江西省农民丙型病毒性肝炎流行特征分析  

Epidemic characteristics of hepatitis C among farmers in Jiangxi

作　　者：叶珍珍 卢凌[1] 成慧[1] 刘家虹[1] 龚俊平[1] 尹梅[1] 杨晴[1] YE Zhen-zhen;LU Ling;CHENG Hui;LIU Jia-hong;GONG Jun-ping;YIN Mei;YANG Qing(Jiangxi Provincial Center for Disease Control and Prevention,Nanchang,Jiangxi 330000,China)

机构地区：[1]江西省疾病预防控制中心,江西南昌330000

出　　处：《现代预防医学》2023年第3期556-560,共5页Modern Preventive Medicine

基　　金：江西省卫生健康委科技计划(202310076)。

摘　　要：目的 掌握江西省农民人群的丙型病毒性肝炎的流行特征,为丙型病毒性肝炎的防治提供科学依据。方法 从中国疾病预防控制信息系统传染病报告信息管理系统中导出2014—2019年江西省农民丙肝报告病例数据进行描述性统计学分析。结果 2014—2019年共报告农民丙肝病例8 938例,年均报告发病率为6.95/10万。不同年度农民丙肝报告发病率存在差异(P<0.001),2015年最高。报告发病率前三的设区市为萍乡市、抚州市和南昌市,平均报告发病率为33.52/10万、27.30/10万、8.21/10万。农民人群中丙肝发病无明显季节性特征。总体女性病例多于男性,男女性别比为0.66∶1;年龄分布以40~69岁为主,占比75.96%。诊断分类以确诊病例为主,占比80.51%;慢性病例占83.71%。结论2014—2019年农民人群中丙肝发病呈下降趋势,发病具有明显的地区和人群流行特征。可针对农民开展专题宣传教育,提高检测意识,同时完善医疗保障体系,减轻疾病负担。Objective To investigate the epidemic characteristics of hepatitis C among farmers in Jiangxi Province and provide scientific basis for the prevention and treatment of hepatitis C. Methods The data of hepatitis C among farmers during 2014to 2019 in Jiangxi Province were derived from the infectious disease report information management system of the Chinese disease prevention and control information system, followed by descriptive statistics analysis. Results A total of 8 938 cases of hepatitis C in farmers were reported from 2014 to 2019. The average annual reported incidence rate was 6.95/100 000.The incidence rate of hepatitis C reported among farmers varied in different years(P<0.001), and it was the highest in 2015.Pingxiang, Fuzhou, and Nanchang were the top three cities, with the average reported incidence rate of 33.52/100 000, 27.30/100 000, and 8.21/100 000, respectively. The incidence of hepatitis C in farmers had no obvious seasonal characteristics. In general, there were more female cases than male cases, with the ratio of 1:0.66. The age distribution was mainly from 40 to 69 years old, accounting for 75.96%. The main diagnostic classification was confirmed cases, accounting for 80.51%, and chronic cases accounted for 83.71%. Conclusion The incidence of hepatitis C among farmers showed a downward trend, with obvious regional and population epidemic characteristics. Special publicity and education can be carried out for farmers to improve their awareness of testing, and the medical security system should be improved to reduce the burden of disease.

关 键 词：农民 丙肝 流行特征 

分 类 号：R512.63[医药卫生—内科学] R181.3[医药卫生—临床医学]