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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1 716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1 716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1 716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。
Objective To understand the current status and related risk factors of hepatitis B virus infection in residents of Zhaoqing City, Guangdong Province, and to provide a scientific basis for the relevant departments to formulate and perfect the immunization strategy. Methods From June to November in 2014, stratified cluster random sampling method was used to survey 11 residents in neighborhoods and 29 townships and villages in 1 district (including 1 716 residents aged from 1 to 59) in 8 districts (counties) of Zhaoqing city for questionnaires And serological tests. Results The positive rate of HBsAg in 1 716 residents aged 1-59 years was 8.74%, the positive rate of anti-HBs was 72.09% and the positive rate of anti-HBc was 69.23% in Zhaoqing. Compared with residents with different characteristics, HBsAg, anti-HBs and The positive rate of anti-HBc was not statistically significant (all P> 0.05). The positive rates of HBsAg and anti-HBc among residents of different ages were all significantly different (all P <0.05). HBsAg, anti-HBs, (All P <0.05). Of the 716 residents in Zhaoqing City, 7.11% lived with long-term HBsAg positive patients and 1.28% shared toothbrush with family members, and Family share of razors accounted for 0.58%, with tooth extraction, dental fillings or other dental treatment of oral history accounted for 21.50%, had a history of paid blood donation accounted for 3.44%, history of blood transfusion accounted for 1.05%, a history of surgical treatment Accounting for 2.97%, history of endoscopic diagnosis and treatment accounted for 1.81%, history of acupuncture treatment accounted for 1.28%, who shared syringe with others accounted for 0.06%, went to the barber shop shaving, grooming or shaving accounted for 17.89% , Had to go to the bath pedicure accounted for 5.07%, had to do beauty salons traumatic cosmetic accounted for 2.86%. Conclusion There is a high prevalence of hepatitis B virus infection among residents in Zhaoqing City. There is a risk of hepatitis B virus infection in the family, medical care and daily life.