摘要
目的：对顺德地区成年人乙型病毒性肝炎（乙肝）感染现状进行调查分析，了解顺德地区乙肝流行特征及变化趋势。方法2012～2013年来佛山市顺德区慢性病防治中心自愿体检的人群1158例，根据职业分为公务员、教师、医务人员、餐饮业从业者、农民工5类，根据年龄分为18～＜20岁、20～＜30岁、30～＜40岁、≥40岁组。同期选择顺德区6岁以下学龄前儿童400例纳入对照组。比较各组乙肝病毒表面抗原携带率。结果18～＜20岁、20～＜30岁、30～＜40岁、≥40岁组分别与对照组乙肝表面抗原携带率相比，差异均有统计学意义（χ2＝4．21、6．80、9．21、11．18，P ＜0．05）。18～＜20岁组乙肝表面抗原携带率与20～＜30岁、30～＜40岁、≥40岁组比较差异均有统计学意义（χ2＝5．23、4．43、10．12，P＜0．05）。农民工乙肝表面抗原阳性率明显高于公务员、教师、医务人员、餐饮业从业者，差异均有统计学意义（χ2＝16．74、14．21、16．80、19．21，P＜0．05）。餐饮业从业者的乙肝病毒阳性率最低，仅0．90％。结论年龄增加导致社会活动及接触乙肝病毒机会增加，从而导致乙肝病毒感染率增加，制定针对高危人群规范的乙肝疫苗免疫策略，对于降低乙肝病毒感染率，显得十分迫切。
Objective To investigate the status of hepatitis B virus infection in Shunde city ,to understand the epidemic charac‐teristics and variation tendency of hepatitis B virus .Methods A total of 1 158 patients accepted physical examination in Chronic Disease Control Center of Shunde from 2012 to 2013 were divided as civil servant ,teacher ,medical staff ,catering workers ,migrant workers according to their occupation ,and divided into 18 - 〈 20 ,20 - 〈 30 ,30 - 〈 40 ,≥ 40 years old group .Meanwhile other 400 children younger than 6 years old were recruited into control group .The positive rate of hepatitis B surface antigen（HBsAg） were compared in the several groups .Results The positive rate of HBsAg in the 18 - 〈 20 ,20 - 〈 30 ,30 - 〈 40 ,≥ 40 years old group were significant higher than that of the control group（χ2 = 4 .21 ,6 .80 ,9 .21 ,11 .18 ,P〈 0 .05） .The positive rate of HBsAg in the 18 - 〈 20 years old group were significant higher than those of 20 - 〈 30 ,30 - 〈 40 ,≥ 40 years old group（χ2 = 5 .23 ,4 .43 ,10 .12 , P〈 0 .05） .The positive rate of HBsAg in migrant workers were significant higher than those of civil servant ,teacher ,medical staff and catering workers（χ2 = 16 .74 ,14 .21 ,16 .80 ,19 .21 ,P〈 0 .05） .That of catering workers was lowest as 0 .90% .Conclusion So‐cial activity increasing with the increase of age leads the increase of the expose in hepatitis B virus ,which leads the hepatitis B virus infection rate increased ,it is urgent to make the hepatitis B vaccine immunization strategy in high‐risk population norms to reduce the infection rate of hepatitis B virus .
出处
《国际检验医学杂志》
CAS
2015年第11期1576-1577,1579,共3页
International Journal of Laboratory Medicine
