乙型肝炎病毒表面抗原携带者乙型肝炎防治相关知识和行为调查  

Knowledge and behaviors about hepatitis B prevention and control among carriers of hepatitis B surface antigen

作　　者：李思雯 周天天 张超[1] 张丹 胡伟军[1] LI Siwen;ZHOU Tiantian;ZHANG Chao;ZHANG Dan;HU Weijun(Shaanxi Provincial Center for Disease Control and Prevention,Xi'an,Shaanxi 710054,China)

机构地区：[1]陕西省疾病预防控制中心,陕西西安710054

出　　处：《预防医学》2025年第3期253-255,261,共4页China Preventive Medicine Journal

基　　金：中国肝炎防治基金会中国乙肝防控科研基金项目(YGFK20200050)。

摘　　要：目的了解乙型肝炎病毒表面抗原(HBsAg)携带者乙肝防治相关知识和行为,为开展HBsAg携带者健康教育及干预提供依据。方法基于陕西省1~69岁人群乙肝血清流行病学调查,抽取HBsAg携带者为调查对象,通过问卷调查收集基本情况、乙肝防治相关知识知晓情况和乙肝防治相关行为,分析HBsAg携带者乙肝防治相关知识知晓率和行为。结果调查HBsAg携带者107例,其中男性52例,占48.60%;女性55例,占51.40%。年龄M(QR)为47.04(19.78)岁。HBsAg携带者对乙肝防治相关知识的知晓率为56.07%~87.85%,其中“接种乙肝疫苗可有效预防乙肝”的知晓率最高,“与HBsAg携带者/乙肝患者共餐不会感染乙肝”和“乙肝可通过抗病毒药物治疗”的知晓率较低,分别为56.07%和61.68%。HBsAg携带者不就诊、不体检和不治疗的比例较高,分别为65.42%、72.90%和77.57%。结论HBsAg携带者对乙肝传播途径和治疗相关知识的知晓率较低,诊疗行为较消极,需加强乙肝防治知识宣传,提高诊疗积极性,降低乙肝病毒传播风险。Objective To investigate the knowledge and behaviors related to hepatitis B prevention and control among carriers of hepatitis B surface antigen(HBsAg),so as to provide the basis for conducting health education and interventions for HBsAg carriers.Methods Based on the seroepidemiological survey of hepatitis B among individuals aged 1 to 69 years in Shaanxi Province,HBsAg carriers were selected as the study subjects.Basic information,knowledge and behaviors about hepatitis B prevention and control were collected through questionnaire surveys.The awareness of hepatitis B prevention and control knowledge and related behaviors among HBsAg carriers were analyzed.Results A total of 107 HBsAg carriers were enrolled,including 52 males(48.60%)and 55 females(51.40%),and had a median age of 47.04(interquartile range,19.78)years.The awareness of hepatitis B prevention and control knowledge ranged from 56.07% to 87.85%among HBsAg carriers,with the highest awareness for"hepatitis B vaccination can effectively prevent hepatitis B"(87.85%),and the lowest awareness for"sharing meals with HBsAg carriers or hepatitis B patients will not lead to infection"(56.07%)and"hepatitis B can be treated with antiviral drugs"(61.68%).The proportions of those who did not seek medical consultation,undergo regular check-ups,or receive treatment were relatively high,at 65.42%,72.90% and 77.57%,respectively.Conclusions The awareness of hepatitis B transmission routes and treatment-related knowledge among HBsAg carriers is relatively low,and their medical-seeking behaviors are relatively passive.There is a need to enhance the dissemination of hepatitis B prevention and control knowledge,improve medicalseeking behaviors,and reduce the risk of hepatitis B virus transmission.

关 键 词：乙型肝炎病毒表面抗原携带者 乙型肝炎防治 知识 行为 

分 类 号：R183[医药卫生—流行病学]