黑龙江和甘肃省成人乙型肝炎知识知晓率和接种意愿调查  

Knowledge about hepatitis B and willingness to receive hepatitis B vaccination among adults in Heilongjiang and Gansu provinces

作　　者：万咏梅 刘宇德 范晨璐[3] 王富珍[1] 郑徽[1] 赵天朔 邱佳裔 徐靓亮 张伟[1] 孔庆福 张国民[1] 崔富强[4] Wan Yongmei;Liu Yude;Fan Chenlu;Wang Fuzhen;Zheng Hui;Zhao Tianshuo;Qiu Jiayi;Xu Liangliang;Zhang Wei;Kong Qingfu;Zhang Guomin;Cui Fuqiang(National Immunization Program,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Jingyuan County Center for Disease Control and Prevention,Jingyuan 730600,Gansu,China;Harbin Municipal Center for Disease Control and Prevention,Harbin 150056,Heilongjiang,China;School of Public Health,Peking University,Beijing 100191,China.)

机构地区：[1]中国疾病预防控制中心免疫规划中心,北京100050 [2]靖远县疾病预防控制中心,甘肃靖远730600 [3]哈尔滨市疾病预防控制中心,黑龙江哈尔滨150056 [4]北京大学公共卫生学院,北京100191

出　　处：《中国疫苗和免疫》2020年第3期309-313,共5页Chinese Journal of Vaccines and Immunization

基　　金：中国成人高危人群和社区人群乙肝疫苗优化免疫策略研究(2018ZX10721202)。

摘　　要：目的了解成人乙型肝炎(乙肝)知识知晓率和无或不详乙肝疫苗(Hepatitis B vaccine,HepB)接种史成人的接种意愿。方法采用便利抽样法在黑龙江和甘肃省选择4个调查现场,抽取18-59岁常住人口进行问卷调查,分析乙肝知识知晓率、无或不详HepB接种史者的HepB接种意愿率。结果共纳入调查对象1051名,乙肝知识平均得分为10.09±3.36分(满分16分),其中54.23%的调查对象知识得分>10分。调查对象对使用公用马桶、与乙肝病毒(Hepatitis B virus,HBV)感染者一起玩或工作、与HBV感染者一起进餐、蚊虫叮咬是否可感染HBV的知晓率分别为45.86%、45.10%、31.30%、24.26%。无或不详HepB接种史者的HepB接种意愿率为67.80%(318/469)。Logistic回归分析显示,女性HepB接种意愿率高于男性(OR=1.74,95%CI:1.16-2.62);有医疗保险者高于无医疗保险者(OR=2.19,95%CI:1.19-4.01);乙肝知识得分>10分者高于≤10分者(OR=2.42,95%CI:1.54-3.78)。结论调查地区成人对HBV错误传播途径的知晓度低;提高乙肝知识知晓水平可增加无或不详HepB接种史成人的HepB接种意愿。Objective To determine knowledge about hepatitis B among adults and willingness to receive hepatitis B vaccine(HepB)among adults with no or unknown hepatitis B vaccination history.Methods We used a convenience sampling method to select 18-59-year-old local people from four settings of Heilongjiang and Gansu provinces for a questionnaire-based survey to determine knowledge of hepatitis B and willingness to receive HepB among individuals with no or unknown HepB history.Results A total of 1051 subjects were included.The average hepatitis B knowledge score was 10.09±3.36 points(full score:16 points)with 54.23%of subjects having a score of>10 points.Among all subjects,45.86%,45.10%,31.30%,and 24.26%knew whether or not using public toilets,playing/working with HBV-infected individuals,dining with HBV-infected individuals,and mosquito bites could cause HBV infection;67.80%(318/469)of subjects with no/unknown HepB history were willing to receive HepB.Logistic regression showed that willingness was higher among females than males(OR=1.74,95%CI:1.16-2.62),higher among those who had medical insurance than who did not(OR=2.19,95%CI:1.19-4.01),and higher among subjects whose hepatitis B knowledge scores were>10 points than among subjects whose scores were≤10 points(OR=2.42,95%CI:1.54-3.78).Conclusions Awareness of false transmission routes of HBV was low among adults.We should improve hepatitis B knowledge to increase willingness to receive HepB among adults with no/unknown HepB history.

关 键 词：乙型肝炎 乙型肝炎疫苗 知识 接种 知晓 意愿 成人 

分 类 号：R186[医药卫生—流行病学]