重庆市流动农民工乙型病毒性肝炎感染现况研究

目的]掌握流动农民工乙型肝炎感染状况,为制定预防控制策略提供信息和依据。方法]抽样调查,酶联免疫吸附实验检测病原体。结果]HBsAg总阳性率为8.6%,男性为10.0%,女性为7.0%,男女差别无统计学意义,各年龄组差别无统计学意义。HBsAg阳性人群中20.4%为HBsAg和HBeAg两项同时阳性。多因素非条件Logistic回归分析表明,输血、口腔疾病就医史、两个以上性伴侣等为该人群乙型肝炎感染的主要危险因素。结论]重庆市流动农民工人群在乙型肝炎的传播流行上具有特殊的流行病学意义。加强乙型肝炎相关知识健康教育,提倡良好的生活卫生习惯和安全性生活,推行免疫接种,推广分餐制,严格献血员的筛选等,是预防乙型肝炎进一步在该人群间以及该人群与城市居民之间传播流行的必要和切实可行的措施。

A CROSS-SECTIONAL STUDY ON HEPATITIS B IN MIGRANT WORKERS OF CHONGQING

Objective]To study the prevalence rate of Hepatitis B in migrant workers,and to provide information and evidence for developing strategies for hepatitis B prevention and control in migrant workers.Methods]Sampling survey was conducted and ELISA was used to determine the pathogen.Results]The total positive rate of HBsAg was 8.6%.The positive rate of HBsAg for male(10.0%)was not significantly different from that for female(7.0%).There were no obvious differences between various age groups.Among HBsAg positive group,20.4% of them had two positive items of HBsAg and HBeAg.And multivariate non-conditional Logistic regression analysis showed that blood transfusion,history of seeking medical treatment for oral disease and contacting with two or more sexual partners were main risk factors for hepatitis B in migrant workers.Conclusions]The migrant workers of Chongqing is of great epidemiological significance in spread and epidemic of hepatitis B.Health education on hepatitis B related knowledge,vaccination,advocating separate dining,strict screening of blood donors,adopting safety sexual contact,improving life sanitation and so on are practical and effective methods of preventing the further transmission of Hepatitis B from migrant workers to general population.