新城区一般人群乙型肝炎病毒表面抗原阳性率及乙肝疫苗接种率调查

Investigation on HBsAg Positive Rate and Immunization Coverage Rate of Hepatitis B Vaccine in Xincheng District

目的 为了解新城区一般人群乙型肝炎（乙肝）病毒表面抗原（HBsAg）携带情况及乙肝疫苗接种状况，促进乙肝防制工作。方法 采取多阶段整群随机抽样的方法对全区3583名1～50岁人群进行了调查。结果 HBsAg阳性者97人，阳性率为2．7％，HBsAg阳性率在15～年龄组最高为4．7％。已婚者HBsAg阳性率高于未婚者1．6个百分点。有接种史者HBsAg阳性率低于无接种史者2．5个百分点。乙肝疫苗接种者844人，接种率为23．696，随着年龄的增加，乙肝疫苗接种率下降，但〈15岁人群接种率在90％以上。成人随着受教育程度的增加，乙肝疫苗接种率增高。男性乙肝疫苗接种率及HBsAg阳性率均高于女性。结论 加强宣传教育，从控制人群乙肝发病的高度全面考虑乙肝疫苗接种工作，在做好新生儿乙肝疫苗接种的前提下扩大免疫接种人群，对适宜接种人群进行预防接种。

Objective To understand the HBsAg positive rate and the immunization coverage rate of hepatitis B vaccine in Xincheng District. Method Stratified multistage random cluster sampling method was used to select 3,583 inhabitants aged 1 to .50 years from 35 blocks of 7 streets. Resnlts The HBsAg positive rate of 1.5- 19 year- old population was the highest （4.7%） and the HBsAg positive rate was higher by 2.5 % in no immunization of hepatitis B vaccine group than that in immunization group. We attribute the risk difference to no immunization. The HBsAg positive rate was higher by 1.6 % in married group than that in unmarried group. The immunization coverage rate of hepatitis B vaccine was over 90 % among 0 - 1.5 year- old population, but it became lower as people got elder. Moreover, the immunization Coverage rate of hepatitis B vaccine was higher in the population with high- level education. The HBsAg positive rate and the immunization coverage rate of hepatitis B vaccine were both higher in males than in females. Conclusion we suggest to expand the coverage of hepatitis B vaccine immunization in teenagers and adults by health education to meet the target of controlling hepatitis B.