安徽省外省报本地丙型肝炎流行特征及其报病情况分析  

Analysis on epidemiological characteristics of hepatitis C cases in Anhui province reported by medical institutions in other provinces and case reporting situation

作　　者：崔利利[1] 王建军[1,2] 曹琛[3] 王玮[3] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计系,安徽合肥230032 [2]安徽省疾病预防控制中心,安徽合肥230601 [3]安徽医科大学公共卫生学院公共卫生专业,安徽合肥230032

出　　处：《现代预防医学》2015年第12期2116-2120,共5页Modern Preventive Medicine

摘　　要：目的描述2004-2013年安徽省外省报本地丙型肝炎流行特征,并分析其报病情况。方法对2004-2013年外地报本地丙型肝炎网络报告病例数的流行病学特征（性别、年龄、城乡、职业）进行分析,并进行其与医疗机构数的线性相关分析,且对报告病例所属地区构成比进行χ^2趋势检验。结果 2004-2013年安徽省外地报本地丙肝病例报告数呈逐年上升趋势,至2013年报告丙肝病例数为330例,较2004年（73例）上升了352.05%;年龄主要分布在30～50岁（49.24%）之间,职业以农民（47.73%）为主。外省报本地丙肝病例主要分布在沿海及邻省、市等地区,病例所属地区多为安徽北部城市;中部地区病例构成呈总体上升趋势。2004-2013年外省丙肝报告医疗机构数增加与报告丙肝病例数上升呈正相关（r=0.965,P〈0.05）。结论外省报本地病例主要为本省北部农村外出务工至沿海及邻省等地区人员,提示应加强流动人群的监管力度及地区疫情监测。Objective The aim of this study was to describe the epidemiological features of hepatitis C cases in Anhui province which were reported by medical institutions in other provinces, and analyze its trends on cases reporting. Methods The epidemiological characteristics for reported cases such as gender, age, occupation, urban and rural areas were analyzed according to the national disease surveillance and report system from 2004 to 2013 in Anhui province. Linear correlation was used to analyze the relationship between the number of hepatitis C cases and the number of reported medical institutions in other provinces according to the national disease surveillance and report system from 2004 to 2013 in Anhui province. Trend Chi-square test was utilized by comparing the percentages of reported hepatitis C cases in their respective districts among these institutions. Results In 2013, the number of hepatitis C case was 330, which increased by 352.05% compared to the number in 2004. About half of the patients were between 30 and 50 years old（49.24%） and 47.73% were farmers. The cases were mainly reported in coastal areas and neighboring provinces or municipalities. And the cases were mostly from the northern areas of Anhui province. The constitution of the cases showed a general increasing trend in central area. There was a positive correlation between hepatitis C reported incidence rate and the number of reported medical institutions（r=0.965, P〈0.05）. Conclusion The cases mainly were migrants from the northern areas of Anhui province. Therefore, it is necessary to strengthen the supervision of migrant populations and regional surveillance to prevent hepatitis C epidemic from happening in Anhui province.

关 键 词：肝炎 丙型 病例报告 相关分析 流动人口 构成比 

分 类 号：R181.2[医药卫生—流行病学]