兰州市2010—2019年丙型肝炎流行特征 |
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引用本文: | 马晶,王梅,谯小伟,曹文珮,李娟生,任晓卫,王宇红,刘小宁.兰州市2010—2019年丙型肝炎流行特征[J].中华疾病控制杂志,2020,24(9):1087-1091. |
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作者姓名: | 马晶 王梅 谯小伟 曹文珮 李娟生 任晓卫 王宇红 刘小宁 |
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作者单位: | 1.730000 兰州, 兰州大学公共卫生学院流行病与卫生统计所 |
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基金项目: | 兰州市人才创新创业项目 |
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摘 要: | 目的 分析兰州市丙型肝炎(hepatitis C,HCV)流行特征及其变化趋势,为HCV防控措施的制定提供科学依据。 方法 收集2010-2019年兰州市HCV报告病例资料,采用Excel 2016、SPSS 21.0软件进行资料整理与统计,采用Joinpoint 4.7.0.0软件进行HCV年报告发病率趋势分析。 结果 2010-2019年兰州市累计报告HCV病例22 697例,年均报告发病率为70.20/10万,Joinpoint回归模型结果显示,2010-2019年兰州市HCV年报告发病率整体呈平缓下降趋势,年度变化百分比(annual percent change,APC)为-7.49%(95%CI:-9.5%~-5.4%)。全年均有发病,无季节性增多;年均报告发病率排在前三的县(区)是城关区(59.79/10万)、七里河区(59.04/10万)和安宁区(43.46/10万)。报告病例男女性别比为1.06:1,病例主要集中在35~79岁之间,且发病率随着年龄的增加而逐渐上升,职业主要以农民和离退人员为主。 结论 兰州市HCV病例报告例数及年报告发病率整体呈下降趋势。应加强重点人群及地区疫情检测,继续规范病例诊断与报告制度。
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关 键 词: | 丙型肝炎 流行病学 兰州市 |
收稿时间: | 2019-11-18 |
Epidemic characteristics of hepatitis C in Lanzhou City from 2010 to 2019 |
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Institution: | 1.Department of Epidemiology and Biostatistics, School of Public Health, Lanzhou University, Lanzhou 730000, China2.Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730000, China3.Lanzhou Center for Disease Prevention and Control,Lanzhou 730000, China |
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Abstract: | Objective To analyze the epidemiological characteristics and trend of hepatitis C in Lanzhou City, so as to provide scientific evidence for the strategy of prevention and control. Methods Data of hepatitis C virus infection reported cases in Lanzhou City from 2010 to 2019 were collected and analyzed by Excel 2016, SPSS 21.0 and Joinpoint 4.7.0.0 software. Results 22 697 cases of hepatitis C were reported in Lanzhou city from 2010 to 2019, the annual average incidence rate was 70.20/100 000. The results of Joinpoint regression models showed that the incidence of rates hepatitis C in Lanzhou City were decreased at an average annual percent changes (APC) of 7.49% (95% CI:-9.5% to -5.4%).The time distribution of onset was steady without seasonality. The three district with the highest reported incidence rates were Chengguan District (59.79/100 000), Qilihe District (59.04/100 000) and Anning District (43.36/100 000). The reported gender ratio was 1.06:1. The ages of onset were mainly from 35 to 79 years old, and the incidence of hepatitis C increased gradually with age. The occupational composition was mainly for farmers and retirees. Conclusions The number of reported cases and annual reported incidence of hepatitis C in Lanzhou show decreasing trends. It is necessary to strengthen the surveillance of key populations and areas, standardize the case report, and raise public awareness of hepatitis C virus infection. |
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