2005―2019年新疆维吾尔自治区喀什地区丙型肝炎流行特征

阿提古丽·赛麦提; 谢春梅; 海仁古丽·麦麦提; 黑发欣

doi:10.16462/j.cnki.zhjbkz.2023.02.019

2005―2019年新疆维吾尔自治区喀什地区丙型肝炎流行特征

doi: 10.16462/j.cnki.zhjbkz.2023.02.019

1.
844000 喀什，新疆喀什地区疾病预防控制中心艾滋病防治科
2.
200433 上海，复旦大学公共卫生学院
3.
102206 北京，中国疾病预防控制中心性病艾滋病预防控制中心

基金项目:

新疆维吾尔自治区自然科学基金项目 2020D01B05

详细信息

通讯作者:
黑发欣，E-mail: heifaxin@chinaaids.cn

中图分类号: R563.5
计量
- 文章访问数: 249
- HTML全文浏览量: 188
- PDF下载量: 67
- 被引次数: 0
出版历程
- 收稿日期: 2021-06-28
- 修回日期: 2021-10-16
- 网络出版日期: 2023-02-20
- 刊出日期: 2023-02-10

Epidemiological characteristics of hepatitis C in Kashgar, Xinjiang during 2005-2019

1.
Department of AIDS/STD Prevention, Center for Disease Control and Prevention of kashgar region, Kashgar 844000, China
2.
School of Public Health, Fudan University, Shanghai 200433, China
3.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

Funds:

Natural Science Foundation of Xinjiang Uygur Autonomous Region 2020D01B05

More Information

Corresponding author: HEI Fa-xin, E-mail: heifaxin@chinaaids.cn

摘要

摘要: 目的分析2005―2019年新疆维吾尔自治区(简称新疆)喀什地区丙型病毒性肝炎(简称丙肝)的流行特征，为制定丙肝防治策略提供科学依据。方法采用描述流行病学方法，对2005―2019年法定报告传染病报告信息管理系统中新疆喀什地区报告的丙肝病例的流行病学特征进行统计分析。结果 2005―2019年喀什地区全人群丙肝发病率总体呈上升趋势，年均上升速度为11.5%，2005―2013年上升速度较快，2013―2019年发病率无明显波动。从2015年开始，喀什地区丙肝病例报告数跃居全疆首位。流行特征主要有：地区分布不平衡、以女性为主，年龄主要集中在40~＜75岁，职业主要是农民。结论新疆喀什地区丙肝流行形势较为严重，40~＜75岁人群，女性、农村居民是丙肝感染的重点人群，应尽快对该人群开展流行病学调查，摸清感染的危险因素，并采取有效的预防及治疗措施，遏制丙肝在该人群中流行。
- 丙型肝炎 /
- 流行特征 /
- 分析
Abstract: Objective We aims to analyze the epidemiological characteristics of viral hepatitis C in Kashgar, Xinjiang Province from 2005 to 2019, so as to provide scientific evidence for the hepatitis C prevention and treatment strategies. Methods Descriptive epidemiological methods were used to statistically analyze the epidemiological characteristics of hepatitis C cases reported in Kashgar, Xinjiang from 2005-2019 in National Notifiable Disease Report System (NNDRS). Results During 2005-2019, the incidence of hepatitis C showed an increasing trend, with an average annual increase rate of 11.5%. The incidence rate increased rapidly from 2005 to 2013, and did not fluctuate significantly from 2013 to 2019. Since 2015, the number of reported hepatitis C cases in Kashgar ranked first in Xinjiang Province. The main epidemic characteristics included unbalanced regional distribution, predominantly female, occurring mainly in the age of 40~ < 75 years old, and the main occupation was farmers. Conclusions The situation of hepatitis C epidemic in Kashgar, Xinjiang is relatively serious. People aged 40~ < 75, women, and rural residents are the key populations of hepatitis C infection. An epidemiological investigation should be carried out on these populations as soon as possible to find out the risk factors, and take effective preventive and therapeutic measures to curb the hepatitis C epidemic in these population.
- Hepatitis C /
- Epidemiological characteristics /
- Analyze

HTML全文

图 1 2005―2019年喀什地区丙肝发病率变化

Figure 1. The incidence rate of hepatitis C in Kashgar, 2005-2019

下载: 全尺寸图片幻灯片

图 2 2005―2019年喀什地区丙肝发病趋势

Figure 2. Trend of hepatitis C incidence in Kashgar, 2005-2019

下载: 全尺寸图片幻灯片

图 3 2019年喀什地区丙肝病例报告发病率统计

Figure 3. The incidence rate of hepatitis C in Kashgar, 2019

下载: 全尺寸图片幻灯片

图 4 2015―2019年喀什地区丙肝报告病例年龄性别分布

Figure 4. The age and sex distribution of hepatitis C in Kashgar, 2015-2019

下载: 全尺寸图片幻灯片

图 5 2015―2019年喀什地区丙肝报告病例职业分布图

Figure 5. Occupational distribution of hepatitis C in Kashgar, 2015-2019

下载: 全尺寸图片幻灯片

参考文献(11)

[1]	Chen SL, Morgan TR. The natural history of hepatitis C virus (HCV) infection[J]. Int J Med Sci, 2006, 3(2): 47-52. DOI: 10.7150/ijms.3.47.
[2]	中华医学会肝病学会和中国传染病学会. 丙型肝炎的预防和治疗指南[Z]. 肝胆杂志, 2015, 23(12): 906-923. DOI: 10.3760/cma.j.issn.1007-3418.2015.12.003. Chinese Society of Hepatology and Chinese Society ofInfectious Diseases, Chinese Medical Association. The guideline of prevention and treatment for hepatitis C[Z]. Chin J Hepatol, 2015, 23(12): 906-923. DOI: 10.3760/cma.j.issn.1007-3418.2015.12.003.
[3]	秦倩倩, 郭巍, 王丽艳, 等. 1997-2011年中国丙型肝炎流行特征分析[J]. 中华流行病学杂志, 2013, 34(6): 548-551. DOI: 10.3760/cma.j.issn.0254-6450.2013.06.002. Qin QQ, Guo W, Wang LY, et al. Epidemiological characteristics of hepatitisc in China, 1997-2011[J]. Chin J Epidemiol, 2013, 34(6): 548-551. DOI: 10.3760/cma.j.issn.0254-6450.2013.06.002.
[4]	中国疾病预防控制中心. 统计数据: 法定传染病报告[R]. http://www.nhc.gov.cn/jkj/s2907/new_list.shtml. China Center for Disease Control and Prevention. Statistics: legal infectious diseasereport. [R]. http://www.nhc.gov.cn/jkj/s2907/new_list.shtml.
[5]	董世存, 蒲光兰, 王卫军, 等. 2013-2017年青海省丙型肝炎流行病学分析[J]. 疾病监测, 2019, 34(6): 551-554. DOI: 10.3784/j.issn.1003-9961.2019.06.017. Dong SC, Pu GL, Wang WJ, et al. Epidemiology of viral Hepatitis C in Qinghai, 2013-2017[J]. Dis Surveill, 2019, 34(6): 551-554. DOI: 10.3784/j.issn.1003-9961.2019.06.017.
[6]	张艺, 马会来, 倪明健. 2006-2015年乌鲁木齐市丙型病毒性肝炎流行特征分析[J]. 国际病毒学杂志, 2017, 24(5): 305-309. DOI: 10.3760/cma.j.issn.1673-4092.2017.05.004. Zhang Y, Ma HL, Ni MJ, et al. Analysis on the epidemiological characteristics of Hepatitis C in Urumqi, 2006-2015[J]. Int J Virol, 2017, 24(5): 305-309. DOI: 10.3760/cma.j.issn.1673-4092.2017.05.004.
[7]	国家卫生健康委员会. 中华人民共和国卫生行业标准: 《丙型肝炎诊断》(WS213-2018)[Z]. (2018-03-06). http://dx.doi.org/10.3967/bes2018.103. National Health and Family Planning commission of the People's Republic of China. Health industry standard of the people's republic of China: diagnostic for hepatitis c (WS213-2018). (2018-03-06). http://dx.doi.org/10.3967/bes2018.103.
[8]	National Cancer Institute. Joinpoint trend analysis soft-ware, version 4.4[EB/OL] (2017-01-04)[2018-03-05]. https://surveillance.cancer.gov/joinpoint/.
[9]	Kim HJ, Fay MP, Feuer EJ, et al. Permutation tests for joinpoint regression with applicatons to cancer rates[J]. Stat Med, 2000, 19(3): 335-351. DO1: 10.1002/(sici)1097-0258(20000215)19;3 < 335: : aid-sim336 > 3.0. co; 2=z. doi: 10.1002/(sici)1097-0258(20000215)19;3<335::aid-sim336>3.0.co;2=z
[10]	赵庆龙, 吕波, 李美娜, 等. 1997-2012年吉林省丙型病毒性肝炎流行病学特征分析[J]. 中华疾病控制杂志, 2014, 18(7): 594-596. https://zhjbkz.ahmu.edu.cn/article/id/JBKZ201407004 Zhao QL, Lv B, Li MN, et al. Epidemic situation of hepatitis c in Jilin province, 1997-2012[J]. Chin J Dis Control Prev, 2014, 18(7): 594-596. https://zhjbkz.ahmu.edu.cn/article/id/JBKZ201407004
[11]	黑发欣, 白广义, 李洁, 等. 2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J]. 疾病监测, 2014, 29(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2014.07.018. Hei FX, Bai GY, Li J, et al. Analysis on quality of reporting data of hepatitis c in some areas of China, 2013[J]. Disease Surveillance, 2014, 29(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2014.07.018.