Marcon Chaiana Esmeraldino Mendes, Schneider Ione Jayce Ceola, Traebert Jefferson
Universidade do Sul de Santa Catarina, TubarãoSC, Brazil, Master of Science Program in Health Sciences. Universidade do Sul de Santa Catarina, Tubarão/SC, Brazil.
School of Medicine, Universidade do Sul de Santa Catarina, PalhoçasSC, Brazil, School of Medicine. Universidade do Sul de Santa Catarina, Palhoça/SC, Brazil.
Rev Inst Med Trop Sao Paulo. 2014 Mar-Apr;56(2):151-5. doi: 10.1590/S0036-46652014000200011.
Hepatitis B is a serious public health problem. The state of Santa Catarina presents areas of high endemicity. The aim of this study was to describe temporal trends in detection rates of hepatitis B in the period from 2002 to 2009 in Santa Catarina and in its regions. A time series study was carried out. Crude rates were calculated and standardized by age using the direct method. Annual variation percentages were estimated by Joinpoint regression. There were two distinct and significant trends in Santa Catarina. From 2002 to 2006 a significant increase of 5.9% per year was observed. From 2006, there was a significant decrease of 6.4% per year. In this same period the southern and far-western regions had significant increases of 15.9% and 4.6% and significant decreases of 7.5% and 4.8%, respectively. Greater Florianópolis and Northeast also showed significant increases until 2006, of 15.4% and 17.4%, respectively. In the following period, non-significant decreases of 5.8% and 9.8% respectively were observed. Foz do Rio Itajaí and Planalto Serrano showed non-significant increases up to half of the studied period of 21.1% and 12.0%, respectively and after, significant decreases of 21.5% and 18.0%, respectively. Vale do Itajaí showed a significant decrease of 9.7%; Planalto Norte showed a non-significant decrease of 0.6% and Midwest a non-significant increase of 2.7% per year, in the period from 2002 to 2009.
乙型肝炎是一个严重的公共卫生问题。圣卡塔琳娜州存在高流行区。本研究的目的是描述2002年至2009年期间圣卡塔琳娜州及其各地区乙型肝炎检测率的时间趋势。开展了一项时间序列研究。计算粗发病率并使用直接法按年龄进行标准化。通过Joinpoint回归估计年度变化百分比。圣卡塔琳娜州有两种不同且显著的趋势。2002年至2006年，观察到每年显著增长5.9%。从2006年起，每年显著下降6.4%。在同一时期，南部和远西部地区分别显著增长15.9%和4.6%，显著下降7.5%和4.8%。大弗洛里亚诺波利斯和东北部在2006年前也分别显著增长15.4%和17.4%。在随后的时期，分别观察到不显著的下降5.8%和9.8%。伊塔雅伊河畔福斯和塞拉诺高原在研究期的前半段分别有不显著的增长21.1%和12.0%，之后分别显著下降21.5%和18.0%。伊塔雅伊河谷显著下降9.7%；北高原每年有不显著的下降0.6%，中西部地区每年有不显著的增长2.7%，时间跨度为2002年至2009年。
