To comprehensively analyze the epidemiological characteristics and trends of intestinal infectious diseases among the elderly population in eastern China, providing data support for formulating regional strategies for the prevention and control of intestinal infectious diseases.
Data on intestinal infectious disease cases among people aged 60 and above in eastern China from 2008 to 2022 were collected and organized from the China National Notifiable Infectious Disease Reporting System. Descriptive methods were used to analyze the distribution characteristics of intestinal infectious diseases among the elderly, and Joinpoint regression was applied to study the dynamic trends in standardized reported incidence rates.
The annual standardized reported incidence rate of intestinal infectious diseases among the elderly in eastern China was 88.75 per 100 000, with males (95.18 per 100 000) having higher rates than females (83.85 per 100 000). The annual reported incidence rate increased with age, with the lowest in the 60-64 age group (79.82 per 100 000) and the highest in the ≥85 age group (118.05 per 100 000). From 2008 to 2022, the standardized reported incidence rate of intestinal infectious diseases among the elderly in eastern China showed a declining trend, with an average annual percentage change of -2.93% (-4.31%~-1.53%, P<0.001). For males and females, the changes were -4.03% (-5.48%~-2.56%, P<0.001) and-2.47% (-3.85%~-1.07%, P=0.001), respectively. Disease-specific trend analysis showed declining trends in the standardized reported incidence rates for bacterial and amebic dysentery, typhoid/paratyphoid, hepatitis E, and unspecified hepatitis, with average annual percentage changes of -14.39% (-16.46%~-12.26%, P<0.001), -7.87% (-10.24%~-5.43%, P<0.001),-3.33% (-5.22%~-1.41%, P=0.003), and -15.63% (-17.14%~-14.09%, P<0.001), respectively.
From 2008 to 2022, intestinal infectious diseases among the elderly in eastern China showed an overall year-by-year declining trend. Older adults and males should be prioritized in prevention and control efforts, and surveillance, prevention, and control measures for these key populations should be further strengthened.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |