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2013-2023年河南省丙型肝炎流行特征

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目的 了解河南省丙型肝炎(丙肝)流行特征及趋势,为制定预防和控制措施提供依据.方法 从中国疾病预防控制信息系统下载2013-2023年河南省丙肝疫情数据,对丙肝病例流行病学特征进行描述性分析,应用Jionpiont 5.1.0.0软件对河南省丙肝疫情变化趋势进行分析.结果 2013-2023年河南省累计报告丙肝病例236 668例,年均报告发病率 19.43/10 万,发病率整体呈下降趋势(2013-2021年,APC=-8.09%,95%CI:-11.15%~-4.92%,P<0.05;2021-2023年,APC=22.48%,95%CI:-14.67%~75.80%,P>0.05).男、女性发病率与整体一致,且男性病例构成比呈上升趋势(AAPC=2.29%,95%CI:1.75%~2.84%,P<0.05);45~64岁是较为集中的年龄段,占报告发病总数的57.25%,发病率整体呈下降趋势(2013-2021年,APC=-5.58%,95%CI:-8.48%~-2.60%,P<0.05;2021-2023年,APC=21.34%,95%CI:-11.94%~67.19%,P>0.05);职业以农民为主,占71.83%,且农民构成比呈上升趋势(AAPC=1.93%,95%CI:1.50%~2.36%,P<0.05).郑州市(53.55/10万)、驻马店市(32.33/10万)、漯河市(28.25/10万)、焦作市(26.71/10万)和许昌市(25.24/10万)报告发病率居前5位,高于全省年均发病率.结论 河南省丙肝疫情整体呈下降趋势,但仍要密切关注重点人群、重点地区,采取有针对性的防治措施,减少疾病的发生和感染.
Epidemiological characteristics of hepatitis C in Henan Province from 2013-2023
Objective To understand the epidemiological characteristics and trends of hepatitis C in Henan Province,so as to provide evidence for prevention and control measures.Methods The data of hepatitis C cases reported in Henan from 2013 to 2023 were extracted from China Disease Prevention and Control Information System;descriptive analysis for the epidemiological characteristics of hepatitis C cases was conducted.Jionpiont 5.1.0.0 software was used to analyze the trend of hepatitis C epidemic in Henan from 2013 to 2023.Results A total of 236 668 cases of hepatitis C were reported in Henan from 2013 to 2023,with an average annual reported incidence of 19.43/100 000.The overall reported incidence showed a downward trend(From 2013-2021,APC=-8.09%,95%CI:-11.15%-4.92%,P<0.05;from 2021-2023,APC=22.48%,95%CI:-14.67%-75.80%,P>0.05).The reported incidences in males and females were consistent with the overall incidence,and the proportion of male cases showed an upward trend(AAPC=2.29%,95%CI:1.75%-2.84%,P<0.05).The most case-concentrated age group was the group of 45-64 years old,accounting for 57.25%of the total reported cases,and the incidence showed a downward trend(From 2013-2021,APC=-5.58%,95%CI:-8.48%-2.60%,P<0.05;from 2021-2023,APC=21.34%,95%CI:-11.94%-67.19%,P>0.05).Farmers were the main occupation,accounting for 71.83%of the total cases,and the proportion increased year by year(AAPC=1.93%,95%CI:1.50%-2.36%,P<0.05).The cities with the top five morbidities were Zhengzhou(53.55/105),Zhumadian(32.33/105),Luohe(28.25/105),Jiaozuo(26.71//105)and Xuchang(25.24/105),higher than the average annual incidence in the whole province.Conclusions The incidence of hepatitis C in Henan shows a downward trend,but it is still necessary to pay close attention to the key population and key areas and take targeted prevention and control measures for reducing the occurrence of the disease and infection.

Hepatitis CEpidemiological characteristicsChanging trend

姬晓宇、李宁、张国龙、马彦民、崔艳、刘露、樊盼英、聂玉刚

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河南省疾病预防控制中心,河南郑州 450016

丙型肝炎 流行特征 变化趋势

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(12)