广州市2~7岁社区儿童乙型肝炎表面抗体阳性率统计及其影响因素分析  

Hepatitis B Surface Antibody Positive Rate in Community Children Aged 2-7 Years in Guangzhou and Analysis of Influencing Factors

作　　者：彭碧凤 李法高 越朝斌 Peng Bifeng;Li Fagao;Yue Chaobin(Department of Health and Epidemic Prevention,Guangzhou Baiyun District Sanyuanli Street Community Health Service Center,Guangzhou 510405,Guangdong Province,China;Administration Office,Guangzhou Baiyun District Sanyuanli Street Community Health Service Center,Guangzhou 510405,Guang-dong Province,China)

机构地区：[1]广州市白云区三元里街社区卫生服务中心卫防科,广东广州510405 [2]广州市白云区三元里街社区卫生服务中心行政办公,广东广州510405

出　　处：《中国社区医师》2025年第4期147-149,共3页Chinese Community Doctors

摘　　要：目的:统计广州市2~7岁社区儿童乙型肝炎表面抗体(HBsAb)阳性率,分析其影响因素。方法:选取2022—2024年于广州市白云区三元里街社区卫生服务中心行健康体检的2 328名2~7岁儿童作为研究对象,均检测HBsAb,统计不同年龄、性别儿童HBsAb阳性率,根据HBsAb检测结果将儿童分成HBsAb阳性组与HBsAb阴性组。比较两组资料,分析儿童HBsAb阳性的相关影响因素。结果:2 328名儿童中,HBsAb阳性1 588名,阳性率为68.21%;HBsAb阴性740名,占比31.79%。随着儿童年龄增长,HBsAb阳性率呈逐渐下降趋势。2 328名儿童中,男童HBsAb阳性率为67.54%(822/1 217),女童HBsAb阳性率为68.95%(766/1 111)。年龄、家属乙型肝炎病毒传播知识知晓情况、家属乙型肝炎疫苗防治作用知晓情况均是儿童HBsAb阳性的独立影响因素(P<0.05)。结论:广州市2~7岁社区儿童HBsAb阳性率较高,但随着其年龄增长,HBsAb阳性率呈下降趋势,家属乙型肝炎病毒传播知识知晓情况、乙型肝炎疫苗防治作用知晓情况也是儿童HBsAb阳性的独立影响因素,因此,建议卫生机构加大对儿童家属关于乙型肝炎的健康宣教,指导其定期带儿童检测HBsAb。Objective:To count the hepatitis B surface antibody(HBsAb)positive rate in community children aged 2-7 years in Guangzhou and analyze the influencing factors.Methods:A total of 2328 children aged 2-7 years who underwent physical exami⁃nation in Guangzhou Baiyun District Sanyuanli Street Community Health Service Center from 2022 to 2024 were selected as the study subjects.HBsAb detection was performed in all children.The positive rate of HBsAb in children at different ages and gen⁃ders was counted.According to the HBsAb detection results,children were divided into positive group and HBsAb negative group.Data were compared between two groups.The related influencing factors of HBsAb positive in children were analyzed.Results:Among 2328 children,1588 children were HBsAb positive and the positive rate was 68.21%;740 children were HBsAb negative,accounting for 31.79%.As the age increased,the HBsAb positive rate gradually decreased.Among 2328 children,the HBsAb positive rate was 67.54%(822/1217)for boys and 68.95%(766/1111)for girls.Age,hepatitis B virus transmission knowledge mastery of family members,and knowledge mastery of hepatitis B vaccine prevention and treatment effect of family members were independent influencing factors of HBsAb positivity in children(P<0.05).Conclusion:The positive rate of HBsAb in community children aged 2-7 years is high,but it shows a decreasing trend with the increase of age.The hepatitis B virus transmission knowl⁃edge mastery of family members,and knowledge mastery of hepatitis B vaccine prevention and treatment effect of family members are independent influencing factors of HBsAb positivity in children.Therefore,it is recommended that health institutions enhance health education about hepatitis B for children's family members,and guide them to take children to test HBsAb regularly.

关 键 词：乙型肝炎表面抗体 儿童 阳性率 影响因素 

分 类 号：R186[医药卫生—流行病学]