云南省德宏州社区居民丙型肝炎病毒感染率及影响因素研究  

Prevalence and Correlates of Hepat itis C Virus Infection Among Community Residents in Dehong Prefecture,Yunnan Province

作　　者：项丽芬[1] 唐仁海[1] 杨跃诚[1] 叶润华[1] 李如轩 李洲林[3] 濮永成[4] 杨建华[5] 李维美[6] 罗小峰[7] 何纳[7] 段松[1] 

机构地区：[1]德宏州疾病预防控制中心,云南芒市678400 [2]德宏州芒市疾病预防控制中心,云南芒市678400 [3]德宏州瑞丽市疾病预防控制中心,云南瑞丽678600 [4]德宏州陇川县疾病预防控制中心,云南陇川678700 [5]德宏州盈江县疾病预防控制中心,云南盈江679300 [6]德宏州梁河县疾病预防控制中心,云南梁河679200 [7]复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海200032

出　　处：《中国初级卫生保健》2013年第5期80-82,共3页Chinese Primary Health Care

基　　金：国家"十一五"科技重大专项综合示范区项目云南省防治艾滋病规模化现场流行病学和干预研究课题(2009zx10004-902)

摘　　要：目的了解云南省德宏州社区人群丙型肝炎病毒(HCV)感染状况及其影响因素。方法采用配额抽样的方法在5个县市中各抽取1个社区,对其中年龄在18个月以上的常住人口进行人口学信息的搜集和血样检测。结果 25004名研究对象,平均年龄为(34.72±18.68)岁,女性占55.0%,傣族占56.8%,65.3%的人已婚有配偶,71.8%的人接受过小学以上教育。研究对象丙型肝炎病毒(HCV)感染率为0.6%(162/25004),以潞西市(1.2%)、21～40岁人群(1.0%)、男性(0.9%)、景颇族(1.7%)、在婚和离异/丧偶(0.8%)、小学文化程度(0.7%)以及企事业单位和技术人员(1.0%)HCV感染率相对较高。Logistic多因素分析结果显示,潞西市(OR=4.62,95%CI:1.60～13.38)、年龄在20岁以上者(OR21～=22.62,95%CI:7.42～68.92;OR41～=21.85,95%CI:6.87～69.46;OR≥61=7.34,95%CI:1.91～28.17)、男性(OR=2.66,95%CI:1.91～3.72)和傣族及景颇族(OR傣族=1.95,95%CI:1.15～3.31;OR景颇族=5.17,95%CI:2.95～9.07)HCV感染率较高。结论德宏州社区居民HCV感染率总体水平较低,但男性、20岁以上成人、傣族及景颇族人群中HCV感染率相对较高,有必要开展相关健康教育和预防干预活动。OBJECTIVE To determine the prevalence and correlates of HCV infection among community-based people in Dehong Prefecture, Yunnan Province. METHODS A quotasampling was used to select the permanent population aged 18 months or older from 5 counties.Each recruited participant＇ s demographic information and the blood specimens were collected. RESULTS Among the 25 004 participants, the mean age were （34.72＋_18.68）years, 55.0% were females, 56.8% were ethnic Dai, 65.3% were currently married, 71.8% received the primary school education. The prevalence of HCV was 0.6% overall. The prevalence of those who were from Luxi City（1.2%）, aged 21~40 years old（1.0%）, male（0.9%）, Dai and Jingpo ethnicity（1.7%）, married with spouse and divorced or widowed （0.8%）, received primary school education（0.7） and came from enterprise and public institution（1.0%） were higher. Multiple logistic regression analysis indicated that those who came from Luxi City, aged over 20 years old, were males and ethnic Dai and Jingpo were at higher risk of HCV infection. CONCLUSIONS The prevalence of HCV is low in Dehong prefecture. More health education and intervention are needed to decrease the prevalence of HCV among males, ethnic Dai and Jingpo.

关 键 词：丙型肝炎病毒 感染率 影响因素 德宏州 

分 类 号：R512.6[医药卫生—内科学]