乙型肝炎病毒表面抗原携带者主动告知配偶的可行性研究  

The Feasible Study of Hepatitis B Virus Surface Antigen Carriers Initiative Inform the Hepatitis B Virus Infection to the Spouse

作　　者：孙爱武[1] 王锋[2] 王富珍[3] 张爽[2] 涂秋风[4] 邵晓萍[5] 郑徽[3] 孙校金[3] 龚晓红[3] 缪宁[3] 崔富强[3] 毕胜利[2] 陈园生[3] 

机构地区：[1]中国疾病预防控制中心,北京102206 [2]中国疾病预防控制中心病毒病预防控制所,北京102206 [3]中国疾病预防控制中心免疫规划中心,北京100050 [4]江西省疾病预防控制中心,南昌330029 [5]广东省疾病预防控制中心,广州510300

出　　处：《中国疫苗和免疫》2013年第3期260-265,共6页Chinese Journal of Vaccines and Immunization

基　　金：中国疾病预防控制中心青年科学研究基金(编号2010A103)

摘　　要：目的开展乙型肝炎(乙肝)病毒表面抗原[Hepatitis B Virus(HBV)Surface Antigen,HBsAg]携带者主动告知配偶的可行性调查,为消除乙肝歧视提供参考。方法选择2006年全国乙肝血清流行病学调查发现的20～45岁HBsAg携带者159例,对其及配偶开展问卷调查并系统分析。结果在159例HBsAg携带者中,93.7%能主动告知配偶,且92.6%第一时间告知配偶实情,45.91%相信对方能理解,43.40%认为不会导致感情破裂。HBsAg携带者主动告知配偶后,35.57%的配偶鼓励对方积极治疗,15.44%的配偶积极查询资料和寻求科学预防,36.24%的配偶及时接种乙肝疫苗或采取安全性生活;但57.05%的配偶无所谓、未采取任何保护措施。HBsAg携带者在结婚后主动告知配偶所占比例(60.38%)明显高于结婚前告知比例(29.56%)。从HBsAg阳性者配偶获知,若HBsAg阳性者结婚前告知,62.89%的配偶能理解对方,并采取有效的保护性措施;22.64%会鼓励对方积极治疗,将不会导致感情破裂。结论 HBsAg携带者主动告知配偶是可行的,也是必要的,有利于保护对方避免HBV感染,减少配偶间HBV传播概率。还应加强乙肝防治知识的正确宣传,逐渐消除社会对HBsAg携带者的偏见。Objective The feasible study of hepatitis B virus （ HBV ） surface antigen （ HBsAg ） carriers initiative inform the HBV infection to the spouse was conducted and to provide a reference for the elimination of discrimination against HBV.Method 159 HBsAg carriers aged 20-45 years and their spouses were selected from the national viral hepatitis epidemiological survey in 2006 and the questionnaire survey was carried out.Results Among 159 HBsAg carriers,93.7 % of HBsAg carriers could initiative inform their spouses and 92.6 % of HBsAg carriers could inform their spouses as soon as they were detected as HBsAg positive.45.91 % of HBsAg carriers expressed the belief that their spouses could understand and 43.40 % said that they would not lead to emotional breakdown.When HBsAg carriers took the initiative to inform the spouse,35.57 % of the spouses encouraged the HBsAg carriers to take active treatment,15.44 % of the spouses could actively query data and seek scientific prevention,36.24 % of the spouses could timely get HepB and take the safety sexual behaviors,but 57.05 % of the spouse does not matter,and not to take any protective measures.The proportion for the HBsAg carriers taking the initiative to inform the spouse after marriage （ 60.38 %） was significantly higher than that before marriage （ 29.56 %） .Learned from the spouses of HBsAg carriers,if HBsAg carriers before marriage inform truth to them,62.89 % of the spouses could understand the HBsAg carriers and take effective protective measures,and 22.64 % also could encourage them to take active treatment,and would not lead to emotional breakdown.Conclusion The study results showed that it was feasibility and necessary that HBsAg carriers took the initiative to inform the HBV infection to the spouse,and it was benefit that the spouses of HBsAg carriers could take the measures to prevent HBV infection and reduce the of HBV transmission probability between husband and wife.And it suggested that we should gradually eliminate the HBsAg carriers prejudice

关 键 词：乙型肝炎病毒表面抗原携带者 配偶 主动告知 

分 类 号：R512.62[医药卫生—内科学]