首页|2016-2023年武威市凉州区丙型病毒性肝炎流行特征和时空聚集性分析

2016-2023年武威市凉州区丙型病毒性肝炎流行特征和时空聚集性分析

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目的 分析甘肃省武威市凉州区丙型病毒性肝炎(丙肝)流行病学特征和时空聚集特点,为制定丙肝防控策略提供参考依据.方法 通过中国疾病预防控制传染病监测信息系统,收集2016-2023年武威市凉州区丙肝报告发病数据,采用描述性流行病学方法对丙肝的流行病学特征进行分析,用ArcGIS 10.6软件进行空间自相关和冷热点分析.结果 2016-2023年武威市凉州区共报告丙肝病例8 207例,年均报告发病率为106.04/10万,不同年度报告发病率差异有统计学意义(x2=493.680,P<0.05),总体呈逐年下降趋势(x2趋势=316.639,P<0.005);其中,丙肝报告发病年龄范围为0~94岁,81.53%的病例集中于40~<80岁年龄段;男性年均发病率为50.33/10万,女性年均发病率为55.72/10万,男女性别比为0.90:1;各种职业均有发病,农民占77.14%;丙肝报告病例存在明显季节性波动;病例主要集中于城区主街道、邻近城区的周边乡镇和远离城区但人口众多、经济较发达的乡镇.空间自相关分析结果显示,丙肝发病区域分布存在明显的空间聚集特征,且高发区域与高发区域相邻,低发区域与低发区域相邻.结论 武威市凉州区丙肝疫情2016-2023年总体呈逐年下降趋势,且发病具有明显的人群流行特征和时空聚集性特点,病例主要集中于经济较发达的城区和乡镇,发病人群主要以农民为主;今后应强化对该区域和人群针对性的防控措施,加强对民众丙肝防治知识的宣传教育工作.
Epidemiological characteristics and spatiotemporal distribution of hepatitis C in Liangzhou District of Wuwei City,2016-2023
Objective To analyze the epidemiological and spatiotemporal aggregation characteristics of hepatitis C(HCV)in Liangzhou District of Wuwei City,providing insights for HCV prevention and control strategies.Methods The incidence data of HCV from 2016 to 2023 were obtained through the China Disease Prevention and Control Surveillance Information System for Infectious Diseases.Descriptive epidemiology was utilized to analyze the epidemiological characteristics,and spatial autocorrelation as along with hot and cold spot analysis were performed using ArcGIS 10.6 software.Results A total of 8 207 cases of HCV were reportedwith an average annual reported incidence rate of 106.04/105,showing significant inter-annual variability(x2=493.680,P<0.05),there was a significant decreasing trend observed annually(x2trend=316.639,P<0.05)Cases spanned from 0 to 94 years old,with 81.53%of cases in the 40~<80 years age group.The average annual incidence rates were 50.33/105 for males and 55.72/105 for females,with a male-to-female ratio of 0.90:1.Most of the cases were farmers(77.14%).A clear seasonal pattern was observed,with most cases were concentrated in urban main streets and surrounding townships.Spatial autocorrelation analysis revealed that significant spatial clustering,with high-incidence areas tending to be adjacent to each other and similarly for low-incidence areas.Conclusions The hepatitis C epidemic in Liangzhou District from 2016 to 2023 exhibited a declining trend.The disease incidence is characterized by population prevalence and spatiotemporal clustering,predominantly in urban main streets and surrounding townships.The patients were mainly farmers.Targeted interventions,in these areas,such as improving public awareness of HCV prevention and treatment knowledge,are recommended for more effective HCV control.

Hepatitis CEpidemiological characteristicsSpatiotemporal distributionHot spot analysis

张润、聂清、侯丽娟

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武威市凉州区疾病预防控制中心,甘肃武威 733000

丙型病毒性肝炎 流行特征 时空聚集性分析 热点分析

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(10)