安徽省某市农村地区人群乙型肝炎流行现况及相关知识调查  

A prevalence and knowledge survey on hepatitis B among population in rural areas in a city of Anhui Province

作　　者：汪娟[1] 董永海[1] 葛阜阳[2] 邹延峰[1] 黄芬[1] 李筱青 叶冬青[1] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [2]安徽省医学科学研究院,安徽合肥230061

出　　处：《中华疾病控制杂志》2010年第8期697-700,共4页Chinese Journal of Disease Control & Prevention

基　　金：安徽省科技攻关计划(06013058A)

摘　　要：目的了解安徽省某市农村地区人群乙型肝炎(简称乙肝)的流行状况及相关知识掌握情况。方法采用分层整群抽样的方法,对合肥市农村地区居民2038人进行问卷调查,并采集静脉血3ml,用ELISA方法进行HBsAg及抗-HBs检测。结果在2038份血清标本中,HBsAg标化流行率为6.44%,抗-HBs标化流行率为46.85%,HBsAg流行率在性别之间差异无统计学意义(χ2=0.559,P>0.05),农民HBsAg流行率最高,达9.06%,学生群体HBsAg流行率最低,为2.70%。1992年及之后出生的群体HBsAg流行率显著低于1992年之前出生的群体(χ2=8.120,P<0.05)。乙肝疫苗的标化接种率为38.87%,学生乙肝疫苗接种率最高,为85.41%,农民乙肝疫苗接种率最低,仅12.19%。乙肝知识得分调查农民群体最低;乙肝知识的三大获取途径依次是电视、广播以及报刊书籍。结论调查地区人群中HBsAg流行率为6.44%,低于全国平均水平,但抗-HBs水平偏低,农村居民对乙肝相关知识的了解程度偏低,应加强农村地区乙肝知识的健康教育,提高乙肝疫苗接种率。Objective To investigate the epidemic status of hepatitis B and the status of cognition about hepatitis B in certain rural areas in Anhui province. Methods A cluster sampling method was conducted to perform questionnaire on 2 038 persons who were selected randomly from rural population of Hefei and 3 ml of the vein blood was drawn from all the individuals engaged in the study. HBsAg,anti-HBs of the samples were tested with ELISA. Results Among 2 038 people,the prevalence rates of HBsAg,anti-HBs infection were 6.44% and 46.85% respectively. The prevalence rate of HBsAg was not significantly different between males and females （χ2=0.559,P0.05）. The prevalence rate of HBsAg was 9.06% in rural population,which was higher than that of other groups,the rate was the lowest （2.70%） in students. The prevalence rate of HBsAg among people who were born after 1992 was significantly lower than that of people born before 1992 （χ2=8.120,P0.05）. The vaccination rate was 38.87%. The vaccination rate was the highest in student group （85.41%） and the lowest in rural population （12.19%）.The average score of rural population was the lowest. The three accesses to Hepatitis B knowledge were television,radio and print media. Conclusions In the studied population of the district,the prevalence rate of HBsAg is 6.44%,which is lower than that of nation-wide. As the prevalence rates of anti-HBs and the knowledge on hepatitis B among rural population is relatively low,it is essential to strength health education and widespread immunization with hepatitis B vaccine in this population.

关 键 词：肝炎病毒 乙型 血清流行病学 横断面研究 

分 类 号：R181[医药卫生—流行病学] R512.6[医药卫生—公共卫生与预防医学]