2012～2017年大理州丙型病毒性肝炎流行特征分析
|
摘要
目的了解大理州丙型肝炎的流行病学特征及疫情状况,为丙型肝炎防治工作提供科学依据。方法从中国疾病预防控制信息系统收集2012~2017年大理州报告的丙型肝炎病例,应用描述性流行病学方法进行分析。结果大理州2012~2017年共报告丙型肝炎病例3 441例,死亡1例。报告病例数从2012年的530例上升到2017年的664例,丙型肝炎报告发病率也从2012年的15.18/10万上升到2017年的18.44/10万,不同年份发病率差异有统计学意义(P<0.01)。在3 441例报告病例中,男性2 459例,占71.46%,女性982例,占28.54%,男女性别比为2.53∶1,男性高于女性(P<0.01)。发病以青壮年为主,年龄主要集中在40~49岁,占36.91%;其次为30~39岁,占29.90%。职业构成中主要以农民为主,占71.29%(2 453/3 441),其次为家务及待业,占8.34%(287/3 441),工人居第3位,占4.01%(138/3 441)。高发地区主要集中在弥渡县、大理市和巍山县,大理州2012~2017年报告发病年平均增长率为4.61%,增长幅度居前3位的是南涧县、宾川县、弥渡县。结论大理州2012~2017年丙型肝炎报告发病率呈上升趋势。
Objective To understand the epidemiological characteristics and epidemic situation of hepatitis C in Dali prefecture from 2012 to 2017,so as to provide scientific basis for the prevention and treatment of hepatitis C. MethodsThe hepatitis C cases reported by Dali prefecture during 2012-2017 were collected from the China Disease Prevention and Control Information System and analyzed using descriptive descriptive epidemiological method. Results In Dali prefecture,a total of 3 441 cases of hepatitis C were reported during 2012-2017 including one death.The number of reported cases increased from 530 in 2012 to 664 in 2017.The reported incidence of hepatitis C also increased from 15.18/105 in 2012 to 18.44/105 in 2017(P <0.01).Of the 3 441 reported cases,2 459 were males,accounting for 71.46%,and 982 were females,accounting for 28.54%.The gender ratio was 2.53:1 for males and females,and higher in males than that of females(P <0.01).The incidence was mainly among young and middle-aged,and the age was mainly concentrated in 40-49 years old,accounting for 36.91%,followed by 30-39 years old,accounting for 29.90%.Occupational composition was mainly farmer-based,accounting for 71.29%(2 453/3 441),followed by housework and unemployed,accounting for8.34%(287/3 441),and workers rank third,accounting for 4.01%(138/3 441).The high-incidence areas were mainly concentrated in Midu,Dali,and Weishan,Dali prefecture reported an average annual growth rate of 4.61% from 2012 to2017.The top three growth rates were in Nanjian,Binchuan,and Mindu counties. Conclusion The reported incidence of hepatitis C in Dali prefecture has been on an upward trend from 2012 to 2017.
Objective To understand the epidemiological characteristics and epidemic situation of hepatitis C in Dali prefecture from 2012 to 2017,so as to provide scientific basis for the prevention and treatment of hepatitis C. MethodsThe hepatitis C cases reported by Dali prefecture during 2012-2017 were collected from the China Disease Prevention and Control Information System and analyzed using descriptive descriptive epidemiological method. Results In Dali prefecture,a total of 3 441 cases of hepatitis C were reported during 2012-2017 including one death.The number of reported cases increased from 530 in 2012 to 664 in 2017.The reported incidence of hepatitis C also increased from 15.18/105 in 2012 to 18.44/105 in 2017(P <0.01).Of the 3 441 reported cases,2 459 were males,accounting for 71.46%,and 982 were females,accounting for 28.54%.The gender ratio was 2.53:1 for males and females,and higher in males than that of females(P <0.01).The incidence was mainly among young and middle-aged,and the age was mainly concentrated in 40-49 years old,accounting for 36.91%,followed by 30-39 years old,accounting for 29.90%.Occupational composition was mainly farmer-based,accounting for 71.29%(2 453/3 441),followed by housework and unemployed,accounting for8.34%(287/3 441),and workers rank third,accounting for 4.01%(138/3 441).The high-incidence areas were mainly concentrated in Midu,Dali,and Weishan,Dali prefecture reported an average annual growth rate of 4.61% from 2012 to2017.The top three growth rates were in Nanjian,Binchuan,and Mindu counties. Conclusion The reported incidence of hepatitis C in Dali prefecture has been on an upward trend from 2012 to 2017.
引文
[1]中华医学会肝病学分会,中华医学会感染病学分会.丙型肝炎防治指南(2015更新版)[J].中华肝脏病杂志,2015,23(12):906-923.
[2]Gower E,Estes C,Blach S,et al.Global epidemiology and genotype distribution of the hepatitis C virus infection[J].J Hepatol,2014,61(1):S45-S57.
[3]王静,庞燕硕,李礼.120例2型糖尿病肾衰透析患者丙型肝炎感染情况及影响因素分析[J].实用预防医学,2018,25(1):96-98.
[4]古彩红,林立新,李煜.2013~2015年梅州市吸毒人群丙肝感染现状分析[J].华南预防医学,2016,42(5):463-464.
[5]刘炜炜,胡跃华,于石成,等.中国大陆地区2008~2013年丙肝发病时空聚集性及社会经济影响因素[J].中国公共卫生,2016,32(4):483.
[6]陈国翠,谢旭,陈伟红,等.2010~2014年深圳市乙型和丙型病毒性肝炎流行特征分析[J].实用预防医学,2017,24(7):810-813.
[7]张嘉陵,孙传武,谢冰艳.2010~2015年徐州市丙型病毒性肝炎流行特征分析[J].职业与健康,2016,32(24):3 407-3 409.
[8]黄璜.2012~2016年绵阳市游仙区丙型肝炎流行病学分析[J].职业卫生与病伤,2017,32(6):338-340.
[9]陈亮,林勋,连巧龄,等.福建省2010~2015年吸毒人群HCV感染及影响因素分析[J].中国艾滋病性病,2018,24(1):48-52.
[10]谭超,王学燕,陈钦艳,等.2004~2015年广西丙型病毒性肝炎流行病学特征分析[J].应用预防医学,2016,22(4):321-323.
[11]潘莉.昆明市西山区2008~2013年丙型病毒性肝炎流行病学分析[J].安徽预防医学杂志,2015,21(2):114-116.
[2]Gower E,Estes C,Blach S,et al.Global epidemiology and genotype distribution of the hepatitis C virus infection[J].J Hepatol,2014,61(1):S45-S57.
[3]王静,庞燕硕,李礼.120例2型糖尿病肾衰透析患者丙型肝炎感染情况及影响因素分析[J].实用预防医学,2018,25(1):96-98.
[4]古彩红,林立新,李煜.2013~2015年梅州市吸毒人群丙肝感染现状分析[J].华南预防医学,2016,42(5):463-464.
[5]刘炜炜,胡跃华,于石成,等.中国大陆地区2008~2013年丙肝发病时空聚集性及社会经济影响因素[J].中国公共卫生,2016,32(4):483.
[6]陈国翠,谢旭,陈伟红,等.2010~2014年深圳市乙型和丙型病毒性肝炎流行特征分析[J].实用预防医学,2017,24(7):810-813.
[7]张嘉陵,孙传武,谢冰艳.2010~2015年徐州市丙型病毒性肝炎流行特征分析[J].职业与健康,2016,32(24):3 407-3 409.
[8]黄璜.2012~2016年绵阳市游仙区丙型肝炎流行病学分析[J].职业卫生与病伤,2017,32(6):338-340.
[9]陈亮,林勋,连巧龄,等.福建省2010~2015年吸毒人群HCV感染及影响因素分析[J].中国艾滋病性病,2018,24(1):48-52.
[10]谭超,王学燕,陈钦艳,等.2004~2015年广西丙型病毒性肝炎流行病学特征分析[J].应用预防医学,2016,22(4):321-323.
[11]潘莉.昆明市西山区2008~2013年丙型病毒性肝炎流行病学分析[J].安徽预防医学杂志,2015,21(2):114-116.