保山市15岁以上人群乙肝HBsAg、HBsAb血清学调查

发布时间：2018-02-23 03:07

本文关键词： 乙肝血清学免疫保护水平　出处：《现代预防医学》2015年20期 　论文类型：期刊论文

【摘要】：目的了解保山市15岁以上人群乙型病毒性肝炎(简称乙肝)表面抗原、表面抗体水平,探讨乙肝感染情况及防控策略和措施。方法采用多阶段分层随机抽样的原则,在保山市5个县区随机抽取15岁以上人群2 768人,调查基础数据,对抽取的血清用胶体金快速检测表面抗原(HBs A)g、表面抗体(抗-HBs)结果 2012年保山市15岁以上人群乙肝表面抗原、表面抗体阳性率分别为2.96%、23.16%;男性表面抗原、表面抗体阳性率分别为3.58%、24.72%,女性分别为2.45%、21.85%;各年龄段乙肝表面抗原阳性率、表面抗体保护率分别在2.4%~3.7%和18.6%~27.8%之间;农民表面抗原、表面抗体阳性率分别为3.03%,22.31%,非农民表面抗原、表面抗体阳性率分别为2.49%,22.57%;城区表面抗原、表面抗体阳性率分别为2.65%、23.26%,郊区表面抗原、表面抗体阳性率分别为6.54%、16.51%,山区表面抗原、表面抗体阳性率分别为1.52%、26.05%,城乡差异有统计学意义;隆阳区、腾冲县、施甸县、昌宁县、龙陵县表面抗原阳性率分别为2.42%、3.09%、2.75%、4.07%、2.50%,表面抗体阳性率分别为23.65%、34.00%、15.29%、25.18%、18.25%,差异有统计学意义。结论保山市15岁以上人群乙肝表面抗原携带率较低,但乙肝疫苗保护率也较低。应充分发挥教育、卫生、社区、基层公共卫生服务的作用,加大对乙肝危害及接种乙肝疫苗好处的宣传力度,提高接种率。
[Abstract]:Objective to understand the level of surface antigen and antibody of hepatitis B in Baoshan people over 15 years of age, and to explore the situation of hepatitis B infection, prevention and control strategies and measures. Methods the principle of multi-stage stratified random sampling was used. 2 768 people over 15 years old were randomly selected from 5 counties and districts of Baoshan City. The basic data were investigated. The results showed that HBsAg was detected quickly by colloidal gold in the sera of Baoshan City in 2012. The results showed that in 2012, HBsAg was detected in people over 15 years of age in Baoshan City. The positive rates of surface antibody were 2.96% and 23.16% respectively; the positive rates of surface antigen and surface antibody were 3.58% and 21.85% in men and 2.45% and 21.85% in women respectively; the positive rates of surface antigen and surface antibody protection were 2.47% and 18.6% in all age groups, respectively; the surface antigens of farmers were 2.46% and 18.6% respectively; the positive rates of HBsAg were 2.45% and 21.85% in women, respectively; the positive rates of HBsAg in all ages were between 2.7% and 18.6%; The positive rates of surface antibodies were 3.03 and 22.31, respectively. The positive rates of surface antigens and surface antibodies were 2.490.57 and 2.490.57 respectively. The positive rates of surface antigens and surface antibodies in urban areas were 2.65 and 23.26, respectively. The positive rates of surface antigens and surface antibodies in suburban areas were 6.54 and 16.51, respectively, and the positive rates of surface antigens in mountain areas were 16.51, respectively. The positive rates of surface antibodies were 1.52 and 26.05, respectively. The difference between urban and rural areas was statistically significant; Longyang District, Tengchong County, Shidian County, Changning County, The positive rate of surface antigen in Longling County was 2.42 and 2.750.The positive rate of surface antibody was 23.650.34.00 and 15.290.The difference was statistically significant. Conclusion the carrying rate of hepatitis B surface antigen in people over 15 years old in Baoshan City is lower, but the rate of hepatitis B vaccine protection is also low. We should give full play to education. The role of public health service in health, community and basic level, to increase the publicity of hepatitis B harm and the benefit of hepatitis B vaccine, and to improve the coverage rate.
【作者单位】：云南省保山市疾病预防控制中心;
【分类号】：R512.62

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