摘要
目的了解河南省焦作市乙型病毒性肝炎(乙肝)流行特征,为制定乙肝防控措施提供参考依据。方法从中国疾病预防控制信息系统收集2014—2023年焦作市乙肝疫情数据,用描述性流行病学方法进行分析。结果2014—2023年焦作市累计报告乙肝病例30535例,年均发病率87.18/10万,不同年份发病率差异有统计学意义(χ^(2)=7740.00,P<0.05),发病总体呈下降趋势(χ^(2)趋势=512.78,P<0.05)。诊断分类报告以慢性乙肝为主,占94.78%(28940例)。报告病例数居前3位的县(市、区)依次是武陟县(6903例)、沁阳市(3364例)和孟州市(3142例),年均发病率居前3位的依次是修武县(111.96/10万)、马村区(109.94/10万)和武陟县(102.02/10万)。男性发病率为111.58/10万(20255例),高于女性的60.93/10万(10280例)(χ^(2)=173.00,P<0.05);男性和女性发病率总体呈下降趋势(χ^(2)趋势值分别为738.52、206.21,P均<0.05)。发病年龄集中在30~<60岁,占总病例数的63.66%(19440例)。报告病例中,农民占66.20%(20211例),家务及待业者占20.61%(6293例)。结论焦作市乙肝报告发病率呈下降趋势,但报告病例数较高,仍是影响健康的重要公共卫生问题,建议加强乙肝监测,以进一步有效降低发病率。
Objective To analyze the epidemic characteristics of hepatitis B(HBV)in Jiaozuo,so as to provide a reference for the development of prevention and control measures.Methods Data on the hepatitis B epidemic in Jiaozuo from 2014 to 2023were extracted from the China Disease Prevention and Control Information System.Descriptive epidemiological methods were used to analyze the epidemiological characteristics.Results A total of 30535 cases of hepatitis B were reported in Jiaozuo from2014 to 2023,with an average annual incidence of 87.18/100000.The annual incidence showed a statistical difference(χ^(2)=7740.00,P<0.05),with a overall downward trend(χ^(2)_(trend)=512.78,P<0.05).The top three counties(cities,or districts)with highest reported cases were Wuzhi County(6903 cases),Qinyang City(3364 cases),and Mengzhou City(3142 cases).The highest average annual incidence rates were in Xiuwu County(111.96/100000),Macun District(109.94/100000),and Wuzhi County(102.02/100000).The average annual incidence rate was significantly higher in males(111.58/100000)than in females(60.93/100000)(χ^(2)=173.00,P<0.05).Both the incidence rates in males and females showed downward trends(χ^(2)_(trend)=738.52,206.21,respectively,all P<0.05),The age group 30-<60 years old accounted for 63.66%of the total cases(19940 cases).Among the reported cases,66.20%were farmers(20211 cases)and 20.61%were domestic workers(6293 cases).Conclusions The reported incidence of hepatitis B in Jiaozuo is declining but remaining high,indicating that it continues to be a significant public health issue.It is recommended to strengthen hepatitis B surveillance to further reduce the incidence.
作者
王三凤
田争
原跃礼
王军
WANG Sanfeng;TIAN Zheng;YUAN Yueli;WANG Jun(Jiaozuo Center for Disease Control and Prevention,Jioazuo,Henan 454003,China)
出处
《现代疾病预防控制》
2024年第8期575-578,共4页
MODERN DISEASE CONTROL AND PREVENTION
关键词
乙肝
疫情分析
流行特征及趋势
Hepatitis B
Epidemic analysis
Epidemic characteristics and trends
