摘要
目的了解四川省凉山州美姑县住院孕产妇乙肝检出情况及影响因素,为后续开展有针对性干预措施提供科学依据。方法利用2018年和2020年美姑县人民医院住院孕产妇的数据,分析乙肝检出情况。结果本次纳入研究的住院孕产妇共7774人,乙肝检出率为7.53%。2018年的住院孕产妇3400人,乙肝检出率为9.7%;2020年4373人,检出率下降为5.8%;检出率在两年之间的差异具有统计学意义(χ^(2)=41.2999,P<0.01)。年龄<20、20~、彝族、农民、精准扶贫、医疗保险、丙肝阴性者、梅毒阴性者、HIV阳性者和HIV阴性者的乙肝检出率均呈2020低于2018年的特点,年龄40~的乙肝检出率呈2020高于2018年的特点,且上述人口特征的乙肝检出率在两年之间的差异均具有统计学意义(P<0.05);其余人口特征的乙肝检出率在两年之间的差异均无统计学意义(P>0.05)。多因素Logistic回归分析结果显示:HIV阳性的住院孕产妇检出乙肝的可能性更高(OR=2.128,P<0.01),2020年住院孕产妇检出乙肝的可能性更低(OR=0.583,P<0.01)。结论与2018年相比,2020年凉山州美姑县住院孕产妇乙肝检出率虽呈下降趋势,但仍须继续针对这一群体开展规范的预防、诊断和治疗。
Objective To understand hepatitis B virus(HBV)detection and influencing factors of hospitalized pregnant women in Meigu county,Liangshan prefecture,Sichuan province,so as to provide scientific basis for following targeted intervention measures.Methods Data of hospitalized pregnant women in Meigu County People's Hospital in 2018 and 2020 were used to analyze the status of HBV detection.Results A total of 7774 hospitalized pregnant women were included in this study,and the detection rate of HBV was 7.53%.In 2018,3400 pregnant women were hospitalized and the HBV detection rate was 9.7%.In 2020,there were 4373 pregnant women were hospitalized,and the HBV detection rate decreased to 5.8%.The difference in the HBV detection rates of both years was statistically significant(x2=41.2999,P<0.01).The HBV detection rate of hospitalized pregnant women with age of<20 years old,20-years old,the Yi nationality,farmers,targeted poverty alleviation,medical insurance,hepatitis C negative,syphilis negative,HIV-positive and HIV-negative in 2020 were lower than those in 2018,respectively(P<0.05).The HBV detection rate of people with 40-years old in 2020 was statistically significant higher than that in 2018(P<0.05).The differences in HBV detection rates of the two years among people with the above demographic characters were statistically significant(P<0.05).There was no significant difference in HBV detection rates of the two years among people with other population characteristics(P>0.05).Multivariate logistic regression analysis showed that hospitalized HIV-positive pregnant women were more likely to be diagnosed as HBV infection than HIV-negative pregnant women(OR=2.128,P<0.01)while the probability of HBV diagnose and were less likely to be diagnosed as HBV infection in 2020 than in 2018(OR=0.583,P<0.01).Conclusions Compared with 2018,the HBV detection rate of hospitalized pregnant women in Meigu county of Liangshan prefecture showed a downward trend in 2020,but standardized prevention,diagnosis and treatment should be maintained
作者
王琴
何炜
袁野
彭迎春
沙马红建
刘东翠
钟显飞
Wang Qin;He Wei;Yuan Ye;Peng Yingchun;Shama hongjian;Liu Dongcui;Zhong Xianfei(Department of Gastroenterology,Leshan People's Hospital,Leshan 614000,China;Department of Internal Medicine,Meigu County People's Hospital,Meigu 616450,China)
出处
《国际病毒学杂志》
2022年第4期303-308,共6页
International Journal of Virology
关键词
乙肝
孕产妇
检出率
Hepatitis B
Pregnant women
Detection rate
