广东省2005—2013年丙型病毒性肝炎流行特征分析  

Epidemiological characteristics of hepatitis C in Guangdong Province,2005-2013

作　　者：付笑冰[1] 林鹏[1] 李艳[1] 叶荣[1] 黎健荣 

机构地区：[1]广东省疾病预防控制中心,广东广州511430

出　　处：《华南预防医学》2015年第5期435-438,共4页South China Journal of Preventive Medicine

基　　金：广东省医学科研基金项目(C2014005)

摘　　要：目的分析近年广东省丙型病毒性肝炎（丙肝）的流行概况和流行特征，为制定防控策略提供参考依据。方法通过中国疾病预防控制信息系统收集2005—2013年广东省报告的丙肝病例疫情数据，采用描述性流行病学方法进行分析。结果广东省2005—2013年共报告丙肝病例107 316例，报告死亡病例107例；报告病例数从2005年的3 784例逐年增至2013年的18 413例，年均增长率为22.9%。报告病例数排前6位的地市依次为广州（23 107例）、佛山（13 794例）、深圳（10 529例）、东莞（8 408例）、中山（5 478例）和茂名（5 005例），合计占总病例数的61.8%。男性72 855例，女性34 461例，男女性别比为2.1∶1。发病年龄主要集中在20～49岁，共报告77 798例，占总病例数的72.5%。职业构成中以家务及待业为主，占21.6%（23 131例），其次为农、牧、渔民占18.5%（19 831例）、工人占11.6%（12 428例）、儿童和学生占3.3%（3 574例）。结论2005—2013年广东省丙肝报告病例数呈逐年增加趋势，提示存在一定的不安全诊疗行为，应加强对不安全诊疗行为的监管力度。ObjectiveTo analyze the epidemiological features of hepatitis C in Guangdong Province in recent years so as to provide strategies for control and prevention of hepatitis C. MethodsData of hepatitis C cases were downloaded from China information system for disease control and prevention and then analyzed using descriptive epidemiological methods. ResultsA total of 107 316 cases of hepatitis C were reported from 2005 to 2013, including 107 deaths. The number of reported cases increased from 3 784 in 2005 to 18 413 in 2013, with an average annual growth rate of 22.9%. Top six cities with most reported cases were Guangzhou （23 107）, Foshan （13 794）, Shenzhen （10 529）, Dongguan （8 408）, Zhongshan （5 478）, and Maoming （5 005）, which accounted for 61.8% of total reported cases. There were 72 855 males and 34 461 females; the malefemale ratio of the cumulative cases was 2.1∶1. The cases were mainly concentrated in the age group between 20 and 49 years （77 798 cases, 72.5% of the total cases）. The occupations of the cases were mainly the housework and unemployed （23 131, 21.6%）, followed by peasants, herders, and fishermen （19 831, 18.5%）, workers （12 428, 11.6%）, and children and students （3 574, 3.3%）.ConclusionThe reported cases of hepatitis C have increased annually in Guangdong Province from 2005 to 2013, indicating there were unsafe behaviors in medical practice in Guangdong. The supervision of unsafe behaviors in medical practice should be strengthened.

关 键 词：肝炎 丙型 流行病学 

分 类 号：R512.63[医药卫生—内科学] R181[医药卫生—临床医学]