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[目的]通过调查了解某市乙型肝炎的流行现状及流行因素,提出乙型肝炎防治建议。[方法]采用问卷调查、定性的访谈和观察相结合的办法获取乙肝流行的相关资料,采用多因素Logistic回归分析探索乙肝危险因素。[结果]Logistic回归分析发现输液史、牙科手术史、家庭中有乙肝患者、经常在外就餐是该市乙型肝炎发病的主要危险因素,经济收入高、乙肝疫苗接种是乙肝发病的保护性因素,其比值比分别为2.033、3.247、1.087、1.983、0.714、0.137。[结论]推广乙肝疫苗接种,养成良好的卫生习惯,加强公共卫生监督是降低乙型肝炎发病的主要措施。
[Objective] To investigate the prevalence and epidemic factors of hepatitis B in a city and put forward suggestions on prevention and treatment of hepatitis B. [Methods] The relevant data of hepatitis B epidemic were obtained by means of questionnaire survey, qualitative interview and observation. The risk factors of hepatitis B were explored by multivariate Logistic regression analysis. [Results] Logistic regression analysis found that infusion of history, history of dental surgery, hepatitis B patients in the family, often out of dining is the city’s major risk factor for hepatitis B, high economic income, hepatitis B vaccination is a protective factor in the pathogenesis of hepatitis B, The ratio of the ratio were 2.033,3.247,1.087,1.983,0.714,0.137. [Conclusion] The main measures to reduce the incidence of hepatitis B are to promote hepatitis B vaccination, develop good hygiene habits and strengthen public health supervision.