国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2014年
1期
25-27
,共3页
刘海英%唐安%任飞林%刘芳洁%唐蕾
劉海英%唐安%任飛林%劉芳潔%唐蕾
류해영%당안%임비림%류방길%당뢰
肝炎,乙型%远洋船员%影响因素
肝炎,乙型%遠洋船員%影響因素
간염,을형%원양선원%영향인소
Hepatitis B%Ocean seamen%Influencing factors
目的 分析舟山海岛地区远洋船员感染HBV的影响因素,为该地区乙型肝炎的防治提供科学依据.方法 本研究选择2011年7月1日至2012年6月30日在舟山医院进行体检且HBsAg指标阳性的453名远洋船员作为感染组.按照1:1选择以年龄±2岁、同工种且乙型肝炎标志物检测全阴者进行匹配,设立453名对照,并进行影响因素分析.结果 单因素分析结果表明,乙型肝炎疫苗接种是感染HBV的保护因素(OR=0.507,x2=11.339,P＜0.05),而饮用生水和出国劳务是感染HBV的危险因素(OR=1.471、2.215,P＜0.05).多因素条件Logistic回归分析显示,乙型肝炎疫苗接种史是海岛船员感染乙型肝炎的保护因素(OR=0.523,x2=10.150,95％CI:0.351～0.779),出国劳务史是海岛远洋船员感染乙型肝炎的危险因素(OR=1.992,x2=5.000,95％CI:1.089～3.646).结论 出国劳务史是海岛船员感染乙型肝炎的主要危险因素,乙肝疫苗接种史是HBV感染的保护因素,应强化远洋船员乙型肝炎疫苗接种,并加强远洋船员的安全性健康教育.
目的 分析舟山海島地區遠洋船員感染HBV的影響因素,為該地區乙型肝炎的防治提供科學依據.方法 本研究選擇2011年7月1日至2012年6月30日在舟山醫院進行體檢且HBsAg指標暘性的453名遠洋船員作為感染組.按照1:1選擇以年齡±2歲、同工種且乙型肝炎標誌物檢測全陰者進行匹配,設立453名對照,併進行影響因素分析.結果 單因素分析結果錶明,乙型肝炎疫苗接種是感染HBV的保護因素(OR=0.507,x2=11.339,P＜0.05),而飲用生水和齣國勞務是感染HBV的危險因素(OR=1.471、2.215,P＜0.05).多因素條件Logistic迴歸分析顯示,乙型肝炎疫苗接種史是海島船員感染乙型肝炎的保護因素(OR=0.523,x2=10.150,95％CI:0.351～0.779),齣國勞務史是海島遠洋船員感染乙型肝炎的危險因素(OR=1.992,x2=5.000,95％CI:1.089～3.646).結論 齣國勞務史是海島船員感染乙型肝炎的主要危險因素,乙肝疫苗接種史是HBV感染的保護因素,應彊化遠洋船員乙型肝炎疫苗接種,併加彊遠洋船員的安全性健康教育.
목적 분석주산해도지구원양선원감염HBV적영향인소,위해지구을형간염적방치제공과학의거.방법 본연구선택2011년7월1일지2012년6월30일재주산의원진행체검차HBsAg지표양성적453명원양선원작위감염조.안조1:1선택이년령±2세、동공충차을형간염표지물검측전음자진행필배,설립453명대조,병진행영향인소분석.결과 단인소분석결과표명,을형간염역묘접충시감염HBV적보호인소(OR=0.507,x2=11.339,P＜0.05),이음용생수화출국노무시감염HBV적위험인소(OR=1.471、2.215,P＜0.05).다인소조건Logistic회귀분석현시,을형간염역묘접충사시해도선원감염을형간염적보호인소(OR=0.523,x2=10.150,95％CI:0.351～0.779),출국노무사시해도원양선원감염을형간염적위험인소(OR=1.992,x2=5.000,95％CI:1.089～3.646).결론 출국노무사시해도선원감염을형간염적주요위험인소,을간역묘접충사시HBV감염적보호인소,응강화원양선원을형간염역묘접충,병가강원양선원적안전성건강교육.
Objective To investigate the influencing factors of hepatitis B virus (HBV) infection in ocean seamen from Zhoushan island area,so as to provide the scientific basis for hepatitis B prevention in this district.Methods A total of 453 ocean seamen who received health examination and were detected HBsAg positive in Zhoushan Hospital from 1 July 2011 to 30 June 2012 were selected as infection group.There were 453 controls who were living in the same village paired to the cases with 2 year difference in age.The controls were engaged in the same work but HBsAg negative.The risk factors were compared between the two groups.Results The univariate analysis showed that hepatitis B vaccine was a protective factor for HBV infection (OR =0.507,x2=11.339,P＜0.05),and that drinking unboiled water and working abroad were the risk factors for HBV infection (OR=1.471,x2=2.215,P＜0.05).Multiple logistic regression analysis showed that hepatitis B vaccine was a protective factor for HBV infection (OR=0.523,x2=10.150,95％ CI:0.351-0.779) and that working abroad was a risk factor for HBV infection (OR=1.992,x2=5.000,95％ CI:1.089-3.646).Conclusions Working abroad is the main risk factor for HBV infection in ocean seamen and HBV vaccination is the protective factor for HBV infection.Therefore,HBV vaccination and sexual health education should be strengthened in island population.
