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《2020年河南省1-69岁人群丙型肝炎患病率调查》

[Survey of prevalence of hepatitis C in people aged 1-69 years in Henan Province, 2020].

作者信息

Li J, Ji X Y, Geng J, Li N, Zhang G L, Zhao D Y, Liu Y, Nie Y G, Fan P Y

机构信息

Institute for Prevention and Control of STD/AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2023 Jul 10;44(7):1114-1118. doi: 10.3760/cma.j.cn112338-20220815-00711.

Abstract

To understand the infection status and epidemiological characteristics of hepatitis C in people aged 1-69 years in Henan Province in 2020. The estimated sample size was 5 827. From August to December 2020, multistage sampling was used to select 8 counties (districts) in Henan, and two survey sites were selected in each county (district), and a questionnaire survey was conducted in local people aged 1-69 years, blood samples were collected from them for anti-HCV, HCV RNA and genotype detections. A total of 5 165 people aged 1-69 years completed the questionnaire survey. Men accounted for 44.76% (2 312/5 165), women accounted for 55.24% (2 853/5 165). In the people aged 1-69 years, the overall prevalence rates of anti-HCV and HCV RNA were 0.69% (95% 0.68%-0.70%) and 0.20% (95% 0.19%-0.21%) respectively. The prevalence rates of anti-HCV and HCV RNA were 0.48% (95% 0.46%-0.50%), 0.09% (95% 0.08%-0.10%) in men and 0.86% (95% 0.85%-0.87%), 0.30% (95% 0.28%-0.32%) in women. The prevalence rates of anti-HCV and HCV RNA increased with age. The prevalence rates of anti-HCV and HCV RNA were 0.87% (95% 0.86%-0.88%), 0.28% (95% 0.26%-0.30%) in urban residents and 0.53% (95% 0.51%-0.55%), 0.14% (95% 0.13%-0.15%) in rural residents. The genotyping results of 10 HCV RNA positive samples ware genotype 1b (4/10), genotype 2 (3/10), genotype 1b/3 (1/10), genotype 1b/3/6 (1/10) and genotype 2/6 (1/10). The prevalence of hepatitis C was low in Henan in 2020. It is necessary to strengthen hepatitis C surveillance in people aged 40 years and above. The major HCV genotypes were 1b and 2, and mixed genotype infection existed.

摘要

为了解2020年河南省1至69岁人群丙型肝炎感染状况及流行病学特征。估计样本量为5827。2020年8月至12月,采用多阶段抽样方法在河南省选取8个县(区),每个县(区)选取2个调查点,对当地1至69岁人群进行问卷调查,并采集血样检测抗-HCV、HCV RNA及基因分型。共有5165名1至69岁人群完成问卷调查。男性占44.76%(2312/5165),女性占55.24%(2853/5165)。在1至69岁人群中,抗-HCV和HCV RNA总体患病率分别为0.69%(95%CI 0.68%-0.70%)和0.20%(95%CI 0.19%-0.21%)。男性抗-HCV和HCV RNA患病率分别为0.48%(95%CI 0.46%-0.50%)、0.09%(95%CI 0.08%-0.10%),女性分别为0.86%(95%CI 0.85%-0.87%)、0.30%(95%CI 0.28%-0.32%)。抗-HCV和HCV RNA患病率随年龄增长而升高。城镇居民抗-HCV和HCV RNA患病率分别为0.87%(95%CI 0.86%-0.88%)、0.28%(95%CI 0.26%-0.30%),农村居民分别为0.53%(95%CI 0.51%-0.55%)、0.14%(95%CI 0.13%-0.15%)。10份HCV RNA阳性样本基因分型结果为1b型(4/10)、2型(3/10)、1b/3型(1/10)、1b/3/6型(1/10)和2/6型(1/10)。2020年河南省丙型肝炎患病率较低。有必要加强对40岁及以上人群的丙型肝炎监测。主要HCV基因分型为1b型和2型,存在混合基因型感染。

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