宁波市医院就诊者丙型病毒性肝炎防治相关知识调查  

Awareness of knowledge about hepatitis C prevention and control among outpatients in Ningbo City

作　　者：谭诗文 史宏博[1] 姜海波[1] 褚堃 叶泽豪 杨建辉 周欣[2] TAN Shiwen;SHI Hongbo;JIANG Haibo;CHU Kun;YE Zehao;YANG Jianhui;ZHOU Xin(Ningbo Center for Disease Control and Prevention,Ningbo,Zhejiang 315010,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]宁波市疾病预防控制中心,浙江宁波315010 [2]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《预防医学》2025年第2期192-196,共5页China Preventive Medicine Journal

基　　金：浙江省医药卫生科技计划项目(2020KY902);宁波市市级医疗卫生品牌学科(PPXK2018-10)。

摘　　要：目的了解浙江省宁波市医院就诊者对丙型病毒性肝炎(丙肝)防治知识的知晓情况及影响因素,为加强丙肝防治健康教育工作提供依据。方法基于丙肝哨点监测工作,从宁波市鄞州区、慈溪市和象山县选择7家医院,于2020—2022年每年4—6月采用方便抽样方法选取15~65岁就诊者为调查对象,通过问卷收集人口学信息、丙肝防治相关知识及行为资料。采用多因素logistic回归模型分析丙肝防治相关知识知晓的影响因素。结果调查2792人,其中男性1157人,占41.44%;女性1635人,占58.56%。丙肝防治相关知识知晓1570人,知晓率为56.23%;其中丙肝疫苗和丙肝治疗方面的知晓率较低。2020—2022年医院就诊者丙肝防治相关知识知晓率分别为47.11%、53.22%和70.65%,呈上升趋势(P<0.05)。多因素logistic回归分析结果显示,年龄25~<50岁(OR=1.358,95%CI:1.073~1.719)、文化程度为高中或大专(OR=1.431,95%CI:1.134~1.806)或大专以上(OR=3.728,95%CI:2.958~4.699)、家庭人均月收入3000~<5000元(OR=1.828,95%CI:1.344~2.486)或≥5000元(OR=1.858,95%CI:1.366~2.526)、无公共场所修脚等损伤性治疗史(OR=1.287,95%CI:1.024~1.618)、无家人血液污染物品接触史(OR=2.050,95%CI:1.552~2.707)和性行为总是使用安全套(OR=1.740,95%CI:1.273~2.378)的医院就诊者丙肝防治相关知识知晓率较高。结论宁波市医院就诊者丙肝疫苗和丙肝治疗知识水平有待提升。年龄、文化程度、家庭人均月收入、公共场所修脚等损伤性治疗史、家人血液污染物品接触史和性行为使用安全套频率是医院就诊者丙肝防治相关知识知晓的影响因素。Objective To investigate the awareness of knowledge about hepatitis C prevention and control among outpa⁃tients in Ningbo City,Zhejiang Province,and its influencing factors,so as to provide the evidence for strengthening health education on hepatitis C prevention and control.Methods Based on sentinel surveillance of hepatitis C,the out⁃patients aged 15 to 65 years at seven hospitals in Yinzhou District,Cixi City and Xiangshan County of Ningbo City were selected using the convenient sampling method from April to June during 2020 and 2022.Demographic informa⁃tion,knowledge and behaviors related to hepatitis C prevention and control were collected through questionnaire surveys.The influencing factors for knowledge about hepatitis C prevention and control were analyzed using a multivariable logis⁃tic regression model.Results A total of 2792 participants were surveyed,including 1157 males(41.44%)and 1635 females(58.56%).The awareness rate of knowledge about hepatitis C prevention and control was 56.23%,and was low⁃er in knowledge about hepatitis C vaccine and treatment.The awareness rates of knowledge about hepatitis C prevention and control among outpatients from 2020 to 2022 were 47.11%,53.22%and 70.65%,respectively,showing an upward trend(P<0.05).Multivariable logistic regression analysis showed that participants aged 25 to<50 years(OR=1.358,95%CI:1.073-1.719),with an educational level of high school or junior college(OR=1.431,95%CI:1.134-1.806)or above junior college(OR=3.728,95%CI:2.958-4.699),with household monthly income per capita of 3000 to<5000 yuan(OR=1.828,95%CI:1.344-2.486)or≥5000 yuan(OR=1.858,95%CI:1.366-2.526),without a history of inva⁃sive treatments such as pedicure in public places(OR=1.287,95%CI:1.024-1.618),without a history of contact with family members'blood-contaminated items(OR=2.050,95%CI:1.552-2.707),and always using condoms during sexual contacts(OR=1.740,95%CI:1.273-2.378)had higher awareness of knowledge about hepatitis C prevention and control.Conclusions The awareness of

关 键 词：丙型病毒性肝炎 医院就诊者 知晓率 

分 类 号：R512.63[医药卫生—内科学]