摘要
目的了解徐州市铜山区丙肝病例流行病学史和丙肝防治知识知晓情况,为今后丙肝防控策略制定及防制工作的开展提供依据。方法选取铜山区2011—2020年诊断并报告的丙肝病例,对存活的323例丙肝病例开展问卷调查,单因素分析使用χ^(2)检验,多因素分析采用logistic回归模型。结果共调查丙肝323例,其中男性174例(53.87%),女性149例(46.13%);平均年龄为(55.43±0.89)岁,≥50岁占70.28%。丙肝病例首次被诊断的检测原因中,因临床症状/肝功异常的比例最高,为42.41%(137/323)。流行病学史中有过在个体诊所打针、输液、针灸经历的最多,为109例(33.75%);<50岁年龄组有过损伤性美容或治疗的经历和在个体诊所打针、输液、针灸的经历分别占12.50%、42.71%,高于≥50岁年龄组的2.64%、29.96%(χ^(2)=12.457、4.907,P<0.05);<50岁年龄组有过内窥镜检查的经历和曾输过血或接受过血液制品分别占15.63%、23.96%,低于≥50岁年龄组的26.87%、36.56%(χ^(2)=4.734、4.862,P<0.05)。丙肝相关知识知晓率为30.34%,文化程度(χ^(2)=18.143,P<0.001)、个人月均收入(χ^(2)=11.301,P=0.023)、医保类型(χ^(2)=6.902,P=0.032)不同的患者知晓率差异有统计学意义。logistic回归模型分析显示,文化程度为高中的患者丙肝知晓率比文盲高(P<0.01)。结论在铜山区丙肝防控工作中,应重视丙肝集中筛查项目,规范辖区医疗行为,针对重点人群强化宣教力度,并扩大宣传教育的普及范围,提高辖区人群的丙肝防治知识知晓率。
Objective To investigate the epidemiological history of hepatitis C cases and the knowledge of hepatitis C prevention and treatment in Tongshan District,Xuzhou City,so as to provide evidence for the formulation of hepatitis C prevention and control strategies and the development of prevention and control in the future.Methods Hepatitis C cases diagnosed and reported in Tongshan District from 2011 to 2020 were selected,and a total of 323 surviving hepatitis C cases were surveyed,withχ^(2)tests used for univariate analysis and a logistic regression model for multivariate analysis.Results A total of 323 cases of hepatitis C were investigated,including 174 males(53.87%)and 149 females(46.13%).The average age was(55.43±0.89)years,with 70.28%≥50 years old.Among the first diagnosed cause of hepatitis C cases,the proportion of clinical symptoms/liver function abnormalities was the highest:42.41%(137/323).In the epidemiological history,there were the most experiences of injections,infusions,and acupuncture in individual clinics with 109 cases(33.75%);<50 years age group had the experience of traumatic beauty or treatment and the experience of injections,infusions,and acupuncture in individual clinics,respectively:12.50%,42.71%,higher than≥50 years age group:2.64%and 29.96%(χ^(2)=12.457,4.907,P<0.05);<50 years age groups had an experience of endoscopy and had blood transfusions or received blood products accounted for the proportions of 15.63%and 23.96%,less than≥50 years age group:26.87%and 36.56%(χ^(2)=4.734,4.862,P<0.05).The awareness rate of knowledge about hepatitis C was 30.34%,and education level(χ^(2)=18.143,P<0.001),average personal monthly income(χ^(2)=11.301,P=0.023),and type of medical insurance(χ^(2)=6.902,P=0.032)of the patients had statistical significance on the awareness rates.Logistic regression model analysis showed that the patients with high school education had a higher awareness rate of hepatitis C than those illiterate(P<0.01).Conclusion In the prevention and control of hepatitis C in Tongshan District,attention should be paid to the centralized hepatitis C screening project,standardize the medical behavior in the jurisdiction,strengthen the publicity and education for key groups,expand the popularization of publicity and education,and improve the awareness rate of hepatitis C prevention and treatment knowledge among the population in the jurisdiction.
作者
刘洋
戚珊
孙晓妍
王咏梅
LIU Yang;QI Shan;SUN Xiaoyan;WANG Yongmei(Tongshan Center for Disease Control and Prevention,Xuzhou 221116,Jiangsu,China)
出处
《中国校医》
2023年第2期103-107,共5页
Chinese Journal of School Doctor
关键词
丙型肝炎
流行病学
知识
Hepatitis C
Epidemiology
Knowledge
