河南滑县农村地区成人乙型肝炎表面抗原检出率及相关因素分析

北京大学学报（医学版） ›› 2013, Vol. 45 ›› Issue (6): 965-970.

河南滑县农村地区成人乙型肝炎表面抗原检出率及相关因素分析

邓秋菊1*，潘雅琪1*，王朝义2，李凤垒3，吕绍江3，胡绍用3，宁涛1，郭传海1，何忠虎1△，柯杨1△

（1. 北京大学肿瘤医院暨北京市肿瘤防治研究所遗传室，恶性肿瘤发病机制及转化研究教育部重点实验室，北京100142； 2. 河南省滑县卫生局，河南安阳456400； 3. 河南省滑县人民医院，河南安阳456400）

出版日期:2013-12-18 发布日期:2013-12-18

Prevalence and risk factors for hepatitis B in Hua County, Henan Province

DENG Qiu-ju1*, PAN Ya-qi1*, WANG Chao-yi2, LI Feng-lei3, LV Shao-jiang3, HU Shao-yong3, NING Tao1, GUO Chuan-hai1, HE Zhong-hu1△, KE Yang1△

(1. Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education; Laboratory of Genetics, Peking University Cancer Hospital & Institute, Beijing 100142, China; 2. Hua County Bureau of Health, Henan Province, Anyang 456400, China; 3. Hua County People’s Hospital, Henan Province, Anyang 456400, China)

Online:2013-12-18 Published:2013-12-18

摘要/Abstract

摘要： 目的：描述河南省滑县农村地区乙型肝炎表面抗原（hepatitis B surface antigens, HBsAg）流行特征并探索其危险因素，为当地乙型肝炎防控工作提供科学依据。方法：依托安阳食管癌队列研究现场，采用整群抽样选取河南省滑县5个行政村25~65岁居民作为研究对象，分别进行问卷调查及血清学检测。采用SPSS 13.0统计软件进行数据分析。结果：在接受调查的5 104名（参检率92.05%）居民中，HBsAg总体检出率为5.17%，男性高于女性(6.54% vs. 3.87%，P<0.001)，且男、女性均在25~29岁及55~59岁两个年龄组出现感染高峰。此外，非在婚状态（OR=1.80, 95% CI: 1.00~3.25）及每周性交频率高（P_trend=0.049）也是HBsAg阳性的危险因素。结论：河南省滑县农村地区成人乙型肝炎流行情况总体略低于同期全国平均水平，但25~29岁及55~59岁男性人群及性活跃人群为当地乙型肝炎感染的高危人群，应有针对性地对其开展预防接种及相关健康教育工作，从而进一步降低该人群中乙型肝炎总体流行水平。

关键词: 肝炎表面抗原, 乙型, 农村人口, 流行病学, 危险因素

Abstract: To determine the epidemiological characteristics and associated risk factors of hepatitis B surface antigens (HBsAg) prevalence in rural areas of Hua County, Henan Province, and to provide scientific evidence for Hepatitis B prevention and control in local areas. Methods: On the basis of an ongoing esophageal cancer cohort study in rural Anyang, a total of 5 104 subjects aged 25-65 years were clustered and selected from 5 targeted villages for this study in rural areas of Hua County, Henan Province. HBsAg was detected in their blood samples and a questionnaire was completed by all the subjects in a manner of one-on-one interview. All statistical analyses were conducted using SPSS for Windows version 13.0. Results: Of the 5 104 studied subjects (overall participation rate: 92.05%), 5.17% were positive for HBsAg. The detection rate was significantly higher in males than in females (6.54% vs. 3.87%, P<0.001) and the highest detection rates were observed in the 25-29 and 55-59 years groups in both males and females. Multiple Logistic analyses showed unmarried status (OR=1.80, 95% CI: 1.00-3.25) and high frequency of sexual intercourse (P_trend =0.049) were associated with higher the risk for hepatitis B virus (HBV) infection. Conclusion: The prevalence of HBsAg in rural Hua County, Henan Province, was slightly lower than the national average of the same time period. More attention should be attached to high risk groups of HBV infection in this population, i.e. males aged 25-29 years and 55-59 years and sexually active population. Immunization and health education projects against hepatitis B should be carried out in this population to further reduce the overall prevalence of hepatitis B.

Key words: Hepatitis B surface antigens, Rural communities, Epidemiology, Risk factors

邓秋菊，潘雅琪，王朝义，李凤垒，吕绍江，胡绍用，宁涛，郭传海，何忠虎，柯杨. 河南滑县农村地区成人乙型肝炎表面抗原检出率及相关因素分析[J]. 北京大学学报（医学版）, 2013, 45(6): 965-970.

DENG Qiu-ju, PAN Ya-qi, WANG Chao-yi, LI Feng-lei, LV Shao-jiang, HU Shao-yong, NING Tao, GUO Chuan-hai, HE Zhong-hu, KE Yang. Prevalence and risk factors for hepatitis B in Hua County, Henan Province[J]. Journal of Peking University(Health Sciences), 2013, 45(6): 965-970.

参考文献

相关文章 15

[1]	苏俊琪,宋扬,谢尚. 口腔鳞状细胞癌患者修复重建术后感染的病原学特征及感染风险预测模型的构建[J]. 北京大学学报（医学版）, 2022, 54(1): 68-76.
[2]	许昊,张国栋,范桄溥,陈彧. 冠状动脉旁路移植术后新发心房颤动的血浆预测因子:倾向性评分匹配研究[J]. 北京大学学报（医学版）, 2021, 53(6): 1139-1143.
[3]	牛占岳,薛艳,张静,张贺军,丁士刚. 胃腺瘤性息肉的内镜和病理特点及癌变的危险因素分析[J]. 北京大学学报（医学版）, 2021, 53(6): 1122-1127.
[4]	朱敬先,鲁胜楠,蒋艳芳,姜玲,王健全. 老年肩袖损伤手术患者术前肺功能的影响因素[J]. 北京大学学报（医学版）, 2021, 53(5): 902-906.
[5]	王佳文,刘敬超,孟令峰,张威,刘晓东,张耀光. 间质性膀胱炎/膀胱疼痛综合征患者生活质量及相关因素分析[J]. 北京大学学报（医学版）, 2021, 53(4): 653-658.
[6]	孙争辉,黄晓娟,董靖晗,刘茁,颜野,刘承,马潞林. 临床T1期肾细胞癌肾窦侵犯的危险因素[J]. 北京大学学报（医学版）, 2021, 53(4): 659-664.
[7]	姚晓莹,刘志科,李宁,马瑞,赵薛飞,张良,许国章,詹思延,方挺. 2015—2019年宁波市0~36月龄婴幼儿癫痫发病的流行病学研究[J]. 北京大学学报（医学版）, 2021, 53(3): 485-490.
[8]	董彦会,陈曼曼,王丽萍,星一,宋逸,邹志勇,董彬,李中杰,马军. 中国6~22岁学生群体甲乙丙类传染病流行趋势[J]. 北京大学学报（医学版）, 2021, 53(3): 498-505.
[9]	周柏林,李危石,孙垂国,齐强,陈仲强,曾岩. 脊柱手术后深部切口感染患者多次清创的危险因素[J]. 北京大学学报（医学版）, 2021, 53(2): 286-292.
[10]	夏芳芳,鲁芙爱,吕慧敏,杨国安,刘媛. 系统性红斑狼疮伴间质性肺炎的临床特点及相关因素分析[J]. 北京大学学报（医学版）, 2021, 53(2): 266-272.
[11]	刘晓强,杨洋,周建锋,刘建彰,谭建国. 640例单牙种植术对血压和心率影响的队列研究[J]. 北京大学学报（医学版）, 2021, 53(2): 390-395.
[12]	侯国进,周方,田耘,姬洪全,张志山,郭琰,吕扬,杨钟玮,张雅文. 后路短节段跨伤椎椎弓根螺钉固定治疗胸腰段爆裂骨折术后再发后凸的危险因素[J]. 北京大学学报（医学版）, 2021, 53(1): 167-174.
[13]	孟昭婷,穆东亮. 肺叶切除术中少尿与术后急性肾损伤的关系[J]. 北京大学学报（医学版）, 2021, 53(1): 188-194.
[14]	王迎春,黄永辉,常虹,姚炜,闫秀娥,李柯,张耀鹏,郑炜. 十二指肠乳头息肉良、恶性病变比较及活检准确性[J]. 北京大学学报（医学版）, 2021, 53(1): 204-209.
[15]	高鹏,雒艳萍,李俊峰. B/C基因型的乙型肝炎病毒对不同免疫阶段慢性乙型肝炎患者T淋巴细胞及其亚群的影响[J]. 北京大学学报（医学版）, 2020, 52(6): 1153-1156.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed