2006-2015年阳江市丙型病毒性肝炎流行病学分析

Epidemiological analysis of viral hepatitis C in Yangjiang City between 2006 and 2015

目的通过分析2006-2015年阳江市丙型病毒性肝炎流行特征,探索有效的防制策略和应对措施。方法应用Microsoft Office Excel 2003软件建立2006-2015年阳江市丙型病毒性肝炎病例数据库,通过SPSS16.0软件进行统计分析。结果 2006-2015年阳江市共报告丙型病毒性肝炎6 562例,年平均报告发病率为26.95/10万;报告发病率从2006年的8.20/10万上升至2015年的44.85/10万,发病率呈逐年上升趋势;阳东县年平均报告发病率最高,共报告1974例,年平均报告发病率为43.42/10万;按月份分布统计,2006-2015年各月报告病例数在473~617例之间,发病无季节性增多;男性年平均报告发病率高于女性(χ~2=2549.87,P<0.01),报告病例数男女性别比为4.70:1;以20~50岁年龄组发病数最多,共5833例,占88.89%;职业分布中以农民最多,共2581例,占39.33%。结论阳江市丙型病毒性肝炎疫情呈现逐年上升趋势,预示着迅速蔓延的高度危险性,应采取有效的干预措施控制丙型病毒性肝炎流行。

objective To explore the effective preventing and controlling strategies and responses by analyzing the epidemiologic features of Hepatitis C virus inYangjiang city from 2006 to 2015.Methods With the help of Office Excel Microsoft 2003,we established a database of hepatitis C cases in Yangjiang city from 2006 to 2015 and used SPSS16.0 for statistical analysis.Results we can find that 6 562 cases of Hepatitis C were reported in yangjing during 2006 to 2015 with an annual average incidence of 26.95/100 000.The incidence increased from 8.20400 000 in 2006 to44.85/100 000 in 2015.A yearly rising tendency of incidence rate was observed.Yangdong had the highest annual average incidence rate of 43.42400 000 where a total of 1974 cases of Hepatitis C were reported.Monthly distribution statistics suggested that the number of Hepatitis C cases reported each month during 2006 to 2015 ranged from 473 to617,which had no seasonal increase.However,the annual incidence rate of male was higher than that of female（χ2=2549.87,P〈0.01）,and the gender ratio of reported numbers was 4.70：1.Besides,at 20-50 years old age group had the largest number of cases,a total of 5833 cases,accounting for 88.89%.In occupation classification,peasant case was the highest one,which had 2 581 cases reported in total,accounting for 39.33%.Conclusion The prevalence of hepatitis C in Yangjiang is increasing year by year,which indicates the high risk of rapid spread,and effective intervention measures should be taken to control the prevalence of hepatitis C.