摘要
目的了解入伍新兵乙肝知识知晓情况及其影响因素,为制定乙肝健康教育预防措施与对策提供科学依据。方法随机抽取某特警学院2017-09入伍新兵326人,采用自行设计问卷进行一般信息调查和乙肝基本知识调查。结果乙肝知识总体知晓率为74.25%;城市地区新兵的乙肝知识平均得分为(12.67±2.02)分,高于农村地区新兵(12.13±2.09)分,差异具有统计学意义(t=2.06,P=0.04);不同文化程度入伍新兵乙肝知识知晓情况不同,差异具有统计学意义(H=41.56,P<0.001),文化程度越高的入伍新兵乙肝知识知晓情况越好;入伍前从事不同职业的新兵乙肝知识知晓情况不同,差异具有统计学意义(H=15.45,P<0.001),入伍前职业为学生与服务员的新兵乙肝相关知识知晓情况较好;网络为入伍新兵了解乙肝知识的最主要途径(88.04%)。结论不同地区、不同文化程度、入伍前从事不同职业的新兵乙肝知识知晓情况不同。针对来自农村、文化程度较低的入伍新兵,应加强宣教。
Objective The objective of this study was to know the awareness level of hepatitis B and influencing factors among army recruits, so as to provide scientific basis for the development of prevention measures and countermeasures against hepatitis B. Methods A total of 326 military new soldiers from a special police college enrolled in September 2017 were randomly selected and investigated using self-designed questionnaires for general information and hepatitis B awareness status. Results The total awareness rate of hepatitis B was 74.25%, the average score of hepatitis B knowledge of recruits from urban areas(12.67±2.02) was higher than that from rural areas(12.13±2.09), and the difference was statistically significant(t=2.06, P=0.04); the difference in the knowledge of hepatitis B among recruits with different education backgrounds was statistically significant(H=41.56, P<0.001), the higher the education level, the better the awareness of hepatitis B. The difference in the knowledge of hepatitis B among recruits who were engaged in different occupations before enlistment was statistically significant(H=15.45, P<0.001). The knowledge of hepatitis B was better among recruits whose occupations were students and waiters before enlistment, and the Internet was the main channel(88.04%) for recruits to learn hepatitis B knowledge. Conclusions The awareness of hepatitis B is different among recruits from different regions, different educational levels and different occupations before enlistment. Education for recruits with relatively lower educational level from rural areas should be strengthened.
引文
[1]Tong M J,Pan C Q,Hann H W,et al.The management of chronic hepatitis B in Asian Americans[J].Dig Dis Sci,2011,56(11):3143-3162.DOI:10.1007/s10620-011-1841-5.
[2]Kowdley K V,Wang C C,Welch S,et al.Prevalence of chronic hepatitis B among foreign-born persons living in the United States by country of origin[J].Hepatology,2012,56(2):422-433.DOI:10.1002/hep.24804.
[3]朱江,康群松.成都市某城乡结合社区居民乙肝知识认知情况调查分析[J].职业卫生与病伤,2014,29(1):11-14.
[4]郭世成,王东海,涂秋凤,等.江西省乙肝高危人群感染状况及乙肝防治相关知识知晓率调查[J].现代预防医学,2013,40(10):1964-1972.
[5]曹玮民,唐玥,常国辉,等.重组乙肝疫苗在部队人群中免疫效果观察[J].解放军预防医学杂志,2016,34(3):327-330.DOI:10.13704/j.cnki.jyyx.2016.03.009.
[6]唐金芳,俞蕾斌,梁正铁,等.南宁市儿童家长乙肝防治知识知晓率调查[J].实用预防医学,2013,20(7):825-831.DOI:10.3969/j.issn.1006-3110.2013.07.022.
[7]Pedersini R,Marano C,De Moerlooze L,et al.HAV&HBV vaccination among travellers participating in the National Health and Wellness Survey in five European countries[J].Travel Med Infect Dis,2016,14(3):221-232.DOI:10.1016/j.tmaid.2016.03.008.
[8]Kim M J,Lee H,Kiang P,et al.Debunking the myth:low knowledge levels of HBV infection among Asian American college students[J].Asia Pac J Oncol Nurs,2015,2(1):8-16.DOI:10.4103/2347-5625.152399.
[9]谭晓红.高校大学生乙肝感染情况的调查分析与健康教育对策[J].中外医疗,2010,29(1):149-150.DOI:10.3969/j.issn.1674-0742.2010.01.115.
[10]李春路.新兵对乙肝防治知识的认知与态度调查分析[J].医药前沿,2016,6(19):393-394.
[11]周先卡.乙肝防治知识的人际传播在乙肝防治中的作用评价[J/OL].临床医药文献电子杂志,2017,4(96):189 -190.DOI:10.16281/j.cnki.jocml.2017.96.150.
[12]姜慧芬,陈卓,方任华,等.我国2004年-2012年乙型病毒性肝炎疫情分析[J].中国卫生检验杂志,2015,25(3):408-411.
[13]唐申,韦巧燕,陈建锋,等.儿童家长预防接种知识知晓情况现状分析[J].中国现代医生,2013,51(6):13-15.DOI:10.3969/j.issn.1672-9463.2012.10.020.
[14]叶鹏.乙肝防治中应用乙肝防治知识的人际传播的作用研究[J].中国社区医师,2016,32(33):186-187.DOI:10.3969/j.issn.1007-614x.2016.33.117.
[15]Ganczak M,Dmytrzyk-Dani?ów G,KorzeńM,et al.Prevalence of HBV Infection and knowledge of Hepatitis B among patients attending primary care clinics in Poland[J].J Community Health,2016,41(3):635-644.DOI:10.1007/s10900-015-0139-5.
[16]谢忠尧,王晓峰,张英,等.北京市某社区居民乙肝防控知识知晓率及其影响因素调查[J].中国健康教育,2013,29(3):214-216.
[17]雷万春.研究健康知识宣讲对传染病预防与控制的意义[J].大家健康(上旬版),2016,10(1):27-28.
[18]王艳,刘筱威.健康教育对传染病预防控制的应用价值探讨[J].中国卫生标准管理,2016,7(18):253-254.DOI:10.3969/j.issn.1674-9316.2016.18.164.
[19]李莉.刍议健康教育在传染病预防控制工作中的应用[J].中国卫生产业,2016,13(18):106-107.DOI:10.16659/j.cnki.1672-5654.2016.18.106.
[20]Cohen C,Evans A A,London W T,et al.Underestimation of chronic hepatitis B virus infection in the United States of America[J].J Viral Hepat,2008,15(1):12-13.DOI:10.1111/j.1365-2893.2007.00888.x.
[21]Vermunt J,Fraser M,Herbison P,et al.Prevalence and knowledge of hepatitis C in a middle-aged population,Dunedin,New Zealand[J].World J Gastroenterol,2015,21(35):10224-10233.DOI:10.3748/wjg.v21.i35.10224.
[22]Sarpel D,Baichoo E,Dieterich D T.Chronic hepatitis Band C infection in the United States:a review of current guidelines,disease burden and cost effectiveness of screening[J].Expert Rev Anti Infect Ther,2016,14(5):511-521.DOI:10.1586/14787210.2016.1174066.