远洋船员乙型肝炎病毒感染的影响因素分析  

Influencing factors of hepatitis B virus infection in ocean seamen

作　　者：刘海英[1] 唐安[2] 任飞林[2] 刘芳洁[1] 唐蕾[1] 

机构地区：[1]浙江省舟山医院中医科,316021 [2]浙江省舟山市疾病预防控制中心传染病防制科,316000

出　　处：《国际流行病学传染病学杂志》2014年第1期25-27,共3页International Journal of Epidemiology and Infectious Disease

摘　　要：目的 分析舟山海岛地区远洋船员感染HBV的影响因素,为该地区乙型肝炎的防治提供科学依据.方法 本研究选择2011年7月1日至2012年6月30日在舟山医院进行体检且HBsAg指标阳性的453名远洋船员作为感染组.按照1：1选择以年龄±2岁、同工种且乙型肝炎标志物检测全阴者进行匹配,设立453名对照,并进行影响因素分析.结果 单因素分析结果表明,乙型肝炎疫苗接种是感染HBV的保护因素（OR=0.507,x2=11.339,P＜0.05）,而饮用生水和出国劳务是感染HBV的危险因素（OR=1.471、2.215,P＜0.05）.多因素条件Logistic回归分析显示,乙型肝炎疫苗接种史是海岛船员感染乙型肝炎的保护因素（OR=0.523,x2=10.150,95％CI：0.351～0.779）,出国劳务史是海岛远洋船员感染乙型肝炎的危险因素（OR=1.992,x2=5.000,95％CI：1.089～3.646）.结论 出国劳务史是海岛船员感染乙型肝炎的主要危险因素,乙肝疫苗接种史是HBV感染的保护因素,应强化远洋船员乙型肝炎疫苗接种,并加强远洋船员的安全性健康教育.Objective To investigate the influencing factors of hepatitis B virus （HBV） infection in ocean seamen from Zhoushan island area,so as to provide the scientific basis for hepatitis B prevention in this district.Methods A total of 453 ocean seamen who received health examination and were detected HBsAg positive in Zhoushan Hospital from 1 July 2011 to 30 June 2012 were selected as infection group.There were 453 controls who were living in the same village paired to the cases with 2 year difference in age.The controls were engaged in the same work but HBsAg negative.The risk factors were compared between the two groups.Results The univariate analysis showed that hepatitis B vaccine was a protective factor for HBV infection （OR =0.507,x2=11.339,P〈0.05）,and that drinking unboiled water and working abroad were the risk factors for HBV infection （OR=1.471,x2=2.215,P〈0.05）.Multiple logistic regression analysis showed that hepatitis B vaccine was a protective factor for HBV infection （OR=0.523,x2=10.150,95% CI：0.351-0.779） and that working abroad was a risk factor for HBV infection （OR=1.992,x2=5.000,95% CI：1.089-3.646）.Conclusions Working abroad is the main risk factor for HBV infection in ocean seamen and HBV vaccination is the protective factor for HBV infection.Therefore,HBV vaccination and sexual health education should be strengthened in island population.

关 键 词：肝炎 乙型 远洋船员 影响因素 

分 类 号：R373.21[医药卫生—病原生物学]