李军, 姬艳芳, 杨凯朝, 赵东阳, 郭永豪, 史鲁斌, 叶莹, 王三凤, 张延炀. 2004-2019年河南省乙型肝炎疫情报告及流行特征分析[J]. 疾病监测, 2020, 35(8): 766-769. DOI: 10.3784/j.issn.1003-9961.2020.08.019
引用本文: 李军, 姬艳芳, 杨凯朝, 赵东阳, 郭永豪, 史鲁斌, 叶莹, 王三凤, 张延炀. 2004-2019年河南省乙型肝炎疫情报告及流行特征分析[J]. 疾病监测, 2020, 35(8): 766-769. DOI: 10.3784/j.issn.1003-9961.2020.08.019
Jun Li, Yanfang Ji, Kaichao Yang, Dongyang Zhao, Yonghao Guo, Lubin Shi, Ying Ye, Sanfeng Wang, Yanyang Zhang. Epidemiological characteristics and case reporting quality of hepatitis B in Henan, 2004–2019[J]. Disease Surveillance, 2020, 35(8): 766-769. DOI: 10.3784/j.issn.1003-9961.2020.08.019
Citation: Jun Li, Yanfang Ji, Kaichao Yang, Dongyang Zhao, Yonghao Guo, Lubin Shi, Ying Ye, Sanfeng Wang, Yanyang Zhang. Epidemiological characteristics and case reporting quality of hepatitis B in Henan, 2004–2019[J]. Disease Surveillance, 2020, 35(8): 766-769. DOI: 10.3784/j.issn.1003-9961.2020.08.019

2004-2019年河南省乙型肝炎疫情报告及流行特征分析

Epidemiological characteristics and case reporting quality of hepatitis B in Henan, 2004–2019

  • 摘要:
    目的分析河南省乙型肝炎(乙肝)流行特征,为制定乙肝防控措施和评价免疫效果提供参考依据。
    方法从中国疾病预防控制信息系统获取2004 — 2019年河南省乙肝疫情数据,用描述性流行病学方法对流行特征进行分析。
    结果2004 — 2019年河南省累计报告乙肝病例1 735 131例,年均报告发病率105.37/10万,2004 — 2007年乙肝报告发病率整体呈上升趋势,2008 — 2012年乙肝报告发病率整体呈下降趋势,2013年乙肝报告发病率明显下降;未分型乙肝构成比逐渐降低,2013年之后报告的病例以慢性乙肝为主;报告病例数居前3位为郑州市、南阳市、信阳市,构成比分别为11.30%、10.26%、7.55%;乙肝发病无明显季节性,男性明显高于女性,职业构成以农民为主(63.41%),0岁年龄组累计报告2 026例,平均发病率9.88/10万,25~30岁年龄组年均发病率最高,206.73/10万。
    结论河南省乙肝报告质量提高,报告发病率呈下降趋势,但报告病例数较高,建议开展乙肝疫苗接种、乙肝母婴阻断项目同时,开展乙肝报告质量的专题研究,进一步提高报告质量,了解乙肝真实发病水平。

     

    Abstract:
    ObjectiveTo analyze the epidemiological characteristics of hepatitis B in Henan province, and provide evidence for the hepatitis B prevention and control and the evaluation of immunization effects.
    MethodsThe incidence data of hepatitis B in Henan from 2004 to 2019 were obtained from National Diseases Reporting Information System for a descriptive epidemiological analysis.
    ResultsA total of 1 735 131 cases of hepatitis B were reported in Henan from 2004 to 2019, with an annual average incidence of 105.37 per 100 000. The overall reported incidence of hepatitis B showed an upward trend from 2004 to 2007, but showed a downward trend from 2008 to 2012 and showed a significant decline in 2013. The proportion of unclassified hepatitis B cases gradually decreased. The cases reported after 2013 were mainly chronic hepatitis B. The top three areas reporting high hepatitis B case numbers were Zhengzhou, Nanyang, and Xinyang, where the reported cases accounted for 11.30%, 10.26% and 7.55% of the total, respectively. There was no obvious seasonality in the reported incidence of hepatitis B. More cases were reported in men than in women with a gender ratio of the cases was 1.47∶1. The majority of the reported cases were farmers (63.41%). A total of 2 026 cases were reported in 0-year-old group with an average reported incidence rate of 9.88/100 000. The annual average reported incidence rate in 25–30-year-old group was highest (206.73/100 000).
    ConclusionThe quality of hepatitis B reported in Henan had been further improved since 2013. The reported incidence of hepatitis B was in decline, but the number of reported cases was still high. It is suggested to conduct special analysis and research on the quality of hepatitis B reporting to improve the reporting quality and understand the actual incidence level of hepatitis B while carrying out hepatitis B vaccination and hepatitis B maternal-neonatal transmission blocking projects.

     

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