昆明市三类重点人群丙型病毒性肝炎知识知晓率及影响因素分析  

Awareness of hepatitis C knowledge and its influencing factors among three key populations in Kunming

作　　者：张婉筠[1] 李怡[1] 程晓藕 马艳丽 杨喻雯 缪茜 ZHANG Wanyun;LI Yi;CHENG Xiaoou;MA Yanli;YANG Yuwen;MIAO Qian(Kunming Center for Disease Control and prevention,Kunming 650034,Yunnan,China)

机构地区：[1]昆明市疾病预防控制中心,昆明650034

出　　处：《中国艾滋病性病》2024年第11期1177-1181,共5页Chinese Journal of Aids & STD

摘　　要：目的了解昆明市吸毒人群、暗娼和MSM丙型病毒性肝炎(简称丙肝)知识知晓率及影响因素。方法结合2021-2022年昆明市艾滋病哨点监测工作,对三类重点人群的丙肝防治知识进行问卷调查,采用描述性流行病学方法分析调查结果。结果共调查2344人,其中吸毒人群654人、暗娼1282人、MSM 408人。丙肝防治总知识知晓率吸毒人群为60.2%、暗娼为85.6%、MSM为97.5%。吸毒人群的丙肝知识总知晓率明显低于暗娼(OR=3.938,95%CI:3.157~4.918)、MSM(OR=26.264,95%CI:13.755~50.148)。性别、文化程度是吸毒人群丙肝知识知晓的影响因素,其中相对于男性,女性知晓丙肝知识的概率更高(OR=19.423,95%CI:10.786~34.975);相对于初中及以下,高中及以上更高(OR=2.091,95%CI:1.245~3.512)。年龄、活动区域、丙肝既往检测史是暗娼丙肝知识知晓的影响因素,其中相对于<50岁,50岁及以上者知晓丙肝知识的概率更低(OR=0.233,95%CI:0.129~0.419);相对于郊县,在城区(OR=4.147,95%CI:2.547~6.752)和农业县(OR=3.573,95%CI:1.684~7.583)活动者更高;相对于有丙肝检测史的,既往未检测过(OR=0.370,95%CI:0.230~0.596)及不知道是否检测过(OR=0.035,95%CI:0.007~0.172)的更低。文化程度是MSM的丙肝知识知晓的影响因素,相对于初中及以下,高中及以上者知晓丙肝的概率更高(OR=9.048,95%CI:2.159~37.912)。结论昆明市MSM、暗娼的丙肝防治知识知晓率较高。今后应针对吸毒人群,特别是男性,以及年龄偏高、文化层次较低的重点人群全面宣传丙肝的传播途径、治疗信息,加大筛查力度,提高防范意识,减少丙肝的感染和传播。Objective To investigate the awareness of hepatitis C(HCV)and its influencing factors among drug users,female sex workers(FSWs),and men who have sex with men(MSM)in Kunming.Methods A questionnaire survey assessing HCV prevention and treatment knowledge was conducted as part of the 2021-2022 HIV sentinel surveillance in Kunming.Descriptive epidemiological methods were employed to analyze the survey results.Results 2344 individuals participated in the survey,including 654 drug users,1282 FSWs,and 408 MSM.The overall awareness rate for HCV was 60.2%among drug users,85.6%among FSWs,and 97.5%among MSM.The awareness rate among drug users was significantly lower than that of FSWs(OR=3.938,95%CI:3.157-4.918)and MSM(OR=26.264,95%CI:13.755-50.148).Gender and education level were influencing factors for HCV awareness among drug users,with females being more likely to be aware of HCV than males(OR=19.423,95%CI:10.786-34.975).Additionally,individuals with a high school education or above were more like to have higher awareness than those with junior high school education or below(OR=2.091,95%CI:1.245-3.512).Among FSWs,factors such as age,activity area,and prior HCV testing history influenced awareness,with individuals aged 50 years and above less likely to be aware of HCV compared to those under 50(OR=0.233,95%CI:0.129-0.419).FSWs active in urban areas(OR=4.147,95%CI:2.547-6.752)and agricultural counties(OR=3.573,95%CI:1.684-7.583)demonstrated higher awareness compared to those in suburban areas.Those with no prior HCV testing(OR=0.370,95%CI:0.230-0.596)or those uncertain about prior testing(OR=0.035,95%CI:0.007-0.172)had lower awareness.Among MSM,education level was an influencing factor;those having a high school education or above had greater HCV knowledge than those with junior high school education or below(OR=9.048,95%CI:2.159-37.912).Conclusions Awareness of HCV prevention and treatment is relatively high among MSM and FSWs in Kunming.Future efforts should focus on promoting HCV knowledge among drug users,particularly

关 键 词：丙型病毒性肝炎 知晓率 重点人群 

分 类 号：R512.6[医药卫生—内科学]