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作 者:张润 聂清 杨秉银 ZHANG Run;NIE Qing;YANG Bingyin(Liangzhou Center for Disease Control and Prevention,Wuwei 733000,Gansu Province,China)
机构地区:[1]武威市凉州区疾病预防控制中心,甘肃武威733000
出 处:《预防医学情报杂志》2025年第1期45-51,共7页Journal of Preventive Medicine Information
摘 要:目的通过对2013—2022年武威市凉州区丙型病毒性肝炎(简称丙肝)发病报告数据进行流行病学特征分析,为相关部门有效控制丙肝疫情、制定防控措施提供参考依据。方法通过中国疾病预防控制信息系统收集2013—2022年武威市凉州区丙肝发病报告数据,采用描述性流行病学方法对丙肝的发病现状和流行病学特征进行分析,各种率和构成差异采用χ^(2)检验,以P<0.05为差异有统计学意义。结果2013—2022年武威市凉州区共报告丙肝病例8490例,年均发病率为(85.76/10万),丙肝发病率2013—2016年呈逐年上升趋势(χ_(趋势)^(2)=506.280,P<0.001),2017—2022年呈逐年下降趋势(χ_(趋势)^(2)=933.983,P<0.001),丙肝发病主要集中于城区8个街道和邻近城区周边8个乡镇,累计报告数4204例,占总发病数的49.52%。发病年龄主要集中于40~69岁年龄组,占66.11%;男性发病数和发病率均低于女性;职业分布主要以农民、家务及待业、离休人员为主。结论2013—2016年武威市凉州区丙肝疫情总体呈逐年上升趋势,2017—2022年总体呈逐年下降趋势;今后应加强各级医疗机构医务人员关于丙肝诊断标准和报告质量的培训;强化公众丙肝预防知识的宣传教育,有效控制丙肝的发病和流行。Objective To analyze the epidemiological characteristics of the incident hepatitis C(hepatitis C)in Liangzhou District,Wuwei City from 2013 to 2022,and provides reference for the relevant departments to formulate prevention and control measures for hepatitis C.Methods The incidence data of hepatitis C in Liangzhou District of Wuwei City from 2013 to 2022 were collected from the Chinese Information System for Disease Control and Prevention.Descriptive statistics were used to analyze the epidemiological characteristics of hepatitis C.Differences of rates across different groups were analyzed byχ^(2)test,and P<0.05 was statistically significant.Results A total of 8490 cases of hepatitis C were reported in Liangzhou District of Wuwei City from 2013 to2022,with an average annual incidence of 85.76/105.The incidence of hepatitis C showed an increasing trend from 2013 to 2016(χ_(trend)^(2)=506.280,P<0.001),but showed an decreased trend from 2017 to 2022(χ_(trend)^(2)=933.983,P<0.001).The incidence of hepatitis C wasmainly concentrated in 7 streets in the urban area and 8 townships around the neighboring urban area,including 4204cases,accounting for 49.52%of the total cases.The age of hepatitis C cases was mainly concentrated in 40-69 years,accounting for 66.11%of total cases.The number and incidence of hepatitis C in males were lower than those in females.The occupation of hepatitis C cases was mainly farmers,housework and unemployed,and retired people.Conclusions The incidence of hepatitis C in Liangzhou District of Wuwei City showed an increasing trend from 2013 to 2016,but a decreasing trend from 2017 to 2022.In the future,the training of medical personnel at all levels of medical institutions for the diagnostic criteria and the quality of reporting of hepatitis C should be strengthened.The publicity and education of hepatitis C prevention knowledge should be enhanced to effectively control the incidence and prevalence of hepatitis C.
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