2011—2020年平顶山市乙型病毒性肝炎流行病学特征分析  

Epidemiological characteristics of hepatitis B in Pingdingshan city from 2011 to 2020

作　　者：李琼[1] 谢清梅[1] 马西平[1] LI Qiong;XIE Qing-mei;MA Xi-ping(Department of Quality Control,Pingdingshan Municipal Center for Disease Control and Prevention,467000,China)

机构地区：[1]平顶山市疾病预防控制中心质量控制科,467000

出　　处：《传染病信息》2022年第3期254-258,共5页Infectious Disease Information

摘　　要：目的 分析河南省平顶山市2011—2020年乙型病毒性肝炎(乙肝)流行病学特征,为调整本市的乙肝防控策略和措施提供科学依据。方法 通过中国疾病预防控制信息系统收集网络直报的平顶山市2011—2020年乙肝病例数据,采用描述性流行病学方法进行分析。结果 2011—2020年平顶山市共报告27 078例乙肝病例,年平均发病率为67.47/10万,2016—2020年期间的年平均发病率(36.95/10万)较2011—2015年期间(98.46/10万)明显下降(χ^(2)=5628.949,P=0.000);急、慢性乙肝发病率分别为8.50/10万和57.88/10万;0~14岁以下儿童年平均发病率最低,为2.89/10万,随着年龄的增长,乙肝报告发病率呈现逐渐增高的趋势(χ^(2)趋势=4644.258,P=0.000);男性年平均发病率(71.21/10万)高于女性(63.44/10万)(χ^(2)=89.803,P=0.000);2016—2020年间发病率居前3位的分别为宝丰县(58.40/10万)、舞钢市(57.83/10万)、石龙区(56.50/10万),均为城郊地区。结论 平顶山市2011—2020年乙肝报告发病率呈下降趋势,尤以0~14岁以下儿童发病率较低。建议进一步加强成人乙肝防控工作,并重点加强宝丰县和舞钢市等高风险地区的防控工作。Objective To analyze the epidemiological characteristics of hepatitis B in Pingdingshan City of Henan Province from 2011 to 2020, so as to provide scientific basis for the prevention and control strategies and measures of hepatitis B. Methods The incidence data of hepatitis B in Pingdingshan City from 2011 to 2020 were obtained from National Diseases Reporting Information System for descriptive epidemiological analysis. Results A total of 27 078 hepatitis B cases were reported in Pingdingshan City from 2011 to 2020, with an annual average incidence rate of 67.47 per 100 000. The incidence of hepatitis B showed a significant decline from 2011-2015(98.46 per 100 000) to 2016-2020(36.95 per 100 000)(χ^(2)=5628.949, P <0.0001). Incidences of acute and chronic hepatitis B were 8.5 per 100 000 and 57.88 per 100 000, respectively. The incidence of hepatitis B in children aged 1-14 years old was lower than those in other age groups. The incidence of hepatitis B increased with aging(χ^(2)trend=4644.258, P <0.0001). The incidence of hepatitis B in males(71.21 per 100 000) was higher than that in females(63.44 per 100 000)(χ^(2)=89.803, P <0.0001). The top 3 incidences were reported in Baofeng County(58.40 per 100 000), Wugang County(57.83 per 100 000), and Shilong County(56.50 per 100 000) from 2016 to 2020. Conclusions From 2011 to 2020, the reported incidence of hepatitis B showed a declining trend in Pingdingshan City,especially in children aged 1-14 years old. Suggestions to further streng then the adult hepatitis B prevention and control work and focus on enhancing Baofeng County and Wugang City, and other high-risk areas of prevention and control work.

关 键 词：乙型肝炎 发病率 流行特征 平顶山 

分 类 号：R181.2[医药卫生—流行病学] R512.6[医药卫生—公共卫生与预防医学]