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丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素

虞接军,  徐朋,  刘鹏程,  张琬悦,  孙传武,  陈兴云,  张培栋,  袁庆,  刘中夫,  李健

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文章导航 > 中华疾病控制杂志  > 2023 >  27(7): 745-750
虞接军, 徐朋, 刘鹏程, 张琬悦, 孙传武, 陈兴云, 张培栋, 袁庆, 刘中夫, 李健. 丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素[J]. 中华疾病控制杂志, 2023, 27(7): 745-750. doi: 10.16462/j.cnki.zhjbkz.2023.07.001
引用本文: 虞接军, 徐朋, 刘鹏程, 张琬悦, 孙传武, 陈兴云, 张培栋, 袁庆, 刘中夫, 李健. 丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素[J]. 中华疾病控制杂志, 2023, 27(7): 745-750. doi: 10.16462/j.cnki.zhjbkz.2023.07.001
shu
YU Jiejun, XU Peng, LIU Pengcheng, ZHANG Wanyue, SUN Chuanwu, CHEN Xingyun, ZHANG Peidong, YUAN Qing, LIU Zhongfu, LI Jian. Analysis of the awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(7): 745-750. doi: 10.16462/j.cnki.zhjbkz.2023.07.001
Citation: YU Jiejun, XU Peng, LIU Pengcheng, ZHANG Wanyue, SUN Chuanwu, CHEN Xingyun, ZHANG Peidong, YUAN Qing, LIU Zhongfu, LI Jian. Analysis of the awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(7): 745-750. doi: 10.16462/j.cnki.zhjbkz.2023.07.001
shu

丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素

doi: 10.16462/j.cnki.zhjbkz.2023.07.001
  • 1.

    中国疾病预防控制中心性病艾滋病预防控制中心丙型肝炎与性病防治室, 北京 102206

  • 2.

    云南省疾病预防控制中心性病艾滋病防制所, 昆明 650034

  • 3.

    徐州市疾病预防控制中心性病艾滋病防制科, 徐州 221006

  • 4.

    文山壮族苗族自治州疾病预防控制中心艾滋病防治科, 文山 663099

基金项目: 

中国预防性病艾滋病基金会丙肝诊疗现况调查研究 2021BGZX01

中国预防性病艾滋病基金会既往报告丙肝病例随访管理试点(4省) 2021BGZX02

中国疾病预防控制中心性病艾滋病预防控制中心丙肝防治技术指导与能力建设 131031105000200002

详细信息
    通讯作者:

    刘中夫, E-mail：liuzhongfu@chinaaids.cn

    李健, E-mail：jli@chinaaids.cn

  • 中图分类号: R512.91

Analysis of the awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients

  • 1.

    Division of HCV &STD Prevention and Treatment of National Center for STD/AIDS Control and Prevention, Chinese Center for Disease Control and Prevention Division of HCV &STD Prevention and Treatment, Beijing 102206, China

  • 2.

    STD/AIDS Prevention and Treatment Institute of Yunnan Center for Disease Control and Prevention, Kunming 650034, China

  • 3.

    Department of STD/AIDS Prevention and Control of Xuzhou Center for Disease Control and Prevention, Xuzhou 221006, China

  • 4.

    Department of AIDS Prevention and Control of Wenshan Zhuang and Miao Autonomous Prefecture Center for Disease Control and Prevention, Wenshan 663099, China

Funds: 

the Current Situation of Hepatitis C Diagnosis and Treatment 2021BGZX01

Pilot Project for Follow-up Management of Previously Reported Hepatitis C Cases (4 Provinces) 2021BGZX02

Technical Guidance and Capacity Building Project for Hepatitis C Prevention and Treatment 131031105000200002

More Information

    摘要
  • 摘要:   目的  了解丙型病毒性肝炎(丙肝)患者的丙肝防治知识知晓情况并分析相关因素, 为丙肝防治工作提供参考。  方法  2022年7-9月, 对云南省文山壮族苗族自治州(文山州)和江苏省徐州市的丙肝患者进行调查, 收集调查对象的人口学特征、丙肝防治知识等信息。采用χ2检验比较不同特征患者丙肝防治知识知晓情况的差异, 并采用多元线性回归模型分析患者丙肝防治知识知晓情况的相关因素。  结果  共收集486份问卷, 有效问卷483份。其中男性占65.22%(315名), 女性占34.78%(168名), 平均知晓率为62.66%, 单题知晓率最低为32.71%, 最高为81.37%。多元线性回归模型分析结果显示, 女性[β=-0.729 (95% CI: -1.311~-0.147), P=0.014]、年龄≥50岁[β=-0.635 (95% CI: -1.205~-0.065), P=0.029]、农民或民工[β=-1.139(95% CI: -1.992~-0.286), P=0.009]、不清楚自身感染途径者[β=-0.970(95% CI: -1.577~-0.362), P=0.002]、未接受丙肝宣传教育者[β=-1.648(95% CI: -2.224~-1.073), P < 0 001]和不知道自己患有丙肝者[β=-1.097(95% CI: -2.094~-0.010), P=0.031]的知晓率更低。  结论  丙肝患者的丙肝防治知识知晓率不高, 且与性别、年龄、职业、感染途径、是否接受过丙肝宣传教育和是否知道自身患病有关联, 需加强宣传教育提高该人群的知识知晓状况。
    Abstract:   Objective  This study aimed to assess the understanding of the knowledge of hepatitis C prevention and treatment among hepatitis C patients and analyze the related factors, to provide a basis for future hepatitis C prevention and treatment.  Methods  From July to September, 2022, a survey was conducted among hepatitis C patients in Wenshan Prefecture, Yunnan Province and Xuzhou City, Jiangsu Province. We collected information on the demographic characteristics and knowledge of hepatitis C prevention and treatment of the surveyed patients. The χ2 test was used to compare the differences in knowledge of hepatitis C prevention and treatment among patients with different characteristics. A multiple linear regression model was used to analyze the factors associated with patients′ knowledge of hepatitis C prevention and treatment.  Results  A total of 486 questionnaires were collected, and 483 were valid. Among them, 65.22% (315) were males and 34.78% (168) were females. The average rate of knowledge was 62.66%, with the lowest single-question knowledge rate of 32.71% and the highest of 81.37%. The results of multiple linear regression analysis showed that women [β=-0.729 (95% CI: -1.311--0.147), P=0.014], age ≥50 years [β=-0.635 (95% CI: -1.205--0.065), P=0.029], farmers or migrant workers [β=-1.139 (95% CI: -1.992--0.286, P=0.009], those who did not know the route of their infection [β=-0.970 (95% CI: -1.577--0.362), P=0.002], those who did not receive hepatitis C education [β=-1.648 (95% CI: -2.224--1.073), P < 0 001], and those who did not know they had hepatitis C [β=-1.097 (95% CI: -2.094--0.010), P=0.031] had lower awareness rates.  Conclusions   The understanding of Hepatitis C prevention and treatment among diagnosed hepatitis C patients was suboptimal and was influenced by factors such as gender, age, occupation, infection route, hepatitis C education, and disease awareness. There is a need for increased educational efforts to improve the knowledge of these populations.
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  • 表  1  不同特征的丙肝患者丙肝防治知识知晓情况的比较

    Table  1.   Comparison of knowledge awareness of hepatitis C prevention and treatment among hepatitis C patients with different characteristics

    特征Feature 人数(占比/%)Number of people(proportion /%) 应答条目数Number of reply entries 知晓条目数Number of entries known 知晓率/%Awareness rate/% χ2值χ2value P值P value
    地区Region 0.201 0.654
      文山州Wenshan Prefecture 304(62.94) 3 648 2 278 62.45
      徐州市Xuzhou City 179(37.06) 2 148 1 354 63.04
    性别Sex 41.001 < 0.001
      男性Male 315(65.22) 3 780 2 481 65.63
      女性Female 168(34.78) 2 016 1 151 57.09
    年龄组/岁Age group/years 69.767 < 0.001
       < 50 214(44.31) 2 568 1 762 68.61
      ≥50 269(55.69) 3 228 1 870 57.93
    民族Nationality 0.338 0.561
      汉族Han 342(70.81) 4 104 2 562 62.43
      少数民族Ethnic minorities 141(29.19) 1 692 1 070 63.24
    户籍类型Household registration type 47.929 < 0.001
      非农业户口Non-agricultural 157(32.51) 1 884 1 300 69.00
      农业户口Agricultural 326(67.49) 3 912 2 332 59.61
    职业Occupation 121.821 < 0.001
      其他职业Other occupations 97(20.08) 1 164 845 72.59
      无业或待业Unemployed 105(21.74) 1 260 872 69.21
      农民或民工Farmers or migrant workers 281(58.18) 3 372 1 915 56.79
    文化程度Education level 59.962 < 0.001
      初中及以下Junior high school and below 399(82.61) 4 788 2 893 60.42
      高中和中专High school and technical secondary school 67(13.87) 804 595 74.00
      大专及以上Junior college and above 17(3.52) 204 144 70.59
    报告时长/年Reporting duration/years 5.980 0.014
       < 10 107(22.15) 1 284 842 65.58
      ≥10 376(77.85) 4 512 2 790 61.84
    感染途径Infection route 100.790 < 0.001
      不清楚Unknow 313(64.80) 3 756 2 180 58.04
      性行为Sexual behavior 23(4.77) 276 210 76.09
      血液Blood 147(30.43) 1 764 1 242 70.41
    接受过丙肝宣传教育Received hepatitis C publicity and education 213.175 < 0.001
      是Yes 253(52.38) 3 036 2 171 71.51
      否No 230(47.62) 2 760 1 461 52.93
    知道自己患有丙肝Knew have hepatitis C 102.535 < 0.001
      是Yes 438(90.68) 5 256 3 402 64.73
      否No 45(9.32) 540 230 42.59
    治疗Treatment 57.163 < 0.001
      是Yes 244(50.52) 2 928 1 974 67.42
      否No 239(49.48) 2 868 1 658 57.81
    合计Total 483(100.00) 5 796 3 632 62.66
    下载: 导出CSV

    表  2  丙肝患者丙肝防治知识知晓情况

    Table  2.   Awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients

    条目Entrie 知晓人数Number of people known 知晓率/%Awareness rate/%
    一个感染了丙肝病毒的人是否可能没有任何异常感觉和症状, 必须检测才能发现吗？Is it possible that a person infected with the HCV does not have any abnormal sensations and symptoms that must be tested to detect? 328 67.91
    与丙肝患者同桌吃饭、握手等日常接触会感染丙肝病毒吗？Is it possible that eat at the same table, shake hands and other daily contact with hepatitis C patients can be infected with HCV? 360 74.53
    丙肝是否可以通过性行为传播？Can hepatitis C be transmitted sexually? 280 57.97
    共用注射器会感染丙肝病毒吗？Can sharing syringes infect HCV? 373 77.23
    输入带有丙肝病毒的血液会感染丙肝吗？Can the blood that transfuse to have HCV infect hepatitis C? 393 81.37
    街头或小店里纹身、纹眉、打耳洞是否有可能传染丙肝病毒吗？Is it possible to infect HCV with tattoos, eyebrow tattoos, and ear piercings on the streets or in small shops? 294 60.87
    使用非一次性针具进行针灸有可能感染丙肝病毒吗？Is it possible to infect HCV with acupuncture using non-disposable needles? 318 65.84
    感染丙肝后肝功能检测结果是否可能正常吗？Are liver function tests likely to be normal after hepatitis C infection? 158 32.71
    没有临床症状, 有可能感染丙肝病毒吗？No clinical symptoms, may be infected with HCV? 306 63.35
    慢性丙肝是否可能会发展为肝硬化、肝癌？Can chronic hepatitis C develop into cirrhosis and liver cancer? 347 71.84
    丙肝是否可以治愈？Can hepatitis C be cured? 323 66.87
    目前是否有可以预防丙肝的疫苗？Is there a vaccine that can prevent hepatitis C? 152 31.47
    合计Total 3 632 62.66
    下载: 导出CSV

    表  3  既往报告的丙肝患者丙肝防治核心知识知晓情况相关因素的多元线性回归模型分析

    Table  3.   Multivariate linear regression analysis of factors associated with the awareness of knowledgeabout hepatitis C prevention and treatment among hepatitis C patients

    因素Factor β(95% CI) sx t值t value P值P value
    常量Constant 10.276(9.207~11.344) 0.544 18.898 < 0.001
    性别(ref：男性) Gender (ref: male) -0.729(-1.311~-0.147) 0.296 -2.463 0.014
    年龄(ref： < 50岁) Age (ref: < 50 years) -0.635(-1.205~-0.065) 0.290 -2.191 0.029
    户籍类型(ref：非农业户口) Household registration type (ref: non-agricultural) 0.458(-0.262~1.177) 0.366 1.250 0.212
    职业(ref：其他职业) Occupation (ref: other occupations)
    无业或待业Unemployed 0.246(-0.642~1.133) 0.452 0.544 0.587
    农民或民工Farmers or migrant workers -1.139(-1.992~-0.286) 0.434 -2.624 0.009
    文化程度(ref：初中及以下) Education level (ref: junior high school and below)
    高中和中专High school and technical secondary school 0.609(-0.278~1.497) 0.452 1.349 0.178
    大专及以上Junior college and above 0.205(-1.375~1.785) 0.804 0.255 0.799
    报告时长(ref： < 10年) Reporting duration (ref: < 10 years) -0.250(-0.915~0.415) 0.338 -0.739 0.460
    感染途径(ref：血液) Infection route (ref: blood)
    性行为Sexual behavior 0.492(-0.858~1.841) 0.687 0.715 0.475
    不清楚Unknow -0.970(-1.577~-0.362) 0.309 -3.137 0.002
    接受过丙肝宣传教育(ref：是) Received hepatitis C publicity and education (ref: yes) -1.649(-2.224~-1.073) 0.293 -5.627 < 0.001
    知道自己患有丙肝(ref：是) Know have hepatitis C (ref: yes) -1.097(-2.094~-0.010) 0.508 -2.161 0.031
    治疗(ref：是) Treatment (ref: yes) -0.512(-1.098~0.075) 0.298 -1.715 0.087
    下载: 导出CSV
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  • 收稿日期:  2022-11-08
  • 修回日期:  2023-01-29
  • 网络出版日期:  2023-08-08
  • 刊出日期:  2023-07-10

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