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Study on Infection Status of HBV among Rural Population in Guichi, Chizhou

Author: FengXiaoMing
Tutor: YeDongQing;HuangFen
School: Anhui Medical University,
Course: Epidemiology and Biostatistics,
Keywords: Viral hepatitis B Seroepidemiological Immunization HBV prevalence Junior high school students Hepatitis B KAP survey Rural residents
CLC: R512.62
Type: Master's thesis
Year: 2008
Downloads: 73
Quote: 3
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Abstract


Objective To understand the prevalence of Chizhou Guichi the rural communities of hepatitis B virus (HBV), HBsAg, anti-HBs and anti-HBc positive rate, as well as the implementation of the HBV infection status of the rural population in the hepatitis B vaccination and antibody levels as well as the crowd The trend of changes in serum epidemiological HBV infection, to determine rural hepatitis B prevention and control strategies. The method of stratified cluster random sampling method, conducted a survey of the three townships Guichi 450 rural residents, and carried out by ELISA serological testing for HBV infection. Results Guichi rural population of HBV prevalence rate was 38.68%, standardized population of HBV prevalence rate of 37.34%, HBsAg, anti-HBs, anti-HBc positive rate of 9.67%, 42.22%, 14.15%; people over the age of 20 HBV prevalence rate of 46.08%, HBsAg, anti-HBs, anti-HBc positive rate of 10.84%, 35.84%, 15.66%; while the 20-year-old crowd HBV prevalence rate of 11.96%, HBsAg, anti-HBs, anti-HBc The positive rate of 5.43%, 65.22%, 8.70%, of the indicators in the two age groups distribution difference was statistically significant. The the male HBV prevalence rate of 36.00% of HBsAg, anti-HBs, anti-HBc positive rate of 12.00%, 40.57%, 16.57%, respectively; female HBV prevalence rate of 40.56%, HBsAg, anti-HBs, anti-HBc positive rate 8.03%, 43.37%, 12.45%, the indicators in the gender distribution was not statistically significant. Yes, no the HepB vaccination history HBV prevalence of 7.63% (9/118) and 50.65% (155/306), respectively, the difference was statistically significant (χ 2 = 66.470, P lt; 0.01);, HepB vaccination history HBsAg positive rate was 5.08% (6/118), 11.44% (35/306), the difference was statistically significant (χ 2 = 66.470, P lt; 0.01);, HepB vaccination history of anti-HBs positive rate 57.63% (68/118), 36.27% (111/306), the difference was statistically significant (χ2 = 15.917, P lt; 0.01). Conclusion Guichi rural population HBsAg, anti-HBc positive rate and HBV prevalence is lower, the higher rate of anti-HBs lt; 20-year-old crowd of anti-HBs positive rate was significantly improved and the HBsAg carrier reduced. The positive rate of HBsAg, anti-HBc, and HBV prevalence rate decreased after hepatitis B vaccination, suggesting that hepatitis B vaccination is effective measures to control the rural areas of HBV infection, should further improve the rural population of hepatitis B vaccination rates, improve farmers HBV immune protection capacity. The purpose of understanding Guichi District junior high hepatitis B-related knowledge, attitudes and behavior, to explore the influencing factors of hepatitis B infection, to provide a theoretical basis for the development of appropriate preventive measures. Methods Using stratified cluster sampling to select the six secondary guichi 1557 students as subjects, the use of self-prepared questionnaire site anonymous survey class as a unit. Guichi District junior high knowledge score hepatitis B overall low average of 7.01 ± 3.56 (total score of 16 points), a clear understanding of the three routes of transmission of hepatitis B The majority of the students expressed the hope that the knowledge of the hepatitis B, but only 43.5% of the students said they do not mind learning together and hepatitis B patients or carriers. Most students lack of knowledge on hepatitis B vaccination, only 60.9% of students vaccinated with hepatitis B vaccine, 23.1% of the students want to hepatitis B vaccination. Univariate analysis showed that grade, home address, father's education level, father's occupation, education level of the mother, the mother's occupation, guardian type, academic performance and whether it is the only child of knowledge score influential difference was statistically significant (P lt; 0.05); Multiple regression analysis showed that the main factors that affect the score of the knowledge of the grade, home address, the father of the cultural level and academic performance. Conclusions of junior high school students understand the level of knowledge of hepatitis B should be strengthened in the junior high school students, there is a negative attitude of hepatitis B patients or carriers, health education on hepatitis B health knowledge. Abstract Objective To understand the knowledge of the rural population of hepatitis B, the behavior of the situation, to explore its influencing factors, and to provide a basis for the development of appropriate preventive measures. Topographic features of the method in accordance with the Guichi District stratified cluster sampling, and collected a total of three towns, each township each selected a village, each village taking about 150 people as the survey recover qualified questionnaire and specimens of 424 copies, efficiency of 94.22%. Results of the survey of rural residents knowledge of hepatitis B overall low scores, an average of 4.57 ± 4.88 (total score of 19 points), clear understanding of the three routes of transmission of hepatitis B blood route of transmission of sexually transmitted ways, and the correct answer rate of mother-to-child transmission pathways were 31.12%, 24.50%, 28.82%. The lack of knowledge of the majority of the residents of the hepatitis B vaccination, only 27.83% of residents vaccinated with hepatitis B vaccine, 23.11% of the residents hope that the hepatitis B vaccine. Univariate analysis showed that the risk of hepatitis, relatives in patients with hepatitis B, hepatitis B knowledge score influential detection of hepatitis B antigen, and the total annual household income, the difference was statistically significant (P lt; 0.05); Multiple regression analysis showed that the impact of knowledge infestation score hepatitis, relatives in patients with hepatitis B, hepatitis B antigen detected. Conclusion rural residents residents to strengthen the understanding of hepatitis B-related knowledge is not ideal, health education on hepatitis B health knowledge.

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CLC: > Medicine, health > Internal Medicine > Infectious disease > Viral infections > Viral Hepatitis > Hepatitis B
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