贵州省2004-2016年乙型病毒性肝炎病例监测情况分析

发布时间：2018-02-10 14:43

本文关键词： 乙型病毒性肝炎监测流行特征　出处：《现代预防医学》2017年23期 　论文类型：期刊论文

【摘要】：目的分析贵州省2004-2016年乙肝报告病例的流行病学特征,探讨乙肝防控策略。方法采用描述流行病学方法,对传染病报告系统网络直报的乙肝病例进行分析。结果贵州省2004-2016年累计报告乙肝311 072例,年平均发病率为65.40/10万,2009年发病率最高,为94.88/10万,2010-2016年呈下降趋势;15~59岁人群乙肝发病占总病例数的80.44%,15岁人群乙肝发病率较低且呈下降趋势,在2004-2016年间发病率由24.49/10万下降到5.28/10万,20~34岁各年龄组育龄妇女乙肝报告年均发病率(110.64/10万、111.68/10万、75.91/10万)高于全省平均发病水平,乙肝发病男性高于女性(1.52∶1),职业构成以农民为主(58.30%),发病无明显季节性。发病率居全省前3位的地区为遵义、毕节、黔南州。分类报告病例中,急性乙肝占6.14%,慢性呈逐年上升趋势(23.26%~81.70%)。结论贵州省乙肝报告发病总体呈下降趋势,15岁人群乙肝发病率下降明显。建议在加强25~29岁青壮年、20~34岁育龄妇女和农民等高发人群和遵义、毕节、黔南州乙肝监测及乙肝疫苗接种的同时,在全省开展乙肝专病监测。
[Abstract]:Objective to analyze the epidemiological characteristics of hepatitis B cases reported from 2004 to 2016 in Guizhou Province, and to explore the strategy of hepatitis B prevention and control. Results 311,072 cases of hepatitis B were reported in Guizhou province from 2004 to 2016. The average annual incidence rate was 65.40% / 100 thousand. In 2009, the highest incidence rate was reported. For the period 2010-2016, the incidence of hepatitis B in the population aged 15 to 59 years old accounted for 80.44% of the total cases, and the incidence rate of hepatitis B in the population aged 15 years old was lower and showed a downward trend. In the period 2004-2016, the incidence rate of hepatitis B in women of childbearing age group from 244.9 / 100,000 to 5.28 / 100,000.The average annual incidence rate of hepatitis B among women of childbearing age group of 20 to 34 years of age was $110.64 / 100, 000 or 1,1116,800 / 100,000 or 75.91 / 100 million), which was higher than the average incidence level of the whole province. The incidence of hepatitis B in males was higher than that in females, and the occupational composition was 58.300.The incidence of hepatitis B was not seasonal. The areas with the highest incidence of hepatitis B were Zunyi, Bijie and Qiannan prefectures. Acute hepatitis B accounted for 6.14%, with a chronic increasing trend of 23.260.ConclusionThe incidence of hepatitis B in the population of 15 years of age in Guizhou Province showed a general downward trend. It is suggested that the incidence of hepatitis B in the population aged 15 years should be significantly decreased. It is suggested that the high incidence rate of hepatitis B among women and farmers of childbearing age from 25 to 29 years old should be strengthened, and that the incidence of hepatitis B should be increased in Zunyi. Bijie, Qiannan state hepatitis B surveillance and hepatitis B vaccination at the same time, in the province to carry out hepatitis B disease surveillance.
【作者单位】：贵州医科大学公共卫生学院;贵州省疾病预防控制中心;
【分类号】：R181.8;R512.62

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