Abstract
高培,王怀,陈维欣,孙燕妮,张卫,庞星火,贺雄,吴疆.北京市自然人群乙型肝炎血清流行病学研究[J].Chinese journal of Epidemiology,2016,37(5):658-662
北京市自然人群乙型肝炎血清流行病学研究
A sero-epidemiological study of hepatitis B among general population in Beijing
Received:November 19, 2015  
DOI:10.3760/cma.j.issn.0254-6450.2016.05.014
KeyWord: 乙型肝炎  血清流行病学研究  阳性率  自然人群
English Key Word: Hepatitis B  Sero-epidemiologic study  Prevalence rate  General population
FundProject:国家科技重大专项(2012ZX10004904,2012ZX10002001003003);北京市科学技术委员会基金(D121100003912001)
Author NameAffiliationE-mail
Gao Pei Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Wang Huai Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Chen Weixin Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Sun Yanni Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Zhang Wei Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Pang Xinghuo Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
He Xiong Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China  
Wu Jiang Institute for Immunization of Beijing Municipal Center for Disease Control and Prevention, Beijing 100013, China wj81732@hotmail.com 
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Abstract:
      目的 了解北京市自然人群乙型肝炎血清学感染状况,分析评价乙型肝炎综合防治效果。方法 2013年8月至2014年2月在北京市范围内按照多阶段整群随机抽样方法调查1岁以上各年龄组自然人群,估算样本量5200人,调查内容包括采集静脉血检测HBV五项血清学指标,问卷调查乙型肝炎疫苗接种情况及相关危险因素。结果 实际调查6705人。乙型肝炎HBsAg、抗-HBs、抗-HBc阳性率以及HBV总感染率分别为2.74%、44.72%、26.91%和26.95%,年龄标化率分别为2.73%、44.83%、26.84%、26.87%。北京市自然人群HBsAg阳性率已经降至2.73%,<5岁儿童HBsAg阳性率继续维持<1%,<25岁人群HBsAg阳性率<1%。结论 北京市乙型肝炎综合防治策略效果显著,应该继续加强成年人乙型肝炎疫苗免疫接种工作。
English Abstract:
      Objective To understand the sero-prevalence of hepatitis B in general population in Beijing and provide evidence for the prevention and control of hepatitis B. Methods A serological survey was conducted in general population aged >1 year selected through multistage randomized cluster sampling in Beijing from August 2013 to February 2014. The estimated sample size was 5 200.Venous blood samples were collected from them to detect five hepatitis B serological indicators. The information about the hepatitis B immunization history and risk factors of the study subjects were collected through a questionnaire survey. Results A total of 6 705 people were surveyed. The sero-positive rates of HBsAg, anti-HBs, anti-HBc and total HBV infection rate were 2.74%, 44.72%, 26.91% and 26.95% respectively. The age standardized rates were 2.73%, 44.83%, 26.84% and 26.87%respectively. As for the general population, in Beijing since the prevalence rate of hepatitis B surface antigen has decreased to 2.73%, <1% in children aged less than 5 years old, <1% in people aged less than 25 years old. Conclusion The integrated prevention and control strategy of hepatitis B had a significant effect in Beijing. We should continue to strengthen the work of adult hepatitis B vaccination.
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