广西大众人群丙型病毒性肝炎防治知识知晓情况调查分析  

Investigation and analysis on the knowledge of prevention and treatment of hepatitis C among the general population in Guangxi

作　　者：李博 朱秋映[1] 刘玄华[1] 唐帅[1] 吴秀玲[1] 黄精华[1] 孟琴[1] 蓝光华[1] LI Bo;ZHU Qiuying;LIU Xuanhua;TANG Shuai;WU Xiuling;HUANG Jinghua;MENG Qin;LAN Guanghua(AIDS Prevention and Control Institute of Guangxi Center for Disease Control and Prevention,Nanning,Guangxi 530028,China)

机构地区：[1]广西壮族自治区疾病预防控制中心艾滋病防制所,广西南宁530028

出　　处：《应用预防医学》2023年第4期210-215,共6页Applied Preventive Medicine

基　　金：国家自然科学基金项目(12071366)。

摘　　要：目的了解广西大众人群丙型病毒性肝炎(简称丙肝)防治知识知晓率水平,并分析其影响因素,为针对性和有效性提高广西丙肝健康教育提供参考依据。方法依据《全国丙肝知识知晓率调查实施方案》的要求,从广西6个县(区)中按照容量比例抽样原则(PPS)各抽取4个社区(村),每个社区(村)随机调查100户,每户调查1人。调查内容为丙肝防治知识和危险行为;其中防治知识共8条题目,正确回答6题者为知晓。采用χ2检验、多因素logistic回归模型分析丙肝认知情况及影响因素。结果共收回有效问卷2400份,丙肝防治知识条目回答正确率为65.36%(12550/19200);知晓率为54.63%(1311/2400)。不同地区公布、婚姻状况、年龄、户籍所在地以及教育程度的人群知晓率差异均有统计学意义(P值均<0.05)。多因素分析结果显示,地区(合浦县:OR=7.473;罗城县:OR=3.990;柳北区:OR=2.044)、婚姻状况(在婚:OR=1.710)、年龄(30~39岁:OR=0.583;50~59岁:OR=0.649;60岁及以上:OR=0.484)和教育程度(高中或中专:OR=2.196;大专及以上:OR=3.867)是广西大众人群丙肝知晓情况的影响因素。6个县(区)调查人群中凌云县有过任意一项高危行为的发生率为最高(51.50%),最低为合浦县(36.75%);与知晓丙肝防治知识的人群相比,不知晓丙肝防治知识的人群中发生过一项高危行为的比例更高(P<0.05)。结论广西大众人群丙肝知识的知晓程度总体偏低,亟须加强丙肝防治健康宣传教育,特别是对未婚、低学历、中老年人群加强针对性宣传教育,提高丙肝知识知晓率及防护意识。Objective To understand the level of awareness of hepatitis C prevention and control knowledge among the general population in Guangxi,analyze its influencing factors,and provide the reference for improving the pertinence and effectiveness of health education for hepatitis C in Guangxi.Methods According to the requirements of the“Implementation Plan for the National Hepatitis C Knowledge Awareness Survey”,4 communities(villages)were selected from 6 counties(districts)in Guangxi according to the principle of proportional sampling(PPS),and 100 households were randomly surveyed in each community(village),1 person per household.The survey covered knowledge and risk behaviors related to the prevention and treatment of hepatitis C.Among them,there were 8 questions on prevention and control knowledge,and those who correctly answered 6 questions were considered as knowledgeable.The chi square test and multivariate logistic regression model were used to analyze the knowledgeable status and influencing factors of hepatitis C.Results A total of 2400 valid questionnaires were collected,and the correct answer rate for hepatitis C prevention and control knowledge items was 65.36%(12550/19200).The awareness rate was 54.63%(1311/2400).There were statistically significant differences in awareness rates among individuals from different regions,marital status,ages,and education levels(P values<0.05).The results of multivariate analysis showed that marital status(in marriage:OR=1.710),age(30-39 years old:OR=0.583;50-59 years old:OR=0.649;60 years old and above:OR=0.484),and educational level(high school or vocational school:OR=2.196;college and above:OR=3.867)were influencing factors for awareness rate.Among the surveyed population in 6 counties(districts),Lingyun county had the highest proportion of individuals who had high-risk behaviors(51.50%),and Hepu county had the lowest proportion(36.75%).Compared to those who were knowledgeable about hepatitis C prevention and control,the proportion of a high-risk behavior occurred in t

关 键 词：丙型肝炎 知晓率 大众人群 

分 类 号：R512.6[医药卫生—内科学]