济宁市18-59岁公共场所从业人员乙型肝炎防控健康教育干预效果  

Effectiveness of health education about hepatitis B prevention and control among public setting practitioners 18-59 years of age in Jining city

作　　者：程允堂[1] 张新新 张国清[1] 李洪刚 刘伟[1] 颜丙玉[3] Cheng Yuntang;Zhang Xinxin;Zhang Guoqing;Li Honggang;Liu Wei;Yan Bingyu(Jining Center for Disease Control and Prevention,Jining 272000,Shandong,China;Liangshan Center for Disease Control and Prevention,Liangshan 274800,Shandong,China;Shandong Provincial Center for Disease Control and Prevention,Jinan 250014,Shandong,China)

机构地区：[1]济宁市疾病预防控制中心,山东济宁272000 [2]梁山县疾病预防控制中心,山东梁山274800 [3]山东省疾病预防控制中心,山东济南250014

出　　处：《中国疫苗和免疫》2023年第6期629-634,共6页Chinese Journal of Vaccines and Immunization

基　　金：中国肝炎防治基金会中国乙肝防控科研基金(YGFK20200022)。

摘　　要：目的 评价公共场所从业人员乙型肝炎(乙肝)防控健康教育的干预效果。方法 在济宁市某县2个乡镇选择公共场所从业人员随机分为健康教育干预组和对照组,干预1年后开展问卷调查和血清乙肝标志物检测,比较乙肝防控知识和态度得分、乙肝疫苗(Hepatitis B vaccine,HepB)接种率和乙肝标志物阳性率。结果 干预组、对照组分别纳入501例、504例研究对象。两组乙肝防控知识平均得分分别为5.82、4.79(t=12.62,P<0.001),态度平均得分分别为8.10、7.27(t=10.76,P<0.001),HepB接种率分别为95.61%、49.60%(χ~2=266.94,P<0.001),乙肝表面抗原阳性率分别为0.80%、1.39%(Fisher精确概率法,P=0.55),乙肝表面抗体阳性率分别为22.95%、13.89%(χ~2=13.75,P<0.001),乙肝核心抗体阳性率分别为6.39%、8.13%(χ~2=1.14,P=0.29)。结论 健康教育干预显著提高了济宁市公共场所从业人员乙肝防控认知度和HepB接种率。建议全面加强济宁市从业人员乙肝防控健康教育。Objective To assess the effectiveness of health education about hepatitis B prevention and control among public setting practitioners.Methods We selected public setting practitioners 18-59 years of age from two townships of one county in Jining city and randomized them into a health education group or a control group.One year after the educational intervention,we conducted questionnaire-based surveys and obtained and tested sera for hepatitis B markers to compare the groups on hepatitis B knowledge and attitudes,hepatitis B vaccine(HepB) coverage levels,and positivity rates of hepatitis B markers.Results Among 501 subjects in the intervention group and 504 in the control group,average knowledge scores were 5.82 and 4.79(t=12.62,P<0.001),average attitude scores were 8.10 and 7.27(t=10.76,P<0.001),HepB coverage levels were 95.61% and 49.60%(χ~2=266.94,P<0.001),hepatitis B surface antigen positive rates were 0.80% and 1.39%(Fisher's exact test,P=0.55),hepatitis B surface antibody positive rates were 22.95% and 13.89%(χ~2=13.75,P<0.001),and hepatitis B core antibody positive rates were 6.39% and 8.13%(χ~2=1.14,P=0.29).Conclusions The health education intervention significantly improved knowledge and attitudes about hepatitis B prevention and control and increased HepB coverage among public setting practitioners.We suggest implementing health education about hepatitis B prevention and control for all practitioners of Jining.

关 键 词：乙型肝炎 知识 态度 行为 健康教育 公共场所从业人员 

分 类 号：R186[医药卫生—流行病学]