舟山渔民乙型病毒性肝炎感染现状及危险因素研究

目的了解舟山海岛渔民乙型病毒性肝炎的危险因素，为进一步开展渔民乙型病毒性肝炎的防治工作提供科学依据。方法以整群抽样的方法抽取全市6个渔业村（捕捞队）的20—65岁渔民作为研究对象，采用统一编制的调查表进行面对面的问卷调鸯，并检测其HBsAg、抗-HBs和抗-HBc等血清学指标。同时采用X^2检验和Logistic回归分析渔民感染乙肝病毒（HBV）的危险因素。结果研究对象HBV总感染率为61．4％，肝炎史、乙肝家族史、使用内窥镜史、饮生水史及饮黄酒是感染HBV的危险因素，而自用水杯为保护因素。结论应加大对渔民的乙型病毒性肝炎健康教育，改变不正确的认识和不良行为习惯，减少危险因素的发生，增强自我保护意识。

Study on the Infection Status of Hepatitis B and its Risk Factors among Fishermen in Zhoushan Island

Objective To Objective To understand the risk factors of hepatitis B （HBV） infection among fishermen in Zhoushan island and to provide scientific evidence for further prevention and control for the disease. Methods With cluster sampling, fishermen of 20 - 65 years old in six fishery villages were face-to-face interviewed. Meanwhile, blood samples were collected and HBsAg, anti-HBs, anti-HBc were tested. The X^2 test and logistic regression were used to analyze the risk factors. Results The infection rate of HBV in the sample was 61.4%. The risk factors including hepatitis history, family history of hepatitis B, use of endoscope, drinking raw water and rice wine frequently were found. However, drinking water with one＇ s own cup was a protective factor. Conclusion It is necessary to strengthen health education so as to enhance the fishermen＇ self-consciousness and decrease the risk of hepatitis B.