绵阳市涪城区2013-2022年丙型病毒性肝炎流行特征分析  

Analysis of the epidemic characteristics of hepatitis C in Fucheng District,Mianyang City from 2013 to 2022

作　　者：王晓丽[1] 熊军[1] 杨晓玲[1] WANG Xiaoli;XIONG Jun;YANG Xiaoling(Department of Prevention and Control of Major infectious Diseases,Fucheng Center for Disease Control and Prevention,Mianyang 621000,China)

机构地区：[1]绵阳市涪城区疾病预防控制中心重大传染病防制科,621000

出　　处：《传染病信息》2023年第5期433-436,444,共5页Infectious Disease Information

摘　　要：目的按照国家关于丙型病毒性肝炎(丙肝)新的防控措施与策略出台时间点,对比分析绵阳市涪城区2013—2016年、2017—2020年、2021—2022年3个时间段(以下简称3个时间段)丙肝的流行特征,分析国家防控措施与策略调整在绵阳市涪城区实施效果。方法采用描述性流行病学方法,对绵阳市涪城区3个时间段丙肝病例资料进行统计,并对相关数据进行流行病学特征分析。结果绵阳市涪城区3个时间段累计报告丙肝2798例,无死亡病例,累计发病率为48.03/10万,不同时间段发病率差异有统计学意义(P<0.05),3个时间段丙肝发病率分别为36.74/10万、47.42/10万和71.86/10万。发病率由2013—2016年的36.74/10万上升到2021—2022年的71.86/10万,发病率呈上升趋势。在3个时间段,农村乡镇累计发病均高于城区街道(P均<0.05);丙肝累计发病病例无季节聚集性发病高峰特征(r=0.064,P>0.05);以50~59岁组发病率较高;发病职业均以农民和农民工为主;男性累计发病均高于女性(P均<0.05)。慢性丙肝病例占88.10%。结论涪城区丙肝发病率呈上升趋势,乡镇发病高于城区、男性发病高于女性。当前丙肝防治工作应从宣传教育、高危干预、监测检测、诊断治疗多渠道入手,采取综合防治措施。Objective To compare and analyze the epidemiological characteristics of hepatitis C in Fucheng District from 2013 to 2016,2017 to 2020,and 2021 to 2022(here in after referred to as the 3 time periods)according to the adjustment of the national prevention and control strategy,analyze the implementation effect of the national prevention and control strategy adjustment in Fucheng District.Methods Descriptive epidemiological analysis was used to analyze the epidemiological characteristics of hepatitis C in Fucheng District of Mianyang City in 3 time periods.The relevant data were analyzed epidemiologically.Results Totally 2798 cases of hepatitis C were reported in Fucheng District in 3 periods,and there was no death case.The incidence rate was 48.03/100000.There was a statistically significant difference in the incidence rate in different periods(P<0.05).The incidence rate of hepatitis C in the 3 periods was 36.74/100000,47.42/100000 and 71.86/100000 respectively.The incidence rate increased from 36.74/100000 in 2013-2016 to 71.86/100000 in 2021-2022,and the incidence of the disease showed an upward trend.The cumulative incidence rate in rural townships was higher than that in urban streets during the 3 periods(P<0.05);There is no seasonal clustering peak characteristic of cumulative incidence of hepatitis C during the 3 periods(r=0.064,P>0.05);The incidence was higher in 50~59 years old group during the 3 periods;Farmers and migrant workers were the main occupational groups during the 3 periods;The cumulative incidence of diseases in males was higher than that in females during the 3 periods(P<0.05).Chronic cases account for 88.10%.Conclusions The incidence of hepatitis C in Fucheng District is on the rise.The incidence in towns is higher than that in urban areas,and the incidence in men is higher than that in women.At present,the prevention and treatment of hepatitis C should start from multiple channels such as publicity and education,high-risk intervention,monitoring and detection,diagnosis and treatment,and take

关 键 词：HCV 丙型病毒性肝炎 发病率 流行特征 对比分析 

分 类 号：R512.63[医药卫生—内科学] R183[医药卫生—临床医学]