2004-2013年恩平市丙型病毒性肝炎流行特征及趋势分析

Epidemiological characteristics and the trend of hepatitis C in Enping city from 2004 to 2013

目的分析恩平市10年丙型病毒性肝炎（简称丙肝）的流行特征及其变化趋势,为今后制定防控策略和措施提供参考依据。方法采用描述性流行病学方法分析2004-2013年恩平市丙肝的发病特点。结果 2004-2013年恩平市丙肝发病率在0.61/10万~10.30/10万之间,年均发病率为5.11/10万,发病率呈快速上升趋势。恩平市绝大部分乡镇均有病例报告,以东成镇发病率最高,但乡镇间差异无统计学意义（χ2=2.41,P=0.12）。丙肝发病以30~39岁的青壮年人发病率最高,为16.38/10万。男性发病率比女性高,差异有统计学意义（χ2=8.71,P=0.003）。病例以农民居多,占总病例的24.32%。结论恩平市的丙肝发病率2004年较低,后呈快速上升趋势,今后应加强以管理传染源和切断传播途径为主的疫情防控工作。

Objective To analyze the epidemiological characteristics and the trend, as well as the related affecting factors of hepatitis C in Enping City. Methods Data analysis was performed based on the case-reporting data of hepatitis C from 2004 to 2013, using the χ2detection. Results The number of reported cases and incidence of hepatitis C had been increasing annually since 2004. The reported incidence increased from 0.61 per 100 000 in 2004, to 10.30 per 100 000 in 2012. Most of the towns have case reported, incidence in Dongcheng town is higher, but there was no statistical difference between all the towns（χ2=2.41,P=0.12,P〉0.05）. The incidence of hepatitis C of the 30 to 39 age is highest,16.38 per 100 000. The male incidence is higher than the female incidence（χ2=8.71,P =0.003,P 〈0.05）. The cases of farmer accounted for 24.32% of all the reported cases. Conclusion The reported number and incidence of hepatitis C had been increasing annually in Enping city. To develop a more realistic control measures for hepatitis C, it is necessary to strengthen the control and prevention work.