十堰市2004-2020年丙型肝炎流行病学特征分析  

Analysis of epidemiological characteristics of hepatitis C in Shiyan City from 2004 to 2020

作　　者：袁晓梅 喻勇[1,2] 殷萌 沈力[1] 王群[1] 刘光明[3] 袁均[4] YUAN Xiaomei;YU Yong;YIN Meng;SHEN Li;WANG Qun;LIU Guangming;YUAN Jun(School of Public Health,Hubei University of Medicine,Shiyan 442000,China;不详)

机构地区：[1]湖北医药学院公共卫生与健康学院,十堰442000 [2]湖北医药学院卫生管理与卫生事业发展研究中心 [3]十堰市疾病预防控制中心 [4]湖北医药学院附属太和医院

出　　处：《医学动物防制》2023年第6期551-554,共4页Journal of Medical Pest Control

基　　金：湖北省普通高等学校人文社科重点研究基地开放基金(2020ZD001,2016YB008)。

摘　　要：目的了解和掌握十堰市2004—2020年丙型肝炎流行病学特征,为制定预防控制措施提供依据。方法采用描述流行病学方法对“中国疾病预防控制信息系统”2004—2020年十堰市丙型肝炎病例资料进行分析。结果2004—2020十堰市累计报告丙型肝炎病例3323例、死亡病例3例,年均发病率为5.8/10万,发病率呈上升趋势(χ^(2)趋势=567.090,P<0.01),低于全国平均水平,差异有统计学意义(χ^(2)=1685.657,P<0.01)。主城区(茅箭区、张湾区)丙型肝炎平均报告发病率高于其他县市区(χ^(2)=776.717,P<0.01)。发病年龄以35~<70岁为主,占丙型肝炎发病总数的76.3%。职业人群以农民和家务/待业人员为主,占丙型肝炎发病总数的56.3%。男性报告发病率略高于女性(χ^(2)=6.468,P<0.05),男女性别比为1.2∶1。丙型肝炎报告发病率无明显季节变化。结论十堰市2004—2020年丙型肝炎报告发病率呈上升趋势,地区差异较大,35~<70岁、农民和家务/待业群体是重点人群。应针对重点地区和重点人群积极开展丙型肝炎防治工作,以有效降低其发病率。Objective To understand and master the epidemiological characteristics of hepatitis C in Shiyan City from 2004 to 2020,so as to provide a basis for formulating prevention and control measures.Methods A descriptive epidemiological method was used to analyze the data of hepatitis C cases in Shiyan City from 2004 to 2020 in the Chinese Disease Prevention and Control Information System.Results A total of 3323 cases of hepatitis C and 3 deaths were reported in Shiyan City from 2004 to 2020,with an average annual incidence of 5.8/100000 and an increasing trend in incidence rate(χ^(2)t rend=567.090,P<0.01),which was lower than the national average,with statistically significant differences(χ^(2)=1685.657,P<0.01).The average reported incidence of hepatitis C in the main urban areas(Maojian District and Zhangwan District)was higher than that in other counties and urban areas(χ^(2)=776.717,P<0.01).The age of incidence was mainly 35 to less than 70 years old,accounting for 76.3%of the total incidence of hepatitis C.The occupational groups were mainly farmers and domestic/unemployed groups,accounting for 56.3%of the total number of hepatitis C cases.The reported incidence rate was slightly higher in males than that in females(χ^(2)=6.468,P<0.05),with a 1.2∶1 male to female ratio.There was no significant seasonal variation in the reported incidence rate of hepatitis C.Conclusion The reported incidence rate of hepatitis C showed an increasing trend in Shiyan City from 2004 to 2020,with large regional differences.The 35 to less than 70-year-old,farmers,and domestic/unemployed groups are the focus groups.The prevention and treatment of hepatitis C should be actively carried out for focus areas and focus groups to effectively reduce the incidence.

关 键 词：丙型肝炎 流行病学特征 报告发病率 疾病监测 十堰市 分析 

分 类 号：R512.63[医药卫生—内科学]