2005-2018年绍兴市急性乙型病毒性肝炎发病趋势分析

马岩; 王吉玲; 马珊珊; 傅利军

doi:10.19428/j.cnki.sjpm.2019.19714

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

摘要

摘要:
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4 378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_趋势²=795.773，P < 0.001）。男性发病率高于女性（χ²=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。

Abstract:
ObjectiveTo 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.
MethodsDescriptive epidemiological method was used to analyze the cases data on acute viral hepatitis B in Shaoxing City, 2005-2018.
ResultsA total of 4 378 cases of acute viral hepatitis B were reported in Shaoxing City, 2005-2018. The annual average incidence rate was 6.47/10.000, indicating that hepatitis B incidence had a declining trend in the past 14 years(χ_trend²=795.773, P < 0.001).The male incidence rate were higher than that of the female(χ²=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%).
ConclusionThe 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.

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