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2005-2022年巴中市丙型病毒性肝炎流行特征分析

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目的 分析2005-2022年巴中市丙型病毒性肝炎(丙肝)流行特征,为制定精准、高效的防治措施提供参考依据.方法 对2005-2022年巴中市报告的丙肝病例资料进行描述性流行病学分析,运用SPSS 19.0软件进行统计分析,率和构成比的比较采用x2检验,趋势分析采用趋势x2检验,以P<0.05为差异有统计学意义.结果 2005-2022年巴中市共报告丙肝病例2 453例,年均报告发病率为4.20/10万,发病率总体呈上升趋势(x2趋势=467.623,P<0.001),2020年报告发病率最高(8.47/10万).报告的丙肝病例发病无明显季节性,男女性别比为1.18∶1,平均年龄为(49.98±16.74)岁,50岁及以上占48.68%,各年50岁及以上比例有上升趋势(x2趋势=200.070,P<0.001);职业以农民为主(53.89%).巴州区报告丙肝病例最多,平昌县平均报告发病率最高,达5.14/10万.报告确诊病例占75.83%,分型为慢性丙肝的占96.40%;报告病例分型错误的占44.60%.结论 巴中市丙肝疫情处于低流行水平,但报告发病率呈上升趋势,需重点关注平昌县、巴州区和农民、50岁及以上中老年人等重点人群的丙肝防控,有针对性的扩大丙肝筛查,规范诊断和病例报告,提高核酸检测和治疗的可及性.
Epidemiological characteristics of viral hepatitis C in Bazhong City from 2005 to 2022
Objective To analyze the epidemiological characteristics of viral hepatitis C(HCV)in Bazhong City from 2005 to 2022,and to provide reference for formulating accurate and efficient prevention and control measures.Methods Descriptive epidemiological analysis was performed on the data of hepatitis C cases reported in Bazhong City from 2005 to 2022.SPSS 19.0 software was used for statistical analysis.The comparison of rates and component ratios was conducted by Chi-square test,and the trend analysis was conducted by trend Chi-square test.P<0.05 was considered to be statistically significant.Results A total of 2 453 cases of hepatitis C were reported in Bazhong City from 2005 to 2022,and the average annual reported incidence rate was 4.20/105.The overall incidence showed an increasing trend(x2trend=467.623,P<0.001).The highest incidence was reported in 2020(8.47/105).The incidence of hepatitis C showed no obvious seasonality.The male to female sex ratio was 1.18:1,and the mean age was(49.98±16.74)years old,with 48.68%aged 50 and above.The proportion of people aged 50 years and above was increasing by year(x2trend=200.070,P<0.001).Most of the reported cases were farmers(53.89%).The reported number of hepatitis C cases in Bazhou District was the highest,and the incidence rate in Pingchang County was the highest(5.14/105).The confirmed cases accounted for 75.83%,and chronic hepatitis C accounted for 96.40%.However,44.60%of the cases reported were classified incorrectly.Conclusions The hepatitis C epidemic in Bazhong City was at a low epidemic level,but the reported incidence was on the rise.It is necessary to focus on the prevention and control of hepatitis C in Pingchang County,Bazhou District,and key populations such as farmers,and the elderly aged 50 years and above.Targeted expanding screening,standardized diagnosis and case reporting,and improved access to nucleic acid testing and treatment for hepatitis C are needed.

hepatitis Ccase reportingepidemiological characteristics

文薇、杨艳芳

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四川大学华西公共卫生学院/四川大学华西第四医院,成都 610041

巴中市疾病预防控制中心,四川 巴中 636000

丙型病毒性肝炎 病例报告 流行特征

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(12)