体检人群幽门螺杆菌感染检测意愿调查

Survey of willingness to detect Helicobacter pylori infection among physical examination population

目的探讨体检人群对H.pylori感染检测的主动性及其对检测方式的倾向性。方法于2022年9月至2022年12月在国内两家综合性三甲医院的体检人员中发放电子调查问卷,问卷内容包括受访者对H.pylori感染及检测方式的了解情况,主动给自己及家中老人、儿童(<14岁)检测的意愿,及其对尿素呼气试验(urea breath test,UBT)和H.pylori粪便抗原试验(H.pylori stool antigen test,HpSAT)的比较与选择等。结果共回收488份有效问卷。消化道症状或疾病在体检人群(57.0%)及其家庭成员(35.5%)中普遍存在。体检人群对H.pylori感染的熟悉率仅为11.9%。43.0%受访者会在体检时主动检测,36.9%的受访者在医师建议下才会进行检测,而20.1%不会主动检测。影响检测主动性的因素主要是对H.pylori感染的了解程度。对于家中老人和儿童的检测,大部分体检人员需要医师建议才会进行检测。体检人员选择检测方式时,主要看其重准确性、方便性、安全性,超过80%体检人员会选择UBT。结论体检人群对H.pylori感染的认知水平较低,但检测意愿性较强,在检测时倾向于选择传统的UBT,对新兴的快速HpSAT缺乏了解。

Objective To explore the initiative of the physical examination population in detecting H.pylori infection and its tendency towards detection methods.Methods From Sep.2022 to Dec.2022,an electronic survey questionnaire was distributed to the physical examination subjects of two comprehensive tertiary hospitals in China.The questionnaire included respondents′understanding of H.pylori infection and testing methods,willingness to proactively test themselves and their elderly and children(under 14 years old),and comparison and selection of urea breath test(UBT)and H.pylori stool antigen test(HpSAT).Results A total of 488 valid questionnaires were collected.Gastrointestinal symptoms or diseases were commonly present in the physical examination population(57.0%)and their family members(35.5%).The familiarity rate of H.pylori infection among the physical examination population was only 11.9%.Some respondents(43.0%)would take the initiative to test during the examination,36.9%of people would only be tested after receiving the doctor′s order,and 20.1%would not take the initiative to test.The main factor affecting the initiative of testing was the level of understanding of H.pylori infection.For the testing of elderly and children at home,most physical examination subjects required the doctor′s order before conducting the testing.When selecting the testing method,the main focus was on accuracy,convenience and safety.Over 80%of physical examination population would choose UBT.Conclusion The physical examination population has a low level of awareness of H.pylori infection,but has a strong willingness to test.They tend to choose traditional UBT and lack knowledge of the emerging rapid HpSAT.