江苏省四类人群丙型病毒性肝炎防治知识知晓状况及相关因素分析  

Awareness and factors associated with hepatitis C prevention and control among four populations in Jiangsu Province

作　　者：陈沄渟 刘晓燕[1] 李建军[1] 陈禹衡[1] 史灵恩[1] 邱涛[1] 杨丹丹[1] CHEN Yunting;LIU Xiaoyan;LI Jianjun;CHEN Yuheng;SHI Lingen;QIU Tao;YANG Dandan(Jiangsu Centre for Disease Control and Prevention,Nanjing 210009,Jiangsu,China)

机构地区：[1]江苏省疾病预防控制中心性病艾滋病防制所,南京210009

出　　处：《中国艾滋病性病》2024年第9期906-911,共6页Chinese Journal of Aids & STD

摘　　要：目的了解大众人群、吸毒人群、暗娼人群及MSM丙型肝炎(简称丙肝)防治知识知晓率及相关因素,为下一步防治工作提供科学参考。方法利用2021年江苏省丙肝防治知识知晓率调查及当年艾滋病哨点监测工作对大众人群、吸毒人群、暗娼人群及MSM开展问卷调查。结果共调查14223人,其中大众人群5617人,吸毒人群1050人,暗娼人群5153人,MSM 2403人。大众人群丙肝知识知晓率为54.9%、吸毒人群51.3%、暗娼人群58.5%、MSM 59.8%,四类人群丙肝防治知识知晓率差异均有统计学意义(χ^(2)=36.4,P<0.05)。在大众人群中,相较于小学及以下者,文化程度越高知晓率越高;相较于苏北,苏南地区大众人群丙肝防治知晓概率更高(OR=1.9,95%CI:1.7~2.2)。吸毒人群中,相较于本省,户籍外省者知晓率更高(OR=1.7,95%CI:1.2~2.3);相较于小学及以下人群,文化程度大专以上者知晓率更高(OR=2.3,95%CI:1.3~4.0)。暗娼人群中相较于已婚者,非婚者丙肝防治知晓概率更高(OR=1.3,95%CI:1.1~1.5);相较于苏北地区,苏中地区知晓率更低(OR=0.3,95%CI:0.2~0.4),而苏南地区知晓率更高(OR=1.2,95%CI:1.5~2.0)。MSM中,相较于40岁及以下人群,41岁及以上者丙肝防治知晓概率更低(OR=0.6,95%CI:0.5~0.8);相较于本省,户籍外省者知晓率更高(OR=1.8,95%CI:1.4~2.3);相较于汉族,其他民族知晓率更低(OR=0.2,95%CI:0.1~0.6);相较于苏北地区,苏中地区知晓率更低(OR=0.4,95%CI:0.3~0.5)。结论江苏省大众人群、吸毒人群、暗娼人群及MSM丙肝防治知识知晓率均较低,今后要加强低文化、高年龄段人群的宣教,省内不同地区也要因地制宜,宣教内容侧重丙肝传播途径及检测治疗相关知识。Objective This study aimed to assess the awareness of Hepatitis C(HCV)prevention and control knowledge among the general population,drug users,female sex workers(FSWs),and men who have sex with men(MSM)in Jiangsu Province,analyzing related factors to guide future preventive measures.Methods A questionnaire survey was conducted among the general population,drug users,FSWs,and MSM using data from the 2021 Jiangsu Province Hepatitis C Prevention and Control Knowledge Awareness Survey and the same year's AIDS sentinel surveillance work.Results A total of 14223 individuals were surveyed,including 5617 from the general population,1050 drug users,5153 FSWs,and 2403 MSM.The awareness rates of HCV prevention and control knowledge were 54.9%in the general population,51.3%among drug users,58.5%among FSWs,and 59.8%among MSM.These differences were statistically significant(χ^(2)=36.4,P<0.05).In the general population,those with higher educational levels showed greater awareness than those with primary education or lower.The southern region of Jiangsu had a significantly higher awareness rate compared to the northern region(OR=1.9,95%CI:1.7-2.2).Among drug users,non-local residents exhibited higher awareness rates than locals(OR=1.7,95%CI:1.2-2.3),with college-educated individuals faring better than those with primary education or lower(OR=2.3,95%CI:1.3-4.0).For FSWs,unmarried individuals had higher awareness than married ones(OR=1.3,95%CI:1.1-1.5),with geographical disparities evident across the province.Among MSM,those aged 41 and above had lower awareness compared to younger individuals(OR=0.6,95%CI:0.5-0.8),and non-local residents had higher awareness rates than locals(OR=1.8,95%CI:1.4-2.3).Ethnic minorities exhibited lower awareness than the Han majority(OR=0.4,95%CI:0.3-0.5).The northern region of Jiangsu had a significantly lower awareness rate compared to the central region(OR=0.4,95%CI:0.3-0.5).Conclusions Awareness of HCV prevention and control knowledge remains relatively low across key populations in Jiangsu Provi

关 键 词：丙型病毒性肝炎 防治知识 不同人群 相关因素 

分 类 号：R512.6[医药卫生—内科学]