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申文豪, 孔德亮, 麦炜, 冼国佳, 周跃华, 梁大艳, 陆素颖, 陈惠欢, 黎玉华, 谭翰清, 朱颖梅, 朱碧柳. 肇庆市居民乙肝病毒感染现状及危险因素调查[J]. 中国公共卫生, 2016, 32(5): 673-675. DOI: 10.11847/zgggws2016-32-05-30
引用本文: 申文豪, 孔德亮, 麦炜, 冼国佳, 周跃华, 梁大艳, 陆素颖, 陈惠欢, 黎玉华, 谭翰清, 朱颖梅, 朱碧柳. 肇庆市居民乙肝病毒感染现状及危险因素调查[J]. 中国公共卫生, 2016, 32(5): 673-675. DOI: 10.11847/zgggws2016-32-05-30
SHEN Wen-hao, KONG De-liang, MAI Wei.et al, . Prevalence and risk factors of hepatitis B virus infection among residents of Zhaoqing municipality[J]. Chinese Journal of Public Health, 2016, 32(5): 673-675. DOI: 10.11847/zgggws2016-32-05-30
Citation: SHEN Wen-hao, KONG De-liang, MAI Wei.et al, . Prevalence and risk factors of hepatitis B virus infection among residents of Zhaoqing municipality[J]. Chinese Journal of Public Health, 2016, 32(5): 673-675. DOI: 10.11847/zgggws2016-32-05-30

肇庆市居民乙肝病毒感染现状及危险因素调查

Prevalence and risk factors of hepatitis B virus infection among residents of Zhaoqing municipality

  • 摘要: 目的 了解广东省肇庆市居民乙型病毒性肝炎(以下简称乙肝)病毒感染现状及相关危险因素,为相关部门制定和完善免疫规划策略提供科学依据。方法 于2014年6-11月采用分层整群随机抽样方法在肇庆市8个区(县)抽取11个街道居委会和29个乡镇村委会共1716名1~59岁常住居民进行问卷调查和血清学检测。结果 肇庆市1716名1~59岁居民HBsAg阳性率为8.74%,抗-HBs阳性率为72.09%,抗-HBc阳性率为69.23%;不同特征居民比较,不同性别居民HBsAg、抗-HBs和抗-HBc阳性率差异均无统计学意义(均P>0.05),不同年龄居民HBsAg和抗-HBc阳性率差异均有统计学意义(均P<0.05),不同地区居民HBsAg、抗-HBs、抗-HBc阳性率差异均有统计学意义(均P<0.05);肇庆市1716名居民中,与乙肝表面抗原阳性者长期一起生活者占7.11%,与家人共用牙刷者占1.28%,与家人共用过剃须刀者占0.58%,有拔牙、补牙或洗牙等口腔治疗史者占21.50%,有过有偿献血史者占3.44%,有输血史者占1.05%,有手术治疗史者占2.97%,有内窥镜诊疗史者占1.81%,有针灸治疗史者占1.28%,曾与他人共用注射器者占0.06%,曾去理发店修面、修体毛或刮胡须者占17.89%,曾去洗浴场所修脚者占5.07%,曾去美容院做过创伤性美容者占2.86%。结论 肇庆市居民乙肝病毒感染率较高,存在家庭内、医疗性和日常生活感染乙肝病毒的危险性。

     

    Abstract: Objective To examine the prevalence of hepatitis B virus(HBV) infection and its related factors among community residents of Zhaoqing municipality and to provide evidences for improving immunization programs.Methods Using stratified cluster random sampling, a questionnaire survey and serological detection were conducted between June to November 2014 among 1 716 permanent residents aged 1-59 years from 11 urban communities and 29 villages.Results Among the residents, the positive rate of hepatitis B virus surface antigen(HBsAg), surface antibody(HBsAb), and core antibody(HBcAb) were 8.74%, 72.09%, and 69.23%;no between-gender differences(all P>0.05) but significant between-age group differences and between-region differences in the positive rate of HBsAg, HBsAb, and HBcAb were observed(all P<0.05).In the residents, the self-reported proportions of exposed to risk factors of HBV infection were 7.11% for living for a long time with HBsAg positive family members, 1.28% and 0.58% for sharing toothbrush and razor with family members, 21.5% for history of dental medical treatment(including tooth extraction, dental filling and toothwash), 3.44% for history of paid blood donation, 1.05% for history of receiving blood transfusion, 2.79% for surgical history, 1.81% for history of endoscopic examination or treatment, 1.28% for history of acupuncture treatment, 0.06% for history of sharing syringe, 17.89% for history of shaving face or body hairs in a barbershop, 5.07% for history of having pedicure in public bath places, and 2.86% for history of surgical cosmetology in beauty salons, respectively.Conclusion HBV infection rate was relatively high among the residents of Zhaoqing municipality and some of the residents exposed to a variety of HBV infection risk factors in daily life, medical institutions, and public places.

     

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