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安徽省50岁及以上人群丙型肝炎知晓及检测意愿分析

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目的 了解安徽省≥50岁人群的丙型病毒性肝炎(简称丙肝)防治知识知晓情况和检测意愿,分析该人群丙肝检测意愿的影响因素,为丙肝防治工作提供参考依据.方法 2023年1-7月,采用多阶段抽样方法,选取安徽省合肥市、滁州市和亳州市≥50岁人群进行横断面调查,收集研究对象的人口学特征、丙肝防治知识和丙肝检测意愿等信息.采用x2检验比较不同特征≥50岁人群丙肝检测意愿的差异,并采用二元logistic回归分析模型筛选影响安徽省≥50岁人群丙肝检测意愿的相关因素.结果 6 857名研究对象中,男性占51.7%,平均年龄为(69.97±9.02)岁.研究对象总体丙肝防治知识知晓率为21.6%,研究对象自我报告既往丙肝检测率为10.2%,有79.4%的研究对象愿意在未来3个月进行丙肝检测.多因素logistic回归分析结果显示,女性(OR=0.811,95%CI:0.709~0.928,P=0.002)、已婚/同居(OR=0.362,95%CI:0.247~0.531,P<0.001)和分居/离异/丧偶(OR=0.614,95%CI:0.416~0.904,P=0.014)、初中(OR=0.671,95%CI:0.570~0.790,P<0.001)、个人月收入为 3 000~<5 000 元(OR=0.522,95%CI:0.440~0.618,P<0.001)和≥5 000 元(OR=0.502,95%CI:0.365~0.690,P<0.001)的研究对象丙肝检测意愿较低;与父母/子女/配偶/性伴同居(OR=4.686,95%CI:3.739~5.874,P<0.001)和居住在养老机构(OR=3.203,95%CI:2.276~4.507,P<0.001)、做过人类免疫缺陷病毒(human immu-nodeficiency virus,HIV)检测(OR=2.872,95%CI:2.434~3.389,P<0.001)、高风险人群(OR=2.220,95%CI:1.930~2.554,P<0.001)的丙肝检测意愿较高.结论 安徽省≥50岁人群丙肝防治知识知晓率总体较低、丙肝检测意愿较高,但既往丙肝检测率低.应针对不同特征≥50岁人群系统地、有针对性地开展丙肝相关健康宣传教育,将丙肝检测意愿转化为积极的检测行为.
Awareness and testing willingness of hepatitis C among people aged 50 and above in Anhui Province
Objective To understand the awareness of hepatitis C prevention and treatment and willingness to be tested among people aged 50 and above,and analyzing factors influencing their willingness to undergo hepatitis C testing,in order to provide a reference for hepatitis C prevention and treatment work.Methods A multistage sampling method was used to select people aged 50 years and above between January and July 2023 in Hefei City,Chuzhou City and Bozhou City,Anhui Province.Information on demographic characteristics,awareness of hepatitis C prevention and treatment,and willingness to be tested for hepatitis C was collected from the survey respondents.Chi-quare test was used to compare the differences in the willingness to test for hepatitis C among people aged 50 and above with different characteristics,and binary logistic regression analysis was used to analyze the relevant factors affecting the willingness to test for hepatitis C among people aged 50 and above in Anhui Province.Results Among the 6 857 participants,males accounted for 51.7%,with an average age of(69.97±9.02)years.The overall awareness rate regarding hepatitis C prevention and treatment was 21.6%.The self-reported past hepatitis C testing rate among the participants was 10.2%,and 79.4%expressed willingness to undergo hepatitis C testing in the next three months.Additionally,79.4%of the partici-pants expressed willingness to undergo hepatitis C testing in the next three months.The results of the mul-tivariate analysis showed that females(OR=0.811,95%CI:0.709-0.928,P=0.002),married/co-habiting(OR=0.362,95%CI:0.247-0.531,P<0.001)and separated/divorced/widowed(OR=0.614,95%CI:0.416-0.904,P=0.014),middle school(OR=0.671,95%CI:0.570-0.790,P<0.001),individual monthly income of 3 000-5 000(OR=0.522,95%CI:0.440-0.618,P<0.001)and ≥5 000(OR=0.502,95%CI:0.365-0.690,P<0.001)had lower willingness to be tested for hepatitis C;while cohabitation with parents/children/spouses/sexual partners(OR=4.686,95%CI:3.739-5.874,P<0.001)and pension institutions(OR=3.203,95%CI:2.276-4.507,P<0.001),having had a HIV test(OR=2.872,95%CI:2.434-3.389,P<0.001),and high-risk groups(OR=2.220,95%CI:1.930-2.554,P<0.001)had a higher willingness to be tested for hepatitis C.Conclusions Currently,the cyclic patterns of AIDS incidence and mortality in China have reached their historical peak,with cycles becoming notably longer.Predictions indicate a future downward trend in both incidence and mortality,so we should pay close attention to the epidemic situation of AIDS,and actively take preventive and control measures.

Hepatitis CAwarenessWillingness to undergo hepatitis C testing

王紫薇、李影、黄卓君、高萌、龚丽萍、李泽洋、许学伟、戴色莺、范引光

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安徽医科大学公共卫生学院流行病学与卫生统计学系,合肥 230032

利辛县疾病预防控制中心艾滋病防治科,利辛 236700

滁州市疾病预防控制中心艾滋病防治科,滁州 239000

安徽省疾病预防控制中心艾滋病防治科,合肥 230601

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丙型肝炎 知晓情况 检测意愿

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(12)