2005-2017年成都市丙型病毒性肝炎流行病学特征分析
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摘要
目的了解成都市丙型病毒性肝炎(简称丙肝)流行病学特征,为有针对性地开展丙肝防治工作提供科学依据。方法采用描述流行病学方法,对中国疾病预防控制中心疾病监测信息报告管理系统中成都市报告的2005-2017年丙肝数据进行回顾性分析。结果 2005-2017年成都市共报告丙肝病例13 587例,平均年发病率为8.69/10万,发病率总体呈上升趋(χ~2=2 626,P<0.05)。各区(市)县均有报告发病,不同地区报告发病率有统计学差异(χ~2=141.80,P<0.05)。全年每月均有病例报告,有明显季节性(χ~2=86.43,P<0.05)。男性发病率显著高于女性(χ~2=106.98,P<0.05),50～54岁年龄组发病率显著高于其他年龄组(χ~2=6 148,P<0.05),病例主要为农民,占总病例42.03%。结论成都市丙肝发病率呈上升趋势,应针对重点地区和重点人群开展防控工作。
Objective To explore the hepatitis C epidemic situation, and thus to provide scientific basis for hepatitis C prevention and controlling in Chengdu city. Methods The case data of hepatitis C from the Disease Surveillance Information Reporting System of Chinese Center for Disease Control and Prevention was downloaded for analysis of hepatitis C epidemic during 2005 to 2017. Results A total of 13587 hepatitis C cases were reported in Chengdu city during 2005-2017. The annual average morbidity was 8.69/100000, showing an increasing trend(χ~2=2626, P<0.05). All districts and counties had retorted cases, with a significant difference of incidence in different districts(χ~2=141.80, P<0.05). There were hepatitis C cases reported in every month, with significant difference among seasons(χ~2=86.43, P<0.05). The incidence of males were significantly higher than that of females(χ~2=106.98, P<0.05), and the incidence of 50-54 age group was significantly higher than other age groups(χ~2=6148,P<0.05). Farmers in all reported cases accounted for 42.03%. Conclusion The reported incidence rate of hepatitis C has a tendency to increase in Chengdu. We should strengthen effective measures to control the hepatitis C in key districts and key populations.
Objective To explore the hepatitis C epidemic situation, and thus to provide scientific basis for hepatitis C prevention and controlling in Chengdu city. Methods The case data of hepatitis C from the Disease Surveillance Information Reporting System of Chinese Center for Disease Control and Prevention was downloaded for analysis of hepatitis C epidemic during 2005 to 2017. Results A total of 13587 hepatitis C cases were reported in Chengdu city during 2005-2017. The annual average morbidity was 8.69/100000, showing an increasing trend(χ~2=2626, P<0.05). All districts and counties had retorted cases, with a significant difference of incidence in different districts(χ~2=141.80, P<0.05). There were hepatitis C cases reported in every month, with significant difference among seasons(χ~2=86.43, P<0.05). The incidence of males were significantly higher than that of females(χ~2=106.98, P<0.05), and the incidence of 50-54 age group was significantly higher than other age groups(χ~2=6148,P<0.05). Farmers in all reported cases accounted for 42.03%. Conclusion The reported incidence rate of hepatitis C has a tendency to increase in Chengdu. We should strengthen effective measures to control the hepatitis C in key districts and key populations.
引文
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[2]秦倩倩,郭巍,王丽艳,等.1997-2011年中国丙型肝炎流行特征分析[J].中华流行病学杂志,2013,34(6):548-551.
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[4]车晓文,梅林,赵启玉,等.2006-2015年山西省太原市丙型病毒性肝炎流行特征分析[J].疾病监测,2016,31(9):726-729.
[5]陈水连,陈田木,李亚曼,等.长沙市2005-2014年丙型病毒性肝炎流行状况分析[J].中国热带医学,2015,15(10):1204-1206.
[6]武海波,周紫霄,黄奕祥.2004-2011年中国丙型病毒性肝炎流行病学特征分析[J].现代预防医学,2015,42(7):1173-1175.
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[8]陈园生,李黎,崔富强,等.中国丙型肝炎血清流行病学研究[J].中华流行病学杂志,2011,32(9):888-891.
[9]陈超,张燕琳,胡晓.成都市食品及公共场所从业人员艾滋病、丙型肝炎感染状况及预防知识调查[J].预防医学情报杂志,2017,33(8):780-783.
[10]刘润友,许军红,谭柯,等.2007~2008年四川省医疗机构法定传染病漏报情况调查分析[J].现代预防医学,2011,38(9):1653-1655, 1657.
[11]何海艳,吴伟慎,李超,等.天津市医疗机构丙肝病例诊断及报告质量现况调查[J].现代预防医学,2016,43(18):3366-3369.
[12]张秀娟.信阳市丙型病毒性肝炎病例报告数据质量核查分析[J].现代预防医学,2015,42(19):3597-3598, 3614.
[13]黑发欣,白广义,李洁,等.2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J].疾病监测,2014,29(7):574-577.
[14]崔妹娟,王晓春.丙型肝炎流行状况及危险因素的研究进展[J].中国艾滋病性病,2014,20(2):141-144.
[15]孙海泉,肖革新,郭莹,等.中国2008-2012年丙肝流行规律及空间聚集性分析[J].中国公共卫生,2014,30(3):286-289.
[16]蒋和宏,卢戎戎,罗琳,等.重庆市2004-2014年丙型病毒性肝炎流行病学分析[J].中国艾滋病性病,2017,23(1):60-62.
[17]连巧龄,吴韶彬,陈亮.2005-2015年福建省丙型病毒性肝炎流行特征分析[J].中国艾滋病性病,2017,23(1):56-59.
[18] Averhoff FM, Glass N, Holtzman D. Global burden of hepatitis C:considerations for healthcare providers in the United States[J]. Clini-cal Infectious Diseases, 2012, 55(Suppl 1):S10-15.
[19]潘献红,陈兆霞,杨宗凤.600例丙型病毒性肝炎感染特征与预防对策[J].河北联合大学学报(医学版),2013,15(5):692-693.
[20]中华人民共和国国家卫生和计划生育委员会.丙型病毒性肝炎筛查及管理[J].传染病信息,2015,28(1):1-2, 22.
[21]刘文武,刘宗林,杨蓉.2004-2012年遂宁市丙型病毒性肝炎流行特征分析[J].预防医学情报杂志,2014,30(7):544-548.
[22]马智超,邱定海,于宝柱,等.2007~2010年5月深圳市宝安区丙型肝炎疫情分析[J].疾病预防控制通报,2011,26(3):1-3.
[2]秦倩倩,郭巍,王丽艳,等.1997-2011年中国丙型肝炎流行特征分析[J].中华流行病学杂志,2013,34(6):548-551.
[3]李凤,寇玲玲,刘继锋.2005-2015年西安市丙型肝炎流行特征分析[J].现代预防医学,2016,43(21):3862-3864, 3879.
[4]车晓文,梅林,赵启玉,等.2006-2015年山西省太原市丙型病毒性肝炎流行特征分析[J].疾病监测,2016,31(9):726-729.
[5]陈水连,陈田木,李亚曼,等.长沙市2005-2014年丙型病毒性肝炎流行状况分析[J].中国热带医学,2015,15(10):1204-1206.
[6]武海波,周紫霄,黄奕祥.2004-2011年中国丙型病毒性肝炎流行病学特征分析[J].现代预防医学,2015,42(7):1173-1175.
[7]刘雷,张连生,汤恒,等.丙型肝炎病毒感染的危险因素研究进展[J].现代预防医学,2014,41(6):1115-1117.
[8]陈园生,李黎,崔富强,等.中国丙型肝炎血清流行病学研究[J].中华流行病学杂志,2011,32(9):888-891.
[9]陈超,张燕琳,胡晓.成都市食品及公共场所从业人员艾滋病、丙型肝炎感染状况及预防知识调查[J].预防医学情报杂志,2017,33(8):780-783.
[10]刘润友,许军红,谭柯,等.2007~2008年四川省医疗机构法定传染病漏报情况调查分析[J].现代预防医学,2011,38(9):1653-1655, 1657.
[11]何海艳,吴伟慎,李超,等.天津市医疗机构丙肝病例诊断及报告质量现况调查[J].现代预防医学,2016,43(18):3366-3369.
[12]张秀娟.信阳市丙型病毒性肝炎病例报告数据质量核查分析[J].现代预防医学,2015,42(19):3597-3598, 3614.
[13]黑发欣,白广义,李洁,等.2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J].疾病监测,2014,29(7):574-577.
[14]崔妹娟,王晓春.丙型肝炎流行状况及危险因素的研究进展[J].中国艾滋病性病,2014,20(2):141-144.
[15]孙海泉,肖革新,郭莹,等.中国2008-2012年丙肝流行规律及空间聚集性分析[J].中国公共卫生,2014,30(3):286-289.
[16]蒋和宏,卢戎戎,罗琳,等.重庆市2004-2014年丙型病毒性肝炎流行病学分析[J].中国艾滋病性病,2017,23(1):60-62.
[17]连巧龄,吴韶彬,陈亮.2005-2015年福建省丙型病毒性肝炎流行特征分析[J].中国艾滋病性病,2017,23(1):56-59.
[18] Averhoff FM, Glass N, Holtzman D. Global burden of hepatitis C:considerations for healthcare providers in the United States[J]. Clini-cal Infectious Diseases, 2012, 55(Suppl 1):S10-15.
[19]潘献红,陈兆霞,杨宗凤.600例丙型病毒性肝炎感染特征与预防对策[J].河北联合大学学报(医学版),2013,15(5):692-693.
[20]中华人民共和国国家卫生和计划生育委员会.丙型病毒性肝炎筛查及管理[J].传染病信息,2015,28(1):1-2, 22.
[21]刘文武,刘宗林,杨蓉.2004-2012年遂宁市丙型病毒性肝炎流行特征分析[J].预防医学情报杂志,2014,30(7):544-548.
[22]马智超,邱定海,于宝柱,等.2007~2010年5月深圳市宝安区丙型肝炎疫情分析[J].疾病预防控制通报,2011,26(3):1-3.