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目的了解晋江市育龄妇女乙肝病毒(HBV)感染影响因素,为采取干预措施提供依据。方法用分层整群随机抽样法,按经济状况分高、中、低分区域,抽取西园、东石、永和3个镇15~49岁妇女725人进行问卷调查和血清学检测,对感染影响因素进行单因素和logistic回归分析。结果晋江市育龄妇女HBV总感染率为72.8%,logistic回归分析表明,有口腔治疗史是HBV感染的危险因素;有疫苗接种史是保护因素。结论应做好育龄期妇女产前检查和新生儿HBV母婴阻断,保证新生儿首针乙肝疫苗及时接种,以控制乙肝家庭聚集性和降低后代HBV感染率;应加强村级口腔治疗行为管理,强调无菌操作,减少HBV的血液传播。
Objective To understand the influencing factors of hepatitis B virus (HBV) infection in women of childbearing age in Jinjiang City, and to provide basis for the intervention. Methods A stratified cluster random sampling method was used to survey 725 persons aged 15-49 years in West Park, East Rock and Yonghe cities by questionnaire and serological test according to economic status in high, middle and low sub-regions. Influencing factors were analyzed by single factor and logistic regression. Results The total infection rate of HBV in women of childbearing age in Jinjiang City was 72.8%. Logistic regression analysis showed that the history of oral treatment was a risk factor for HBV infection. Vaccination history was the protective factor. Conclusions Prenatal examination of women of childbearing age and neonatal HBV mothers and babies should be done in order to ensure timely vaccination of the first dose of hepatitis B vaccine in neonates in order to control the aggregation of hepatitis B family and reduce the HBV infection rate of the offspring. , Emphasizing aseptic procedures and reducing HBV blood transmission.