首页|2013-2022年四川省甲型病毒性肝炎流行病学特征分析

2013-2022年四川省甲型病毒性肝炎流行病学特征分析

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目的 分析2013-2022年四川省甲型病毒性肝炎(简称"甲肝")流行病学特征,为四川省的甲肝防控工作提供科学依据.方法 通过中国疾病预防控制信息系统收集2013-2022年四川省甲肝发病数据,采用描述性流行病学方法进行分析,利用x2检验、趋势x2检验和方差分析进行性统计检验,以P<0.05差异有统计学意义.结果 2013-2022年四川省甲肝累计报告甲肝病例19 057例,年均报告发病率为2.32/10万,报告发病水平呈下降趋势,发病率下降了 76.74%;四川省西部地区整体报告发病水平高于其他地区,年均报告发病率居前5位的为甘孜州、凉山州、阿坝州、攀枝花市和眉山市;全年均有发病,夏秋季发病高峰明显削平,近2年无明显季节特征;男性发病水平高于女性,男女性发病率比为1.51∶1,但男女性发病率差异逐年减小;各年龄组均有发病,发病率居前3位的年龄组为50~54岁组、5~9岁组和75~79岁组,发病年龄高峰从低年龄组后移至高年龄组;发病职业以农民为主,占比51.47%且远高于其他职业,其次为学生和散居儿童,分别占比10.97%和9.17%.结论 2013-2022年四川省甲肝报告发病水平整体呈下降趋势,以甲肝疫苗预防接种为主的预防控制措施成效显著.应加强适龄儿童和重点人群甲肝疫苗接种,加大民族聚居和农村等重点地区的卫生投入,加强全民健康教育,加强食品安全风险和生活饮用水卫生监测和监督,并做好甲肝疫情监测工作.
Analysis on epidemiological charateristics of viral hepatitis A in Sichuan Province from 2013 to 2022
Objective To analyze the epidemiological characteristics of viral hepatitis A(HAV)in Sichuan Province from 2013 to 2022,and to provide scientific basis for the prevention and control of hepatitis A in Sichuan Province.Methods The incidence data of hepatitis A in Sichuan Province from 2013 to 2022 were collected through the China Disease Control and Prevention Information System.Descriptive epidemiological method was used for analysis,x2 test,x2 trend test and variance analysis those methods were used to do the statistical test,the differences P<0.05 was statistically significant.Results About 19 057 cases of hepatitis A were reported in Sichuan Province from 2013 to 2022,the annual reported incidence of hepatitis A was 2.32/105,it showed a downward trend,the incidence decreased by 76.74%.The overall reported incidence in western Sichuan was higher than that in other regions,the top five reported annual incidence were Ganzi Prefecture,Liangshan Prefecture,Aba Prefecture,Panzhihua City and Meishan City.Incidence occured throughout the year,with a significantly flattened peak in summer and autumn,with no significant seasonal characteristics in the past two years.The incidence rate of male was higher than that of female,the ratio of male to female was 1.51∶1,but the difference between male and female incidence rate was decreasing year by year.It occured in all age groups,the top three groups were 50-54 years old group,5-9 years old group and 75-79 years old group.The peak age of onset shifted from the low age group to the high age group.The main occupation of the disease was farmers,the proportion of 51.47%was much higher than that of other occupations,then followed by students and scattered children groups,accounted for 10.97%and 9.17%,respectively.Conclusions From 2013 to 2022,the reported incidence of hepatitis A in Sichuan Province showed an overall downward trend,the prevention and control measures focusing on hepatitis A vaccine vaccination have achieved significant results.We should strengthen the vaccination of hepatitis A for school-age children and key populations,we should increase health investment in key areas such as ethnic minorities and rural areas,and strengthen health education for the entire population,strengthen food safety risks and sanitary monitoring and supervision of drinking water,and do a good job in monitoring the epidemic of hepatitis A.

hepatitis Aepidemiological characteristicincidenceSichuan Province

刘亿、刘宇、郭杨、刘家洁、刘力进、李银乔、杨庆、张恺

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四川省疾病预防控制中心,成都 610041

甲型病毒性肝炎 流行病学特征 发病率 四川省

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(2)
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