| 谢忠杭,林嘉威,黄文龙,祝寒松,李玲芳,陈武,欧剑鸣.福建省2016-2020年乙型肝炎疫情重复报告情况分析[J].中华流行病学杂志,2022,43(3):343-347 |
| 福建省2016-2020年乙型肝炎疫情重复报告情况分析 |
| Analysis on repetitive reporting of hepatitis B in Fujian province, 2016-2020 |
| 收稿日期:2021-06-30 出版日期:2022-03-21 |
| DOI：10.3760/cma.j.cn112338-20210630-00509 |
| 中文关键词: 乙型肝炎 发病率 传染病报告 网络直报 重复报告 |
| 英文关键词: Hepatitis B Incidence rate Infectious disease report Direct network reporting Repetitive report |
| 基金项目:福建省自然科学基金（2020J01094）；福建省科技创新平台建设（2019Y2001） |
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| 中文摘要: |
| 目的 分析2016-2020年福建省乙型肝炎（乙肝）疫情重复报告情况，为改善乙肝疫情监测管理提供依据。方法 从中国疾病预防控制信息系统获取乙肝报告卡，根据卡片有效证件号等填报信息提取本研究纳入卡并划分为重复报告卡（重卡）和无重卡，运用SAS 9.4软件分析重卡构成情况及相关因素。结果 2016-2020年福建省累计报告乙肝报告卡314 551张，其中本研究纳入卡占90.93%（286 020/314 551）、重卡构成比为10.48%（29 982/286 020）。2016-2020年各年度内重卡构成比介于2.98%~3.71%、总体呈逐年上升趋势（Z=2.26，P=0.024）。纳入卡时间跨度为1~5个年度时，重卡构成比依次为3.17%、5.40%、7.74%、9.27%、10.48%，纳入卡的时间跨度越长重卡构成比越高（Z=128.16，P<0.001）。全省10个地区的重卡构成比介于5.44%~13.48%，在地区间差异有统计学意义（χ2=2 050.41，P<0.001），总体呈随着报告发病率的上升而上升趋势（Z=26.92，P<0.001）。在乙肝高发病率地区与低发病率地区间，重卡构成比与病例性别、年龄、病例类型间的关联性存在明显差异。结论 2016-2020年乙肝重复报告疫情已严重影响了福建省报告发病率，应建立跨年度、跨地区乙肝疫情监测机制，并采取针对性措施以增强重复报告情况控制、改善乙肝疫情监测管理。 |
| 英文摘要: |
| Objective To analyze the repetitive reporting of hepatitis B in Fujian province during 2016-2020, and provide evidence for the improvement of hepatitis B surveillance. Methods The reporting cards from the China Information System for Disease Control and Prevention were collected and divided into repetitive reporting cards and non-repetitive reporting cards from the report cards collected according to the valid ID number on the cards, and the proportion of repetitive report cards and related factors were analyzed by using software SAS 9.4. Results A total of 314 551 hepatitis B reporting cards were submitted in Fujian from 2016 to 2020, in which 90.93% (286 020/314 551) were included in the analysis. The repetitive reporting cards accounted for 10.48% (29 982/286 020). The annual proportion of the repetitive reporting cards from 2016 to 2020 was between 2.98% and 3.71%, showing an overall increasing trend year by year (Z=2.26, P=0.024). The proportions of the repetitive reporting cards in 1-5 years were 3.17%, 5.40%, 7.74%, 9.27% and 10.48%, respectively, showing an increase trend with year (Z=128.16, P<0.001). The proportions of the repetitive reporting cards in 10 areas of Fujian ranged from 5.44% to 13.48% with significant difference (χ2=2 050.41, P<0.001) and increased with the increase of reported incidence of hepatitis B (Z=26.92,P<0.001). There were significant differences in relationships between repetitive reporting proportion and sex, age and type of the cases between the areas with high incidence and low incidence of hepatitis B. Conclusions The reported incidence of hepatitis B was seriously affected by the repetitive reporting in Fujian from 2016 to 2020. A cross-year and cross-area surveillance mechanism for hepatitis B should be established and targeted measures should be taken to strengthen the control of the repetitive reporting and improve the surveillance for hepatitis B. |
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