兰州市居民丙肝知识知晓率调查结果分析

Analysis of survey on awareness of hepatitis C knowledge among residents of Lanzhou city

目的了解兰州市居民丙肝知识知晓率和丙肝抗体检测情况,探索可能的影响因素,为兰州市的丙肝防治工作提供防治建议。方法2021年8月份在兰州市近郊四区(城关区、七里河区、西固区和安宁区)中选择城关区的社区居民代表城市居民,在远郊三县一区(榆中县、永登县、皋兰县和红古区)中选择榆中县的自然村村民代表农村居民;分别在城关区和榆中县所有的社区(村)按照容量比例抽样原则各选取4个社区(村),每个社区(村)内随机抽取100人开展问卷调查,为保证有效问卷样本量,调查时每个社区同户及相邻人员多调查10人,即每个社区调查110人,人数达到即停止调查。利用多因素logistic回归分析探索居民丙肝知晓率和丙肝抗体检测率的影响因素。结果共调查880人,收回有效问卷874份,兰州市居民丙肝知识知晓率为48.6%,丙肝抗体检测率为25.3%。农村居民的丙肝知晓率低于城市居民(OR=0.56,95%CI:0.41~0.75);文化程度为高中或中专(OR=2.49,95%CI:1.41~4.41)和大专及以上(OR=4.67,95%CI:2.55~8.56)的居民知晓丙肝防治知识的可能性更高。另外,大专及以上文化程度(OR=2.12,95%CI:1.10~4.08)和知晓丙肝防治知识(OR=2.48,95%CI:1.77~3.48)的居民参与丙肝抗体检测可能性更高。结论兰州市居民丙肝知晓率和丙肝检测率均偏低,应针对特定人群加强健康宣传,提高总体居民的健康意识。

Objective To understand the awareness rate of hepatitis C knowledge and uptake of hepatitis C antibody testing among the residents in Lanzhou,to explore the possible influencing factors,so as to provide suggestions for the prevention and treatment of hepatitis C in Lanzhou.Methods In August 2021,among,the community residents in Chengguan district were selected among the four Lanzhou suburb districts(Chengguan district,Qilihe district,Xigu district and Anning district)to represent urban residents,and the villagers in Yuzhong county were selected among the remote suburbs of Lanzhou(Yuzhong county,Yongdeng county,Gaolan county and Honggu district)to represent rural residents.Using probability proportional to size(PPS)sampling method,4 communities/villages were selected from Chengguan district/Yuzhong county,and a total of 100 people were selected from each community/village for a questionnaire survey.In order to ensure a sufficient sample size for the questionnaire survey,additional 10 individuals from the same hor neighboring households were surveyed in each community/village,resulting in 110 individuals being surveyed in each community/village and the survey ceased once the desired number of participants was reached.Multivariable logistic regression analysis was used to explore the influencing factors of the awareness of hepatitis C knowledge and the detection rate of hepatitis C antibody.Results A total of 880 individuals were surveyed,providing 874 valid questionnaires.The awareness rate of hepatitis C knowledge among the residents in Lanzhou city was 48.6%,while the hepatitis C antibody testing rate was only 25.3%.Rural residents had lower awareness of hepatitis C knowledge than urban residents(OR=0.56,95%CI:0.41—0.75);residents with high school or technical secondary school education(OR=2.49,95%CI:1.41—4.41)and college or above education(OR=4.67,95%CI:2.55—8.56)were more likely to have fair knowledge of hepatitis C prevention and control.In addition,residents with a college education or higher(OR=2.12,95%CI:1.10—4.08)and having knowledge of hepatitis C prevention and control(OR=2.48,95%CI:1.77—3.48)were more likely to receive hepatitis C antibody testing.Conclusions The disease awareness rate and testing rate for hepatitis C among the residents in Lanzhou are low.Therefore,it is necessary to strengthen health education for specific population and improve the health consciousness of the general population.