2005-2018年绍兴市急性乙型病毒性肝炎发病趋势分析

Incidence trend analysis on acute viral hepatitis B in Shaoxing City,2005-2018

【目的】分析绍兴市2005-2018年急性乙型肝炎(乙肝)的发病趋势,为制订全市乙肝防控措施提供依据。【方法】运用描述性流行病学方法分析绍兴市2005-2018年急性乙肝病例资料。【结果】2005-2018年绍兴市共报告急性乙肝病例4378例,年平均发病率为6.47/10万,14年来全市急性乙肝发病总体呈下降趋势(χ^(2)_(趋势)=795.773,P<0.001)。男性发病率高于女性(χ^(2)=639.603,P<0.001)。年龄以20~59岁年龄组的青壮年和中年人群为主,占84.51%。职业以农民、工人和民工为主,分别占59.23%、11.67%和8.29%。【结论】绍兴市急性乙肝发病率呈下降趋势。年龄在20~59岁,性别为男性的农民、工人和民工群体高发,在继续做好乙肝疫苗接种工作的同时,加强重点人群健康宣教,提高成人乙肝疫苗接种率,以降低急性乙肝的发病率。

[Objective]To analyze the incidence trend of acute viral hepatitis B in Shaoxing city,2005-2018,providing the basis for the prevention and control of acute viral hepatitis B.[Methods]Descriptive epidemiological method was used to analyze the cases data on acute viral hepatitis B in Shaoxing City,2005-2018.[Results]A total of 4 378 cases of acute viral hepatitis B were reported in Shaoxing City,2005-2018. The annual average incidence rate was 6.47/100 000,indicating that hepatitis B incidence had a declining trend in the past 14years(χ^(2)_(trend)=795.773,P<0.001).The male incidence rate were higher than that of the female(χ^(2)=639.603,P<0.001). Most cases were young and middle-aged people aged 20-59 years,accounting for 84.51%. The top three occupations of them were farmers(59.23%),workers(11.67%)and migrant workers(8.29%).[Conclusion]The incidence rate of acute viral hepatitis B in Shaoxing city shows a downward trend.The male people aged 20-59 has higher incidence rate,whose occupations are mainly farmers,workers and migrant workers. On the basis of hepatitis B vaccination,we should strengthen the health education of high risk population and improve the adult hepatitis B vaccination rate.