徐州市2005—2020年抗-HCV阳性者丙肝防治知识知晓情况调查

Investigation on awareness of prevention and treatment knowledge of Hepatitis C among anti-HCV positive individuals in Xuzhou City from 2005 to 2020

目的了解徐州市抗-HCV阳性者对丙型病毒性肝炎(简称丙肝)防治知识的知晓情况,分析其影响因素,为制定防治政策提供依据。方法采用分层随机抽样方法对2005—2020年徐州市丙肝患者进行样本抽取,通过问卷调查了解其人口学特征、流行病史和丙肝防治知识知晓情况。数据分析采用Pearsonχ^(2)检验和logistic回归模型。结果2604例丙肝病毒抗体阳性者的丙肝防治知识知晓率为55.6%。回归分析结果显示,<70岁年龄组(OR=1.389,P=0.002)、文化程度高中及以上(OR=1.482,P=0.001)和月收入≥3000元(OR=1.339,P=0.012)者,在个体诊所接受过打针、输液、针灸及拔牙、补牙(OR=2.001、1.579,P<0.001)者,知道自己的感染情况(OR=1.616,P=0.001)者,接受进一步检查(OR=1.436,P=0.032)和治疗(OR=1.258,P=0.013)者,愿意接受抗病毒治疗(OR=1.468,P=0.002)者,愿意承担治疗费用<2000元(OR=1.353,P=0.003)者的丙肝防治知识知晓率较高。结论徐州市2005—2020年丙肝病毒抗体阳性者的丙肝防治知识知晓率较低,尤其在高龄、文化程度和收入较低的人群,应通过多种形式的健康教育和现代通讯工具进行宣教,提高公众的丙肝认知和预防能力。

Objective To understand the awareness of viral hepatitis type C(referred to as hepatitis C)prevention and treatment knowledge among anti-HCV positive individuals in Xuzhou City,to analyze the influencing factors,and to provide a basis for the development of prevention and control policies.Methods A stratified random sampling method was used to extract samples among the hepatitis C patients in Xuzhou City from 2005 to 2020.A questionnaire survey was conducted to understand their demographic characteristics,epidemic history,and awareness of prevention and treatment knowledge of hepatitis C.Data analysis was performed using Pearsonχ^(2) test and logistic regression model.Results The awareness rate of hepatitis C prevention and treatment knowledge among 2604 anti-HCV positive individuals was 55.6%.The result of regression analysis showed that people in the<70 years age group(OR=1.389,P=0.002),those with an education level of senior high school and above(OR=1.482,P=0.001),and those with a monthly income of≥3000 yuan(OR=1.339,P=0.012),and those who had received injections,infusions,acupuncture,and dental extractions and fillings in private clinics(OR=2.001,1.579,P<0.001),those who were aware of their infection status(OR=1.616,P=0.001),those who underwent further examinations(OR=1.436,P=0.032)and treatment(OR=1.258,P=0.013),those who were willing to receive antiviral treatment(OR=1.468,P=0.002),and those who were willing to bear treatment costs of<2000 yuan(OR=1.353,P=0.003)had higher awareness rates of prevention and treatment knowledge of hepatitis C.Conclusion The awareness rate of prevention and treatment knowledge among anti-HCV positive individuals in Xuzhou City is relatively low from 2005 to 2020,especially among the elderly,less educated and lowerincome populations.It is necessary to enhance public awareness and prevention capabilities of hepatitis C through various forms of health education and modern communication tools for the public.