Prevalence of hepatitis B virus (HBV) in adults at community of Wuxi
10.3321/j.issn:0253-9624.2008.z1.028
- VernacularTitle:无锡市城区乙型肝炎流行病学调查分析
- Author:
Yudi LIN
1
;
Mei-Hua DONG
;
Yan-Hua QIAN
;
Hong-Bing SHEN
;
Feng CHEN
;
Yu DENG
;
Xu-Wen WANG
;
Mao-Jin DING
;
Xue-Feng ZHANG
;
Jing GU
;
Yun-Qin WANG
;
Jie SHAO
Author Information
1. 江苏省无锡市疾病预防控制中心
- Keywords:
Hepatitis B;
Cross-sectional studies;
Questionnaires
- From:
Chinese Journal of Preventive Medicine
2008;42(z1):128-131
- CountryChina
- Language:Chinese
-
Abstract:
Objecgive To investigate the HB awareness,the infection rate of HBV and the immunity status among adults at the communities of Wuxi,and to provide some evidences for vaccination strategy.Methods Two communities were enrolled in the study through cluster sampling method.A household survey was conducted to collect subjects' information through a face-to-face interview and blood samples were collected to detect HBsAg,anti-HBs,HBeAg,anti-HBe and anti-HBc.Results 3744 subjects were enrolled in this study.The general knowledge coverage rate of hepatitis B was high and 87.30%respondents claimed that hepatitis B was an infectious disease.The percentage of subjects who got more than 5 scores in persons had got hepatitis B vaccination was 60.18%(239/393),and this was significantly higher than in those without vaccine inoculation(x2=17.07,P＜0.01),with the proportion being 49.49%(1071/2164).rnIe percentage of subjects who got more than 5 scores in persons had family history of HBV infection was 60.00%(318/530),and this wag significantly higher than in those without family history (x2=53.05,P＜0.01),with the proportion of 43.00%(1382/3214).The standardized HBV infection rate was 49.88%.There were 1109(29.62%)subjects whose HBsAg,anti-HBs,HBeAg,anti-HBe and HBcAg were negative.There were 8 subjects(0.21%) whose HBsAg,HBeAg and anti-HBc were positive simultaneously,and there were 133 subjects(3.55%)whose HBsAg,anti-HBe and anti-HBc were positive simultaneously.The positive rate of anti-HBc was significantly higher in males than in females( 59.37%and 53.08%,P=0.00).The positive rates of HBsAg,anti-HBs,HBeAg,anti-HBe and HBcAg were 2.84%,44.05%,0.64%,1.93%,33.44%respectively in 20 year age group,while they were 5.69%,65.85%,0.81%,4.07%,69.44%respectively in 80 year age group.The positive rates of anti-HBs,HBeAg,anti-HBe and HBcAg increased with age(x2trend=256.16,P＜0.001).Among 3744 objects,530 subjects (accounted for 14.16%)had the family history of hepatitis B.HB immunization coverage rate was 11.77% (393/3339),with the standardized rate being 20.20%.The positive conversion rate of anti-HBs among those had HB vaccine inoculation was 21.12%(83/393).Conclusion The infection rate of HBV was high,whereas the immunization rate of hepatitis B vaccine and the level of anti-HBs were low in adults,Thus,to improve the immunization rate of hepatitis B vaccine is a key step to decrease the infection rate.
