Global burden and incidence trends of zika virus infection among women aged 15–49 years from 2011 to 2021: A systematic analysis

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES Journal of Infection and Public Health Pub Date : 2024-09-27 DOI:10.1016/j.jiph.2024.102557

Chenyuan Qin , Yaping Wang , Min Liu , Jue Liu

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Abstract

Background

Zika virus (ZIKV) infection during pregnancy presents a significant health risk in women of reproductive age and their offspring due to severe neurological complications. It is meaningful to assess its global burden and temporal trends.

Methods

This study extracted annual incidence cases and rates of ZIKV among women of reproductive age (15–49 years) between 2011 and 2021 from Global Burden of Diseases (GBD) 2021, including global level, 21 GBD regions, 5 socio-demographic index (SDI) regions, 7 age groups, and 204 countries and territories. Relative percent change in cases and estimated annual percentage change (EAPC) of incidence rates were used to quantify the temporal trends.

Results

The incidence rate of ZIKV infection exhibited a pronounced peak in 2016 at 174.27 per 100,000 population, with an EAPC of 158.30 % from 2011 to 2016 and −51.86 % from 2016 to 2021 at 3.06 per 100,000 population. And only 5 out of the 21 GBD regions reported ZIKV infection in 2021, predominantly concentrated in Latin America and Caribbean. The outbreaks were primarily concentrated in low-middle and middle SDI regions. In 2021, at the global level, the incidence rates of ZIKV infection among women of reproductive age were similar across different age groups, ranging from 2.41 to 3.39 per 100,000 population. The proportion of ZIKV infection cases was slightly higher in women aged 25–29 and 30–34 years compared to other age groups in 2021, whereas a higher proportion of cases were observed in younger age groups in 2011 and 2016.

Conclusions

Women of reproductive age in Latin America and Caribbean continue to face the threat of ZIKV. Regions with lower SDI had a disproportionately severe burden. Future public health strategies should focus on high-risk areas and populations of reproductive age, enhancing surveillance, prevention, and education efforts to further mitigate the public health threat posed by ZIKV.

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2011 年至 2021 年全球 15-49 岁女性感染寨卡病毒的负担和发病趋势：系统分析

背景妊娠期感染寨卡病毒（ZIKV）会导致严重的神经系统并发症，给育龄妇女及其后代带来巨大的健康风险。本研究从《2021 年全球疾病负担》（Global Burden of Diseases，GBD）中提取了 2011 年至 2021 年育龄妇女（15-49 岁）中 ZIKV 的年度发病病例和发病率，包括全球水平、21 个 GBD 地区、5 个社会人口指数 (SDI) 地区、7 个年龄组以及 204 个国家和地区。结果ZIKV感染的发病率在2016年达到了一个明显的高峰，为每10万人174.27例，2011年至2016年的EAPC为158.30%，2016年至2021年的EAPC为-51.86%，为每10万人3.06例。而在 21 个 GBD 地区中，只有 5 个地区在 2021 年报告了 ZIKV 感染，主要集中在拉丁美洲和加勒比地区。疫情主要集中在中低 SDI 地区。2021 年，在全球范围内，不同年龄组育龄妇女的 ZIKV 感染率相似，从每 10 万人 2.41 例到 3.39 例不等。2021 年，25-29 岁和 30-34 岁女性感染 ZIKV 病例的比例略高于其他年龄组，而 2011 年和 2016 年，较年轻年龄组的病例比例较高。SDI 较低的地区承受着不成比例的沉重负担。未来的公共卫生战略应重点关注高风险地区和育龄人群，加强监测、预防和教育工作，以进一步减轻 ZIKV 对公共卫生的威胁。

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来源期刊

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.