丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素  

Analysis of the awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients

作　　者：虞接军 徐朋 刘鹏程 张琬悦[2] 孙传武[3] 陈兴云 张培栋[3] 袁庆 刘中夫[1] 李健[1] YU Jiejun;XU Peng;LIU Pengcheng;ZHANG Wanyue;SUN Chuanwu;CHEN Xingyun;ZHANG Peidong;YUAN Qing;LIU Zhongfu;LI Jian(Division of HCV&STD Prevention and Treatment of National Center for STD/AIDS Control and Prevention,Chinese Center for Disease Control and Prevention Division of HCV&STD Prevention and Treatment,Beijing 102206,China;STD/AIDS Prevention and Treatment Institute of Yunnan Center for Disease Control and Prevention,Kunming 650034,China;Department of STD/AIDS Prevention and Control of Xuzhou Center for Disease Control and Prevention,Xuzhou 221006,China;Department of AIDS Prevention and Control of Wenshan Zhuang and Miao Autonomous Prefecture Center for Disease Control and Prevention,Wenshan 663099,China)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心丙型肝炎与性病防治室,北京102206 [2]云南省疾病预防控制中心性病艾滋病防制所,昆明650034 [3]徐州市疾病预防控制中心性病艾滋病防制科,徐州221006 [4]文山壮族苗族自治州疾病预防控制中心艾滋病防治科,文山663099

出　　处：《中华疾病控制杂志》2023年第7期745-750,共6页Chinese Journal of Disease Control & Prevention

基　　金：中国预防性病艾滋病基金会丙肝诊疗现况调查研究(2021BGZX01);中国预防性病艾滋病基金会既往报告丙肝病例随访管理试点(4省)(2021BGZX02);中国疾病预防控制中心性病艾滋病预防控制中心丙肝防治技术指导与能力建设(131031105000200002)。

摘　　要：目的了解丙型病毒性肝炎(丙肝)患者的丙肝防治知识知晓情况并分析相关因素,为丙肝防治工作提供参考。方法2022年7-9月,对云南省文山壮族苗族自治州(文山州)和江苏省徐州市的丙肝患者进行调查,收集调查对象的人口学特征、丙肝防治知识等信息。采用χ^(2)检验比较不同特征患者丙肝防治知识知晓情况的差异,并采用多元线性回归模型分析患者丙肝防治知识知晓情况的相关因素。结果共收集486份问卷,有效问卷483份。其中男性占65.22%(315名),女性占34.78%(168名),平均知晓率为62.66%,单题知晓率最低为32.71%,最高为81.37%。多元线性回归模型分析结果显示,女性[β=-0.729(95%CI:-1.311~-0.147),P=0.014]、年龄≥50岁[β=-0.635(95%CI:-1.205~-0.065),P=0.029]、农民或民工[β=-1.139(95%CI:-1.992~-0.286),P=0.009]、不清楚自身感染途径者[β=-0.970(95%CI:-1.577~-0.362),P=0.002]、未接受丙肝宣传教育者[β=-1.648(95%CI:-2.224~-1.073),P<0001]和不知道自己患有丙肝者[β=-1.097(95%CI:-2.094~-0.010),P=0.031]的知晓率更低。结论丙肝患者的丙肝防治知识知晓率不高,且与性别、年龄、职业、感染途径、是否接受过丙肝宣传教育和是否知道自身患病有关联,需加强宣传教育提高该人群的知识知晓状况。Objective This study aimed to assess the understanding of the knowledge of hepatitis C prevention and treatment among hepatitis C patients and analyze the related factors,to provide a basis for future hepatitis C prevention and treatment.Methods From July to September,2022,a survey was conducted among hepatitis C patients in Wenshan Prefecture,Yunnan Province and Xuzhou City,Jiangsu Province.We collected information on the demographic characteristics and knowledge of hepatitis C prevention and treatment of the surveyed patients.Theχ^(2) test was used to compare the differences in knowledge of hepatitis C prevention and treatment among patients with different characteristics.A multiple linear regression model was used to analyze the factors associated with patients′knowledge of hepatitis C prevention and treatment.Results A total of 486 questionnaires were collected,and 483 were valid.Among them,65.22%(315)were males and 34.78%(168)were females.The average rate of knowledge was 62.66%,with the lowest single-question knowledge rate of 32.71%and the highest of 81.37%.The results of multiple linear regression analysis showed that women[β=-0.729(95%CI:-1.311--0.147),P=0.014],age≥50 years[β=-0.635(95%CI:-1.205--0.065),P=0.029],farmers or migrant workers[β=-1.139(95%CI:-1.992--0.286),P=0.009],those who did not know the route of their infection[β=-0.970(95%CI:-1.577--0.362),P=0.002],those who did not receive hepatitis C education[β=-1.648(95%CI:-2.224--1.073),P<0001],and those who did not know they had hepatitis C[β=-1.097(95%CI:-2.094--0.010),P=0.031]had lower awareness rates.Conclusions The understanding of Hepatitis C prevention and treatment among diagnosed hepatitis C patients was suboptimal and was influenced by factors such as gender,age,occupation,infection route,hepatitis C education,and disease awareness.There is a need for increased educational efforts to improve the knowledge of these populations.

关 键 词：丙型病毒性肝炎 防治知识 知晓情况 相关因素 

分 类 号：R512.91[医药卫生—内科学]