05)。以≥85岁人群发病率最高;男性发病率1 020.40/10万高于女性922.03/10万(χ2=150.333,P<0.001);以呼吸道传染病发病48 979例为主,占比84.56%,其发病率呈上升趋势,而肠道传染病呈下降趋势(AAPC=40.77%,AAPC=-9.12%,P<0.05)。累计死亡317例,年均死亡率4.63/10万。
结论 2014—2023年朝阳区≥60岁人群法定传染病发病率呈明显上升趋势,需重点关注肺结核、艾滋病和流行性感冒;男性是呼吸道和血源及性传播传染病的高危人群;呼吸道及肠道传染病2020—2023年发病没有明显的季节特征,高峰增多。
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王珊(1981—),女,硕士,副主任医师,研究方向:传染病监测预警
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1.北京市朝阳区疾病预防控制中心,北京 100020)]), AuthorCompany(id=1241065995582886579, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, xref=2., ext=[AuthorCompanyExt(id=1241065995595469493, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, companyId=1241065995582886579, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.内蒙古科技大学包头医学院)])], figs=[ArticleFig(id=1241065997336105793, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Fig.1, caption=
Changes in the incidence of statutory infectious diseases among people aged ≥60 years in Chaoyang District, 2014-2023, figureFileSmall=qMOX46vj7XdmIqhVjIH+Nw==, figureFileBig=yFTdnM2fnb+SKKArnK4S2Q==, tableContent=null), ArticleFig(id=1241065997529043787, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=图1, caption=
2014—2023年朝阳区≥60岁人群法定传染病发病变化情况, figureFileSmall=qMOX46vj7XdmIqhVjIH+Nw==, figureFileBig=yFTdnM2fnb+SKKArnK4S2Q==, tableContent=null), ArticleFig(id=1241065997784896347, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Fig.2, caption=
Incidence of statutory infectious diseases with different transmission routes among people aged ≥60 years in Chaoyang District, 2014-2023, figureFileSmall=bduqQvHrU86PyEh5kq/9zA==, figureFileBig=EYBjymEn+307ybJm68aoUA==, tableContent=null), ArticleFig(id=1241065997898142561, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=图2, caption=
2014—2023年朝阳区≥60岁人群不同传播途径法定传染病发病情况, figureFileSmall=bduqQvHrU86PyEh5kq/9zA==, figureFileBig=EYBjymEn+307ybJm68aoUA==, tableContent=null), ArticleFig(id=1241065998019777383, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Fig.3, caption=
Incidence of statutory infectious diseases in different transmission routes in different months among people aged ≥60 years in Chaoyang District,2014-2023, figureFileSmall=Xs8vwW+kyshFa5a5GC7OdA==, figureFileBig=k3l6o2pilqQxKpfu1bFTxA==, tableContent=null), ArticleFig(id=1241065999533921133, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=图3, caption=
2014—2023年朝阳区≥60岁人群不同传播途径不同月份法定传染病发病情况, figureFileSmall=Xs8vwW+kyshFa5a5GC7OdA==, figureFileBig=k3l6o2pilqQxKpfu1bFTxA==, tableContent=null), ArticleFig(id=1241065999689110392, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Table 1, caption=
Morbidity and deaths from statutory infectious diseases among people aged ≥60 years in Chaoyang District,2014-2023 (n/100 000)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 甲乙类 | 丙类 | 合计 |
|---|
| 发病率 | 死亡率 | 发病率 | 死亡率 | 发病率 | 死亡率 |
|---|
| 2014 | 122.81 | 0.82 | 127.73 | 0.21 | 250.55 | 0.82 |
| 2015 | 100.84 | 1.41 | 109.49 | 0.40 | 210.33 | 1.61 |
| 2016 | 97.31 | 1.28 | 185.30 | 0.18 | 282.60 | 1.64 |
| 2017 | 105.63 | 0.90 | 327.44 | 0.36 | 433.07 | 1.07 |
| 2018 | 177.33 | 1.08 | 522.44 | 1.62 | 699.77 | 1.44 |
| 2019 | 168.66 | 1.68 | 804.56 | 0.17 | 973.23 | 3.20 |
| 2020 | 139.02 | 0.87 | 290.70 | 0.00 | 429.72 | 1.04 |
| 2021 | 128.37 | 0.71 | 64.47 | 0.00 | 192.84 | 0.71 |
| 2022 | 664.51 | 24.50 | 155.48 | 0.00 | 819.98 | 24.50 |
| 2023 | 2 616.13 | 10.23 | 1 731.92 | 0.00 | 4 348.05 | 10.23 |
), ArticleFig(id=1241065999789773696, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=表1, caption=
2014—2023年朝阳区≥60岁人群法定传染病发病及死亡情况(n/10万)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 甲乙类 | 丙类 | 合计 |
|---|
| 发病率 | 死亡率 | 发病率 | 死亡率 | 发病率 | 死亡率 |
|---|
| 2014 | 122.81 | 0.82 | 127.73 | 0.21 | 250.55 | 0.82 |
| 2015 | 100.84 | 1.41 | 109.49 | 0.40 | 210.33 | 1.61 |
| 2016 | 97.31 | 1.28 | 185.30 | 0.18 | 282.60 | 1.64 |
| 2017 | 105.63 | 0.90 | 327.44 | 0.36 | 433.07 | 1.07 |
| 2018 | 177.33 | 1.08 | 522.44 | 1.62 | 699.77 | 1.44 |
| 2019 | 168.66 | 1.68 | 804.56 | 0.17 | 973.23 | 3.20 |
| 2020 | 139.02 | 0.87 | 290.70 | 0.00 | 429.72 | 1.04 |
| 2021 | 128.37 | 0.71 | 64.47 | 0.00 | 192.84 | 0.71 |
| 2022 | 664.51 | 24.50 | 155.48 | 0.00 | 819.98 | 24.50 |
| 2023 | 2 616.13 | 10.23 | 1 731.92 | 0.00 | 4 348.05 | 10.23 |
), ArticleFig(id=1241065999882048389, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Table 2, caption=
Incidence of statutory infectious diseases in Chaoyang District, ≥60 years of age, by gender and age, 2014-2023 (n/100 000)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年龄(岁) | 发病 | 死亡 |
|---|
| 男性 | 女性 | 合计 | 男性 | 女性 | 合计 |
|---|
| 60~<65 | 6 765(799.81) | 7 853(859.36) | 14 681(830.73) | 19(2.25) | 7(0.77) | 26(1.48) |
| 65~<70 | 6 782(1 016.62) | 7 143(960.20) | 13 625(986.24) | 22(3.45) | 1(0.13) | 23(1.66) |
| 70~<75 | 4 847(969.41) | 4 662(739.98) | 9 509(841.49) | 26(5.20) | 10(1.59) | 36(3.19) |
| 75~<80 | 3 469(841.84) | 3 472(738.16) | 6 941(786.58) | 34(8.25) | 14(2.98) | 48(5.44) |
| 80~<85 | 3 333(1 372.68) | 3 309(1 215.96) | 6 642(1 289.86) | 49(20.18) | 23(8.45) | 72(13.98) |
| ≥85 | 3 463(2 457.89) | 3 126(1 773.41) | 6 589(2 077.47) | 68(48.26) | 44(24.96) | 112(35.31) |
| 合计 | 28 359(1 020.40) | 29 565(922.03) | 57 924(967.70) | 218(7.84) | 99(3.09) | 317(5.30) |
), ArticleFig(id=1241065999961740172, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=CN, label=表2, caption=
2014—2023年朝阳区≥60岁人群不同性别年龄法定传染病发病情况(n/10万)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年龄(岁) | 发病 | 死亡 |
|---|
| 男性 | 女性 | 合计 | 男性 | 女性 | 合计 |
|---|
| 60~<65 | 6 765(799.81) | 7 853(859.36) | 14 681(830.73) | 19(2.25) | 7(0.77) | 26(1.48) |
| 65~<70 | 6 782(1 016.62) | 7 143(960.20) | 13 625(986.24) | 22(3.45) | 1(0.13) | 23(1.66) |
| 70~<75 | 4 847(969.41) | 4 662(739.98) | 9 509(841.49) | 26(5.20) | 10(1.59) | 36(3.19) |
| 75~<80 | 3 469(841.84) | 3 472(738.16) | 6 941(786.58) | 34(8.25) | 14(2.98) | 48(5.44) |
| 80~<85 | 3 333(1 372.68) | 3 309(1 215.96) | 6 642(1 289.86) | 49(20.18) | 23(8.45) | 72(13.98) |
| ≥85 | 3 463(2 457.89) | 3 126(1 773.41) | 6 589(2 077.47) | 68(48.26) | 44(24.96) | 112(35.31) |
| 合计 | 28 359(1 020.40) | 29 565(922.03) | 57 924(967.70) | 218(7.84) | 99(3.09) | 317(5.30) |
), ArticleFig(id=1241066000087569299, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065992101614104, language=EN, label=Table 3, caption=
Morbidity and mortality of different statutory infectious diseases among elderly people ≥60 years old in Chaoyang District,2014-2023
, figureFileSmall=null, figureFileBig=null, tableContent=
| 疾病 | 发病率 (/10万) | 发病顺位 | 死亡率 (/10万) | 死亡顺位 |
|---|
| 流感 | 393.29 | 1 | 0.27 | 4 |
| COVID-19 | 382.74 | 2 | 4.18 | 1 |
| 其它感染性腹泻病 | 70.05 | 3 | 0.00 | - |
| 肺结核 | 41.35 | 4 | 0.17 | 5 |
| 梅毒 | 36.64 | 5 | 0.03 | 6 |
| 病毒性肝炎 | 19.86 | 6 | 0.33 | 2 |
| 痢疾 | 19.46 | 7 | 0.65 | - |
| 艾滋病/HIV | 2.16 | 8 | 0.32 | 3 |
| 流行性腮腺炎 | 0.85 | 9 | 0.00 | - |
| 淋病 | 0.60 | 10 | 0.00 | - |
| 布病 | 0.25 | 11 | 0.00 | - |
| 手足口病 | 0.17 | 12 | 0.00 | - |
| 伤寒、副伤寒 | 0.08 | 13 | 0.00 | - |
| 登革热 | 0.03 | 14 | 0.00 | - |
| 急性出血性结膜炎 | 0.03 | 14 | 0.00 | - |
| 疟疾 | 0.03 | 14 | 0.00 | - |
| 乙脑 | 0.03 | 14 | 0.00 | - |
| 霍乱 | 0.02 | 18 | 0.00 | - |
| 风疹 | 0.02 | 18 | 0.00 | - |
| 麻疹 | 0.02 | 18 | 0.00 | - |
| 钩体病 | 0.02 | 18 | 0.00 | - |
| 合计 | 967.70 | - | 5.30 | - |
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2014—2023年朝阳区≥60岁老年人不同法定传染病病种发病及死亡情况
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| 疾病 | 发病率 (/10万) | 发病顺位 | 死亡率 (/10万) | 死亡顺位 |
|---|
| 流感 | 393.29 | 1 | 0.27 | 4 |
| COVID-19 | 382.74 | 2 | 4.18 | 1 |
| 其它感染性腹泻病 | 70.05 | 3 | 0.00 | - |
| 肺结核 | 41.35 | 4 | 0.17 | 5 |
| 梅毒 | 36.64 | 5 | 0.03 | 6 |
| 病毒性肝炎 | 19.86 | 6 | 0.33 | 2 |
| 痢疾 | 19.46 | 7 | 0.65 | - |
| 艾滋病/HIV | 2.16 | 8 | 0.32 | 3 |
| 流行性腮腺炎 | 0.85 | 9 | 0.00 | - |
| 淋病 | 0.60 | 10 | 0.00 | - |
| 布病 | 0.25 | 11 | 0.00 | - |
| 手足口病 | 0.17 | 12 | 0.00 | - |
| 伤寒、副伤寒 | 0.08 | 13 | 0.00 | - |
| 登革热 | 0.03 | 14 | 0.00 | - |
| 急性出血性结膜炎 | 0.03 | 14 | 0.00 | - |
| 疟疾 | 0.03 | 14 | 0.00 | - |
| 乙脑 | 0.03 | 14 | 0.00 | - |
| 霍乱 | 0.02 | 18 | 0.00 | - |
| 风疹 | 0.02 | 18 | 0.00 | - |
| 麻疹 | 0.02 | 18 | 0.00 | - |
| 钩体病 | 0.02 | 18 | 0.00 | - |
| 合计 | 967.70 | - | 5.30 | - |
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