论文部分内容阅读
目的了解沈阳市乙型病毒性肝炎的发病特征及流行趋势,为卫生行政部门制定乙肝防治措施提供科学依据。方法采用描述流行病学方法对沈阳市2005-2013年乙肝报告发病情况进行分析。结果 2005-2013年沈阳市累计报告乙肝病例19 588例,年平均报告发病率为28.62/10万。报告发病率呈逐年下降。男性年平均报告发病率18.62/10万,女性为10.00/10万。乙肝发病以20~60岁的人群为主,占总发病数的79.34%。15岁以下人群发病率低于其他年龄组。乙肝发病居前三位的是铁西区、和平区和大东区,发病率分别为37.23/10万、37.10/10万和36.91/10万。市区、郊区和县发病率差异明显。发病最高的职业为家务及待业,占27.21%。农民其次,为16.61%。乙肝发病季节性不明显。结论沈阳市乙肝发病呈下降趋势,青壮年、农民、家务及待业人群为乙肝发病重点人群,应加强对这些高危人群的乙肝疫苗接种工作。
Objective To understand the incidence and epidemic trend of hepatitis B in Shenyang and to provide a scientific basis for the development of hepatitis B prevention and control measures by health administrative departments. Methods Descriptive epidemiological methods were used to analyze the incidence of hepatitis B in Shenyang from 2005 to 2013. Results A total of 19 588 hepatitis B cases were reported in Shenyang from 2005 to 2013, with an average annual incidence of 28.62 / 100 000. Reported incidence declined year by year. The average annual incidence of males was 18.62 / lakh and 10.00 / lakh for females. The incidence of hepatitis B is mainly between 20 to 60 years of age, accounting for 79.34% of the total number of cases. The incidence of under-15s is lower than in other age groups. The top three cases of hepatitis B incidence were Tiexi District, Heping District and Dadong District, with incidence rates of 37.23 / 100000, 37.10 / 100000 and 36.91 / 100000 respectively. Urban, suburban and county incidence significantly different. The highest incidence of occupations for domestic work and unemployed, accounting for 27.21%. Second, farmers were 16.61%. Seasonal hepatitis B is not obvious. Conclusions The incidence of hepatitis B in Shenyang shows a downward trend. Young adults, peasants, domestic workers and the unemployed are the key hepatitis B patients. Hepatitis B vaccination should be strengthened in these high-risk groups.