摘要
目的分析研究唐山市丙型病毒性肝炎(以下简称丙肝)流行病学特征,为开展丙肝防治工作提供科学指导。方法收集全民健康保障信息化系统中2005—2022年唐山市丙肝病例报告数据资料,采用描述流行病学的方法统计分析。结果2005—2022年唐山市共报丙肝病例11324例,死亡病例1例,年平均报告发病率为8.22/10万,2005—2014年发病率呈逐年上升趋势,2014年达到最高(15.18/10万),2015年之后发病率呈现波动下降的态势。报告病例男女性别比为1.25∶1;各年龄组均有病例报告,40~70岁年龄组报告病例数最多占63.42%;职业以农民为主占52.21%;14个县(市、区)均有病例报告,2005—2022年平均发病率前三位为迁西县(11.70/10万)、路北区(10.88/10万)、路南区(10.59/10万)。报告病例以确诊病例为主,占全部报告病例的66.90%,但报告数据质量需要进一步核查。结论唐山市丙肝病例呈散发流行、无明显季节性。今后应加强对大众丙肝防治知识的健康教育,加大对重点地区、重点人群丙肝疫情的监测,提高医疗机构数据报告质量及抗病毒治疗能力,以有效降低丙型肝炎的传播风险。
ObjectiveTo analyze and study the epidemiological characteristics of viral hepatitis C(hepatitis C)in Tangshan city,so as to provide scientific guidance for the prevention and control of hepatitis C.MethodsThe data of hepatitis C cases in Tangshan city from 2005 to 2022 were collected from National Health Insurance Information System and analyzed by descriptive epidemiology methods.ResultsFrom 2005 to 2022,a total of 11324 hepatitis C cases and 1 death case were reported in Tangshan and the average annual reported incidence rate was 8.22/100000.The annual incidence rates showed a trend of increase from 2005 to 2014 and reached the peak(15.18/100000)in 2014 and started to decrease from 2015.The male-to-female ratio was 1.25:1 and cases were reported in all age groups.The number of cases was the highest in 40-70 year old group,accounted for 63.42%.For the occupations,farmer was the predominant group,accounting for 52.21%.There were reports of cases in all 14 counties(cities,districts).The counties of top three average incidence rates from 2005 to 2022 were Qianxi county(11.70/100000),Lubei district(10.88/100000)and Lunan district(10.59/100000).The reported cases were mainly confirmed cases,accounting for 66.90%of the total reported cases,but the quality of the reports data should be verified in further.ConclusionsThe cases of hepatitis C in Tangshan city were mainly sporadic without obvious seasonality.Enhanced health education of public on the prevention and control of hepatitis C,increased surveillance of hepatitis C epidemic in key areas and populations,improved the quality of reporting and the ability of antiviral treatment in medical institutions would be necessary for reducing the transmission risk of hepatitis C effectively.
作者
蔡超
高婧
王晓红
王欣然
范月冬
张庆娟
柳建强
Cai Chao;Gao Jing;Wang Xiaohong;Wang Xinran;Fan Yuedong;Zhang Qingjuan;Liu Jianqiang(Institute for STD and AIDS Prevention and Control,Tangshan Center for Disease Control and Prevention,Tangshan 063000,China;Department for STD and AIDS Prevention and Control,Fengnan Center for Disease Control and Prevention,Tangshan 063000,China)
出处
《国际病毒学杂志》
北大核心
2024年第4期331-334,共4页
International Journal of Virology
关键词
丙型病毒性肝炎
监测结果
发病率
Viral hepatitis C
Surveillance results
Incidence rate
作者简介
通信作者:张庆娟,Email:761577576@qq.com,电话:0315-2726335。
