2008—2018年绍兴市乙型病毒性肝炎流行趋势分析  

Epidemic trend of viral hepatitis B in Shaoxing from 2008 to 2018

作　　者：马岩[1] 方益荣[1] 王吉玲[1] 赵棋锋 傅利军[1] MA Yan;FANG Yirong;WANG Jiling;ZHAO Qifeng;FU Lijun(Shaoxing Center for Disease Control and Prevention,Shaoxing,Zhejiang 312071,China)

机构地区：[1]绍兴市疾病预防控制中心

出　　处：《预防医学》2020年第1期1-3,8,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：绍兴市卫生计生科技计划项目(2017CX016)

摘　　要：目的了解2008-2018年绍兴市乙型病毒性肝炎(乙肝)流行趋势,为制定乙肝防控策略提供依据。方法通过中国疾病预防控制信息系统的传染病报告信息管理系统收集2008-2018年绍兴市乙肝疫情资料,采用描述流行病学方法分析绍兴市乙肝疫情的时间、地区和人群分布特征,采用年度变化百分比(APC)分析乙肝疫情流行趋势。结果2008-2018年绍兴市共报告乙肝病例22 764例,年平均发病率为42.24/10万,标化发病率为39.19/10万。2008-2018年绍兴市乙肝发病率总体呈下降趋势,其中2012-2018年APC为-18.00%,呈逐年下降趋势(P<0.05)。绍兴市6个县(市、区)均有乙肝病例报告,年平均发病率居前三位的是诸暨市(49.40/10万)、越城区(44.17/10万)和新昌县(43.28/10万)。男性乙肝发病率为57.07/10万,高于女性的27.33/10万(P<0.05)。发病年龄集中在25~59岁,16 941例占74.42%。乙肝病例职业以农民、工人和民工为主,分别为15 013例、2 730例和1 121例,占65.95%、11.99%和4.92%。结论 2008-2018年绍兴市乙肝发病率呈下降趋势,25~59岁人群,农民、工人和民工群体是乙肝发病的重点人群。Objective To understand the epidemiological characteristics of viral hepatitis B in Shaoxing from 2008 to 2018,so as to provide basis for formulating the viral hepatitis B prevention and control strategy. Methods The data of viral hepatitis B cases in Shaoxing from 2008 to 2018 were collected from infectious diseases reporting and management system. Descriptive epidemiological method was employed to analyze the time, place and population characteristics of viral hepatitis B cases in Shaoxing. Annual percentage change(APC) was calculated to analyze the development trend of viral hepatitis B. Results From2008 to 2018,a total of 22 764 cases of viral hepatitis B were reported in Shaoxing,with an average annual incidence rate of42.24/100 000 and a standardized incidence rate of 39.19/100 000. The incidence rate of viral hepatitis B decreased from 2008 to2018,among which the APC from 2012 to 2018 was-18.00% with a significantly downward trend(P<0.05). Six counties,cities or districts in Shaoxing reported cases of viral hepatitis B,of which Zhuji(49.40/100 000),Yuecheng(44.17/100 000)and Xinchang(43.28/100 000) ranked top three in average annual incidence rate. The incidence rate of viral hepatitis B in men was 57.07/100 000,which was higher than 27.33/100 000 in women(P<0.05).The age of onset was mainly 25-59 years old,with 16 941 cases(74.42%) reported. The top three occupations were farmers, workers and migrant workers, with 15 013(65.95%),2 730(11.99%) and 1 121(4.92%) cases reported,respectively. Conclusions The incidence of viral hepatitis B in Shaoxing from 2008 to 2018 showed a downward trend. Farmers,workers and migrant workers aged 25-59 years were at high risk of hepatitis B infection.

关 键 词：乙型病毒性肝炎 年度变化百分比 流行特征 

分 类 号：R512.62[医药卫生—内科学]