| 郑徽,王富珍,张国民,吴振华,缪宁,孙校金,王华庆,崔富强,梁晓峰.中国社区成年人群HBsAg阳性者医疗和就诊行为及相关影响因素研究[J].Chinese journal of Epidemiology,2016,37(4):455-459 |
| 中国社区成年人群HBsAg阳性者医疗和就诊行为及相关影响因素研究 |
| Study on health-seeking behavior and influencing factors among Chinese hepatitis B surface antigen positive adults |
| Received:August 28, 2015 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.04.003 |
| KeyWord: HBsAg阳性者 医疗就诊行为 社区 影响因素 |
| English Key Word: HBsAg positive Medical behavior Community Influence factors |
| FundProject:国家科技重大专项(2008ZX10002001,2012ZX10002001) |
| Author Name | Affiliation | E-mail | | Zheng Hui | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Fuzhen | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Guomin | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wu Zhenhua | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Miao Ning | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Sun Xiaojin | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Huaqing | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Cui Fuqiang | National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | cuifuq@126.com | | Liang Xiaofeng | Chinese Center for Disease Control and Prevention, Beijing 102206, China | |
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| Abstract: |
| 目的 分析我国社区成年人群HBsAg阳性者的医疗和就诊行为特征,并探讨相关影响因素。方法 在2006年全国乙型肝炎(乙肝)血清流行病学调查建立的HBsAg阳性者队列基础上,分别于2010年和2014年开展队列随访调查。在2014年的随访中,采用横断面调查,通过问卷方法收集就诊医院的诊断、常规体检、治疗及用药等医疗就诊信息。使用SPSS 18.0软件分析数据,并对HBV感染者就诊行为的影响因素进行χ2检验和二元logistic回归分析。结果 调查≥18岁HBsAg阳性者2478例,其中853例(34.4%)有医院乙肝就诊史;在就诊的HBV携带者和慢性乙肝者中,51.2%(372/727)能够做到每年至少1次体检; 31.5%(229/727)具有治疗史,其中约34.5%(79/229)采用中医治疗或单纯保肝治疗,56.8%(130/229)采取抗病毒治疗。二元回归分析显示,年龄、文化程度和城乡分布是影响HBV感染者就诊的主要因素。结论 我国社区HBsAg阳性者的健康意识较低,其规范化随访体检和规范治疗仍面临挑战。 |
| English Abstract: |
| Objective To analyze the characteristics of health-seeking behaviors and related influencing factors of the community-based hepatitis B surface antigen(HBsAg) positive adults, in China. Methods Based on the cohort formed by the HBsAg positive patients, in the national sero-survey project in 2006, we conducted a follow-up programs in 2010 and 2014. In the latest follow-up project, we carried out a cross-sectional study to collect information on health-seeking behaviors of the patients. Questionnaires would include information on clinic visits, diagnosis, regular physical examination and treatments, etc. We used the SPSS 18.0 software for data analysis. Results Totally, 2478 HBsAg positive adults(≥18 years old) were followed through, with 34.4%(853/2478) of them had visited the doctors and diagnosed after they were informed the status of HBsAg positivity, in the 2006-sero-survey program. Among patients who ever visiting the clinic, 51.2%(372/727) of them underwent at least medical examination once a year, with 31.5%(229/727) of them received treatment. Furthermore, 34.5%(79/229) of the treated patients adopted the traditional Chinese medicine or medicine for‘liver protection’. 56.8%(130/229) of the treated patients received antiviral drugs. Data from the binary logistic regression showed that the major influencing factors on clinic visits would include:age, level of education received and residencial areas(rural/urban). Conclusions Consciousness on health was low in those community-based HBsAg positive people. Standerdized management and clinical treatment programs should be set up accordingly. |
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