南京医科大学学报（自然科学版）2026，Vol.46Issue(2)：221-230,240,11.DOI:10.7655/NYDXBNSN250577
2004-2022年江苏省与全国4种肝炎发病趋势的分析和比较
Analysis and comparison of the incidence trends of four types of hepatitis between Jiangsu Province and the whole nation from 2004 to 2022
摘要
Abstract
Objective:To analyze and compare the trends in the incidence of four types of hepatitis between Jiangsu province and the whole nation,reveal the regional characteristics and current status of hepatitis incidence in Jiangsu province,and provide a reference for hepatitis prevention and control efforts in Jiangsu province and the whole nation.Methods:Descriptive epidemiological methods,average annual percent change and spatiotemporal scan statistical methods were used to analyze and compare the incidence data of four types of hepatitis(hepatitis A,B,C and E)in Jiangsu province and the whole nation from 2004 to 2022.Results:The average incidence rates(1/100000)of four types of hepatitis in Jiangsu province and nationwide from 2004 to 2022 were 1.55 and 2.72 for hepatitis A,18.70 and 75.24 for hepatitis B,3.50 and 11.85 for hepatitis C,and 3.80 and 1.77 for hepatitis E,respectively.The change trend of incidence rate in recent years is as follows:nationwide,hepatitis A remained a stable trend(2012-2022,P＞0.10),hepatitis B remained a stable trend(2014-2022,P＞0.50),hepatitis C displayed a downward trend(2019-2022,P＜0.001),and hepatitis E remained a stable trend(2013-2022,P＞0.50);In Jiangsu province,hepatitis A remained a stable trend(2013-2022,P＞0.20),hepatitis B showed an upward trend(2012-2022,P＜0.05),hepatitis C showed an upward trend(2004-2022,P＜0.001),and hepatitis E demonstrated a declining trend(2011-2022,P＜0.001).Spatiotemporal scan statistical analysis revealed that three low-incidence clusters for hepatitis A nationwide all included Jiangsu province,one of three low-incidence clusters for hepatitis B nationwide included Jiangsu province,two of four low-incidence clusters for hepatitis C in nationwide included Jiangsu province,and three high-incidence clusters for hepatitis E in nationwide all included Jiangsu province.Conclusion:From 2004 to 2022,nationwide,hepatitis B had the highest average incidence rate,followed by hepatitis C,hepatitis A,and hepatitis E,respectively.In Jiangsu province,hepatitis B also had the highest average incidence rate,followed by hepatitis E,hepatitis C,and hepatitis A respectively.The average incidence rates of hepatitis A,B,and C in Jiangsu province were lower than the national average,while the average incidence rate of hepatitis E was higher than the national average.The focus of the national hepatitis prevention and control strategy should be on reducing the incidence rate of hepatitis B and shifting the stable trends of hepatitis A(2012-2022)and hepatitis E(2013-2022)incidence rates to a declining trend.The focus of hepatitis prevention and control strategy in Jiangsu province should be on reducing the incidence rates of hepatitis B and hepatitis E,as well as reversing the upward trend of hepatitis C(2004-2022)incidence and the stable trend of hepatitis A(2013-2022)incidence to a declining trend.关键词
肝炎/发病趋势/江苏省/全国Key words
hepatitis/incidence trend/Jiangsu province/whole nation分类
医药卫生引用本文复制引用
瞿怀荣,鲍铁男,吴静,丁勇..2004-2022年江苏省与全国4种肝炎发病趋势的分析和比较[J].南京医科大学学报（自然科学版）,2026,46(2):221-230,240,11.基金项目
国家自然科学基金(61901225) （61901225）
南京医科大学康达学院第二期品牌专业建设工程项目(JX206000302) （JX206000302）
南京医科大学康达学院医学信息模拟及预测科研团队项目(KD2022KYCXTD003) （KD2022KYCXTD003）
