2014-2023年河南省焦作市乙型病毒性肝炎流行特征及趋势分析
Ananlysis on the epidemic characteristics and trends of hepatitis B in Jiaozuo,Henan,2014-2023
王三凤 1田争 1原跃礼 1王军1
作者信息
- 1. 焦作市疾病预防控制中心,河南焦作 454003
- 折叠
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30 535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(x2=7 740.00,P<0.05),发病总体呈下降趋势(x2趋势=512.78,P<0.05).诊断分类报告以慢性乙肝为主,占94.78%(28 940例).报告病例数居前3位的县(市、区)依次是武陟县(6 903例)、沁阳市(3 364例)和孟州市(3 142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(20 255例),高于女性的60.93/10万(10 280例)(x2=173.00,P<0.05);男性和女性发病率总体呈下降趋势(x2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.
Abstract
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 2023 were extracted from the China Disease Prevention and Control Information System.Descriptive epidemiological methods were used to analyze the epidemiological characteristics.Results A total of 30 535 cases of hepatitis B were reported in Jiaozuo from 2014 to 2023,with an average annual incidence of 87.18/100 000.The annual incidence showed a statistical difference(x2=7 740.00,P<0.05),with a overall downward trend(x2trend=512.78,P<0.05).The top three counties(cities,or districts)with highest reported cases were Wuzhi County(6 903 cases),Qinyang City(3 364 cases),and Mengzhou City(3 142 cases).The highest average annual incidence rates were in Xiuwu County(111.96/100 000),Macun District(109.94/100 000),and Wuzhi County(102.02/100 000).The average annual incidence rate was significantly higher in males(111.58/100 000)than in females(60.93/100 000)(x2=173.00,P<0.05).Both the incidence rates in males and females showed downward trends(x2trend=738.52,206.21,respectively,all P<0.05),The age group 30-<60 years old accounted for 63.66%of the total cases(19 940 cases).Among the reported cases,66.20%were farmers(20 211 cases)and 20.61%were domestic workers(6 293 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.
关键词
乙肝/疫情分析/流行特征及趋势Key words
Hepatitis B/Epidemic analysis/Epidemic characteristics and trends引用本文复制引用
出版年
2024