摘要
目的分析2012-2021年洛阳市丙型病毒性肝炎(丙肝)流行病学特征,为制定科学防控措施提供依据。方法收集中国疾病预防控制信息系统中报告的洛阳市丙肝监测数据,运用描述性流行病学方法进行分析。结果2012-2021年洛阳市共报告丙肝11156例,病例数从2012年的1725例(发病率26.32/10万)下降到2021年的642例(发病率9.10/10万),年均发病率为16.57/10万,报告发病率呈下降趋势(χ^(2)_(趋势)=1611.809,P<0.001)。其中,男性5152例,女性6004例,男女性别比为0.86∶1,发病率分别为15.00/10万、18.21/10万,女性高于男性(P<0.001);40岁以上年龄组占80.57%;农民占44.90%;无明显季节特征,各月均有发病;地区差异较大,年均发病率最高的为老城区(44.13/10万),最低为宜阳县(5.83/10万);累计报告确诊病例数4788例(42.92%),报告病例以慢性为主,共7005例(占62.79%)。病例报告单位以洛阳市本地医院为主,共10226例(占91.66%)。结论2012-2021年洛阳市丙肝报告发病率呈下降趋势,具有明显的地区差异,农民、40岁以上人群是防治重点,应针对重点地区和重点人群开展精准的综合干预工作。
Objective To analyze the epidemiological characteristics of hepatitis C cases in Luoyang city from 2012 to 2021 and provide evidence for the development of scientific prevention and control measures.Methods The surveillance data of hepatitis C in Luoyang city were collected from the China Information System for Disease Control and Prevention,and the descriptive epidemiological method was used for analysis.Results From 2012 to 2021,a total of 11156 hepatitis C cases were reported in Luoyang city,and the number of cases decreased from 1725 cases(incidence of 26.32/10)in 2012 to 642 cases(incidence of 9.10/10)in 2021,with the average annual incidence rate of 16.57/105.The reported incidence showed a decreasing trend(χ^(2)_(trend)=1611.809,P<0.001).0f the cases,5152 were male,and 6004 were female,with the male-to-female ratio of 0.86:1.The incidence rate in males and females were 15.00/105 and 18.21/105,respectively,and the incidence rate in females was higher than that in male(P<0.001).Of the cases,80.57%were over 40 years old.Farmers accounted for 44.90%.There was no obvious seasonal characteristics,and the cases occurred every month.There were great regional differences,with the highest annual incidence in the old district(44.13/10)and the lowest in Yiyang county(5.83/10).The total number of confirmed cases was 4788(42.92%).The reported cases were mainly chronic,with 7005 cases(62.79%).The cases were mainly reported in local hospitals of Luoyang city,with a total of 10226 cases(91.66%).Conclusions The reported incidence of hepatitis C showed a downward trend from 2012 to 2021 in Luoyang,with obvious regional differences.Farmers and people over 40 years old are the focus of prevention and control,and accurate comprehensive intervention should be carried out for key areas and key groups.
作者
李永超
麻小龙
李亚静
朱鑫
LI Yongchao;MA Xiaolong;LI Yajing;ZHU Xin(College of Public Health,Zhengzhou University,Zhengzhou,Henan 450000,China;Institute for Prevention and Control of Infectious Diseases,Luoyang Center for Disease Control and Prevention,Luoyang,Henan 471000,China)
出处
《现代疾病预防控制》
2023年第11期846-849,共4页
MODERN DISEASE CONTROL AND PREVENTION
作者简介
李永超,主治医师,在读硕士研究生,研究方向:性病艾滋病、丙肝防治;通信作者:朱鑫,E-mail:lyzhuxin@126.com。
