WHO Collaborating Centre for Viral Hepatitis, The Doherty Institute, Victoria.
Department of Medicine, University of Melbourne, Victoria.
Aust N Z J Public Health. 2018 Oct;42(5):441-443. doi: 10.1111/1753-6405.12826. Epub 2018 Sep 10.
To estimate the cultural and linguistic diversity in Australians currently living with chronic hepatitis B (CHB), the majority of whom were born overseas, and to identify trends in this diversity over time.
Estimates were generated by combining Australian census country of birth information with seroprevalence data generated from antenatal serology linked with surveillance notifications. The number of people living with CHB was assessed according to country of birth using the 2011 and 2016 censuses.
The total number of Australian residents living with CHB increased by 20% between 2011 and 2016, substantially outpacing population growth. The most common country of birth continued to be China, with the number of Chinese-born Australians living with CHB increasing by 60% in the 5-year period. Decreased numbers were observed for people born in European countries.
The epidemiology of chronic hepatitis B in Australia has shifted over time due to changing migration patterns, with increases in many countries in the Asia-Pacific, African and Middle Eastern regions. Implications for public health: Interventions to improve the health of people living with CHB are imperative, and these up-to-date estimates identify priority groups and communities, which are constantly changing.
评估目前患有慢性乙型肝炎（CHB）的澳大利亚人（其中大多数在海外出生）的文化和语言多样性，并确定这种多样性随时间的变化趋势。
通过将澳大利亚人口普查的出生国信息与从产前血清学中获取的血清流行率数据结合起来，生成了估计值，并通过与监测通知相关联的血清学进行了分析。根据出生国，使用 2011 年和 2016 年的人口普查数据评估了患有 CHB 的人数。
2011 年至 2016 年间，澳大利亚居民中患有 CHB 的总人数增加了 20%，大大超过了人口增长速度。最常见的出生国仍然是中国，在这 5 年期间，中国出生的澳大利亚人患有 CHB 的人数增加了 60%。来自欧洲国家的人数则有所减少。
由于移民模式的变化，澳大利亚慢性乙型肝炎的流行病学也随之发生了变化，亚太、非洲和中东地区的许多国家的发病率都有所上升。对公共卫生的影响：改善慢性乙型肝炎患者健康状况的干预措施是当务之急，这些最新的估计数据确定了不断变化的优先群体和社区。
