湖北省艾滋病感染人群戊型肝炎知信行现况调查  

Cross-sectioninvestigation on knowledge,attitudes,andbehavior of hepatitis E among HIV-infected population in Hubei,China

作　　者：王钦 陈雅梦 柳赟昊 朱长才 马兰 李翔 吴媚 张玲 WANG Qin;CHEN Ya-meng;LIU Yun-hao;ZHU Zhang-cai;MA Lan;LI Xiang;WU Mei;ZHANG Ling(Department of Environmental Health and Occupational Medicine,School of Public Health,Wuhan University of Science and Technology,Hubei Province Key Laboratory of Occupational Hazard Identification and Control,Wuhan 430065,Hubei,China;不详)

机构地区：[1]武汉科技大学医学院公共卫生学院环境卫生与职业医学系、职业危害识别与控制湖北省重点实验室,湖北武汉430065 [2]湖北中医药大学检验学院临床微生物学教研室,湖北武汉430065 [3]湖北省药品监督管理局东湖新技术开发区分局

出　　处：《广东医学》2020年第10期1069-1074,共6页Guangdong Medical Journal

基　　金：国家自然科学基金资助项目(81573239);湖北省卫生和计划生育委员会面上项目(WJ2017M174,WJ2017M24)。

摘　　要：目的对湖北省人类免疫缺陷病毒(human immunodeficiency virus,HIV)患者中戊型肝炎病毒(hepatitis E virus,HEV)的知信行情况进行调查评估,为在HIV人群中的戊型肝炎的预防提供科学依据。方法采用分层(地区、年龄、性别)随机抽样方法抽取湖北省6个地区HIV人群样本700名,通过问卷调查赋分的方式了解其戊型肝炎相关知识、态度和行为。采用SPSS 24.0软件和logistic回归进行统计分析。结果共回收有效问卷644份,结果显示被调查HIV人群的戊型肝炎相关总体知晓率、正性态度率和健康行为率分别为41.15%、46.27%及56.37%。调整协变量后logistic回归分析结果显示居住地(OR=1.28,95%CI:1.16~1.40)、职业(OR=0.81,95%CI:0.71~0.92)、文化程度(OR=1.24,95%CI:1.08~1.44)与HEV知晓相关,居住地(OR=1.21,95%CI:1.11~1.33)、文化程度(OR=1.53,95%CI:1.08~1.44)与HEV正性态度相关,性别(OR=1.66,95%CI:1.04~2.64)、年龄(OR=1.53,95%CI:1.29~1.82)、居住地(OR=1.10,95%CI:1.00~1.20)、月收入(OR=0.85,95%CI:0.73~0.98)与HEV健康行为相关。结论戊型肝炎防治的重点对象为艾滋病感染人群,且性别、居住地、文化程度等是戊型肝炎病毒的影响因素,根据此结果可制定相应的预防策略。Objective To investigate and evaluate the knowledge and behavior of people infected with hepatitis E virus(HEV)in human immunodeficiency virus(HIV)patients in Hubei Province.Methods A random sample of stratification(region,age,sex)was used to sample 700 HIV populations from 6 regions of Hubei Province.The knowledge,attitudes and behaviors of HEV were learned through questionnaires.Statistical analysis was performed using SPSS 24.0 software and logistic regression.Results A total of 644 valid questionnaires were collected and analyzed.The overall awareness rate,positive attitude rate and healthy behavior rate of hepatitis E in the surveyed HIV population were 41.15%,46.27%and 56.37%,respectively.Logistic regression analysis showed that the place of residence(OR=1.28,95%CI:1.16-1.40),occupation(OR=0.81,95%CI:0.71-0.92),education level(OR=1.24,95%CI:1.08-1.44)were significantly correlated to the awareness of HEV;residence(OR=1.21,95%CI:1.11-1.33)and education level(OR=1.53,95%CI:1.08-1.44)were significantly correlated to positive attitude of HEV;and gender(OR=1.66,95%CI:1.04-2.64),age(OR=1.53,95%CI:1.29-1.82),place of residence(OR=1.10,95%CI:1.00-1.20),and monthly income(OR=0.85,95%CI:0.73-0.98)were significantly correlated to HEV health behavior.Conclusion HIV-infected peopleare the key target population of hepatitis E prevention and treatment.Gender,place of residence,and education level are the influencing factors of hepatitis E virus.Therefore,corresponding prevention strategies can be formulated based on this result.

关 键 词：艾滋病 戊型肝炎 知识、态度、行为模式 现况调查 

分 类 号：R181.3[医药卫生—流行病学] R512.6[医药卫生—公共卫生与预防医学]