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陈思东, 黄晓晖, 杨翌, 谭剑斌. 乙肝疫苗无、弱应答相关因素病例对照研究[J]. 中国公共卫生, 2009, 25(10): 1208-1210. DOI: 10.11847/zgggws2009-25-10-30
引用本文: 陈思东, 黄晓晖, 杨翌, 谭剑斌. 乙肝疫苗无、弱应答相关因素病例对照研究[J]. 中国公共卫生, 2009, 25(10): 1208-1210. DOI: 10.11847/zgggws2009-25-10-30
CHEN Si-dong, HUANG Xiao-hui, YANG Yi, . Case-control study on HLA-DRB1*0701, environmental risk factor and non-or hyporesponse to hepatitis B vaccine[J]. Chinese Journal of Public Health, 2009, 25(10): 1208-1210. DOI: 10.11847/zgggws2009-25-10-30
Citation: CHEN Si-dong, HUANG Xiao-hui, YANG Yi, . Case-control study on HLA-DRB1*0701, environmental risk factor and non-or hyporesponse to hepatitis B vaccine[J]. Chinese Journal of Public Health, 2009, 25(10): 1208-1210. DOI: 10.11847/zgggws2009-25-10-30

乙肝疫苗无、弱应答相关因素病例对照研究

Case-control study on HLA-DRB1*0701, environmental risk factor and non-or hyporesponse to hepatitis B vaccine

  • 摘要: 目的探讨乙肝疫苗无、弱应答与人类白细胞抗原的DRB1*0701基因位点(HLA-DRB1*0701)和环境因素之间的关系。方法选取1 342名接种乙肝疫苗后无、弱应答者128人作为病例组,在有应答者中按性别匹配随机抽取128人作为对照组;采用病例对照研究方法,对所有研究对象进行问卷调查,并应用PCR-序列特异引物(SSP)技术检测研究对象的HLA-DRB1*0701基因。采用SPSS 13.0软件对获取的研究数据进行单因素分析以及多因素Logistic回归分析。结果单因素分析发现,与乙肝疫苗接种无、弱应答相关的环境因素为年龄,OR=2.52,95%CI=1.51~4.21;体质指数(BMI),OR=2.38,95%CI=1.13~5.02;吸烟,OR=2.15,95%CI=1.08~4.28;饮茶,OR=0.32,95%CI=0.10~0.99。携带HLA-DRB1*0701基因者发生无、弱应答的风险为不携带此基因的4.83倍(95%CI=1.76~13.24);多因素Logistic回归分析最终进入模型的因素:年龄,OR=2.12,95%CI=1.24~3.63;BMI,OR=2.21,95%CI=1.04~4.72;HLA-DRB1*0701基因,OR=4.08,95%CI=1.45~11.46。结论乙肝疫苗接种无、弱应答的发生与多种因素有关。

     

    Abstract: ObjectiveTo confiun the association between HLA-DRB1*0701 and environmenmtal factor such as smoking, drinking with the non-or hyporesponse to hepatitis B vaccine.MethodsA case-control study included 128 non-or hyporesponders and 128 responders from 1 342 healthy adults who were subjected to a standard course of inmunization with recom binant hepatitits B virus vaccine All subjects were investigated with a unifoun questionnaire HLA-DRB1*0701 genes was detected with ploymemse chain reaction-sequence specific prines(PCR-SP).The data were analysed with SPSS 13.0 software.ResultsUnivariate analysis indicated that age (OR=2.52, 95% CI 1.51-4.21),BMI (OR=2.38,95% CI 1.13-5.02),smoking (OR=2.15, 95% CI 1.08-4.28) and drinking tea (OR=0.32, 95% CI 0.10-0.99) were associated with non-or hyporesponse.The DRB1*0701 allele was found at a ratio of 16.4% in the non-or hyporesponders which was significant when compared with the responders(3.9%,χ2=10.959, P=0.002, OR=4.83).The results of multivariate logistic regression showed that only 3 factors entered the model, including age (OR=2.12,95% CI 1.24-9.69),BMI(OR=2.21, 95% CI 1.04-4.72),DRB1*0701 (OR=4.08, 95% CI 1.45-11.46).ConclusionMany factors were associated with non-or hyporesponse to hepatitis B raccine.

     

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