上海市黄浦区2012—2018年丙型病毒性肝炎流行特征分析

Epidemiological Analysis of Hepatitis C in Huangpu District of Shanghai,2012-2018

目的描述上海市黄浦区2012—2018年丙型病毒性肝炎(简称丙肝)的流行特征,分析丙肝的发病变化趋势,为丙肝防控工作的开展提供科学依据。方法使用中国疾病预防控制信息系统《疾病监测信息报告管理系统》的监测数据,采用描述流行性学方法,对2012—2018年上海市黄浦区丙肝的流行特征进行分析。结果2012—2018年上海市黄浦区累计报告丙肝病例530例,年均报告发病率为8.64/105。报告发病率由2012年的6.44/105上升到2014年的13.00/10万,2015年起报告发病率有所下降,到2017年略有回升;发病无明显的季节性。累计报告发病率较高的街道为半淞园街道(102.87/105)和南京东路街道(85.45/105),较少的是豫园(35.86/105)、外滩(35.29/105)和淮海中路街道(33.46/105)。男性报告病例数共308例,年均报告发病率为10.28/105,女性病例数共222例,年均报告发病率为7.08/105。除2015年外,男性报告发病率始终高于女性。年龄上主要集中在55~60岁(19.25%)和50~55岁(16.6%)。职业上以离退休人员(33.40%)、不详职业(31.70%)和家务及待业(815.66%)为主。结论上海市黄浦区丙肝无明显季节性,男性病例多于女性,以50~60岁的离退休人员为主。需重视丙肝防控工作,加强丙型肝炎预防的健康教育,以离退休人员、家务及待业人员等为重点防控对象,开展预防感染性疾病的健康促进。

Objective To describe the epidemiological characteristics of hepatitis C cases and the epidemic trend of the disease in Huangpu district of Shanghai from 2012 to 2018,thus providing evidence to policy making.Methods Using the surveillance data of China Disease Control and prevention information system(CDCs)and descriptive epidemiology method,the epidemic characteristics of hepatitis C in Huangpu District of Shanghai from 2012 to 2018 were analyzed.Results From 2012 to 2018,530 hepatitis C cases in were reported and the average reporting incidence was 8.64/105.The reporting incidence rose from 6.44/105 in 2012 to 13.00 in 2014,with a downward trend in 2015 and slightly upward one in 2017 afterwards.No seasonal pattern was observed.Higher reporting incidence were found in Bansongyuan and East Nanjing Road Community,while lower reporting incidence were found in communities like Yuyuan,Waitan and Middle Huaihai Road.The reporting incidence for male and female was 10.28/105 and 7.08/105,respectively.Male got higher yearly reporting incidence than female did except in the year 2015.The reported cases mainly aged 55 to 60 years old and mostly were retired.Conclusion The hepatitis C cases showed no seasonal pattern but more male cases than female and aged mainly between 55-60 years old in Huangpu District.It is necessary to pay attention to the prevention and control of hepatitis C,strengthen the health education of hepatitis C prevention,and carry out health promotion for the prevention and control of infectious diseases,focusing on retirees,housework and unemployed people.