基于log-binomial回归模型的桂林市吸毒人群HCV感染因素研究
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摘要
目的了解2011-2015年桂林市吸毒人群的HCV感染情况及影响因素,为吸毒人群HCV感染的防控提供科学依据。方法运用率和构成比对吸毒人群的HCV感染特征进行统计描述,运用log-binomial回归模型探讨吸毒人群感染HCV的影响因素,并运用列线图预测吸毒人员感染HCV的风险大小。结果五年共调查了1985名吸毒者,总HCV阳性检出率为64.63%,各年HCV阳性检出率有逐年升高的趋势(χ■=11.08,P<0.001)。女性,年龄大于20岁,吸海洛因为主,注射吸毒,共用注射器的吸毒人群易感染HCV(PR>1,P<0.05)。吸食毒品两种及两种以上的吸毒人群不易感染HCV (PR<1,P<0.05)。结论防控工作中,应加强对女性、年龄大于20岁、吸海洛因、注射吸毒、共用注射器等吸毒人群的健康教育与健康促进,并注重行为干预。
引文
[1] 刘炜炜,胡跃华,于石成,等.中国大陆地区2008-2013年丙肝发病时空聚集性和社会经济影响因素.中国公共卫生,2016,32(4):482-487.
[2] Lee MH,Yang HI,Lu SN,et al,Chronic hepatitis C virus infection increases mortality from hepatic and extrahepatic diseases:a community-based long-term prospective study.J Infect Dis,2012,206(4):469-477.
[3] 谭超,王学燕,陈钦艳,等.2004-2015年广西丙型病毒性肝炎流行病学特征分析.应用预防医学,2016,22(4):321-323.
[4] Martinez BAF,Leotti VB,Silva GSE,et al,Odds Ratio or Prevalence Ratio?An Overview of Reported Statistical Methods and Appropriateness of Interpretations in Cross-sectional Studies with Dichotomous Outcomes in Veterinary Medicine.Front Vet Sci,2017,4:193.
[5] Torman VB,Camey SA.Bayesian models as a unified approach to estimate relative risk (or prevalence ratio) in binary and polytomous outcomes.Emerg Themes Epidemiol,2015,12:8.
[6] 邢健男,郭巍,钱莎莎,等.我国基于社区招募的吸毒人群艾滋病流行影响因素的多水平分析.中国卫生统计,2014,31(5):799-808.
[7] 韦莉,张渝婧.柳州市吸毒人群HIV-HCV和梅毒感染状况及影响因素分析.中华疾病控制杂志,2015,19(12):1248-1252.
[8] 徐洪吕,郑维斌,杨家芳,等.云南省保山市美沙酮门诊吸毒人群HCV感染影响因素分析.中国卫生统计,2017,34(2):203-206.
[9] 申希平,余爱玲,白亚娜,等.甘肃省静脉吸毒人员共用针具高危行为及影响因素分析.中国卫生统计,2012,29(2):565-566.
[10] Basu D,Sharma AK,Gupta S,et al.Hepatitis C virus (HCV) infection & risk factors for HCV positivity in injecting & non-injecting drug users attending a de-addiction centre in northern India.Indian J Med Res,2015,142(3):311-316.
[11] Chan DP,Sun YY,Wong HT,et al.Sexually acquired hepatitis C virus infection:a review.Int J Infect Dis,2016,49:47-58.
[12] He J,Lin J,HCV prevalence during the age range of peak sexual activity.Lancet Infectious Diseases,2017,17(2):131-132.
[13] 赵培祯,张华源,陈雯,等.社区美沙酮维持治疗者HIV/AIDS高危行为及影响因素.中国公共卫生,2014,30(4):408-411.
[14] 鲍彦平,王同瑜,王子云,等.我国五地区合成毒品滥用者中海洛因多药滥用特征及相关因素分析.中国药物依赖性杂志,2015,24(6):450-460.
[15] 郭燕,宁铁林,周宁.天津市2011-2015年吸毒人群HCV感染状况及影响因素分析.国际病毒学杂志,2017,24(3):178-183.
[16] 李健,朱耀,姚旭东,等.预测淋巴结阳性阴茎癌手术后无病生存率列线图的建立.中华泌尿外科杂志,2011,32(12):807-810.
[2] Lee MH,Yang HI,Lu SN,et al,Chronic hepatitis C virus infection increases mortality from hepatic and extrahepatic diseases:a community-based long-term prospective study.J Infect Dis,2012,206(4):469-477.
[3] 谭超,王学燕,陈钦艳,等.2004-2015年广西丙型病毒性肝炎流行病学特征分析.应用预防医学,2016,22(4):321-323.
[4] Martinez BAF,Leotti VB,Silva GSE,et al,Odds Ratio or Prevalence Ratio?An Overview of Reported Statistical Methods and Appropriateness of Interpretations in Cross-sectional Studies with Dichotomous Outcomes in Veterinary Medicine.Front Vet Sci,2017,4:193.
[5] Torman VB,Camey SA.Bayesian models as a unified approach to estimate relative risk (or prevalence ratio) in binary and polytomous outcomes.Emerg Themes Epidemiol,2015,12:8.
[6] 邢健男,郭巍,钱莎莎,等.我国基于社区招募的吸毒人群艾滋病流行影响因素的多水平分析.中国卫生统计,2014,31(5):799-808.
[7] 韦莉,张渝婧.柳州市吸毒人群HIV-HCV和梅毒感染状况及影响因素分析.中华疾病控制杂志,2015,19(12):1248-1252.
[8] 徐洪吕,郑维斌,杨家芳,等.云南省保山市美沙酮门诊吸毒人群HCV感染影响因素分析.中国卫生统计,2017,34(2):203-206.
[9] 申希平,余爱玲,白亚娜,等.甘肃省静脉吸毒人员共用针具高危行为及影响因素分析.中国卫生统计,2012,29(2):565-566.
[10] Basu D,Sharma AK,Gupta S,et al.Hepatitis C virus (HCV) infection & risk factors for HCV positivity in injecting & non-injecting drug users attending a de-addiction centre in northern India.Indian J Med Res,2015,142(3):311-316.
[11] Chan DP,Sun YY,Wong HT,et al.Sexually acquired hepatitis C virus infection:a review.Int J Infect Dis,2016,49:47-58.
[12] He J,Lin J,HCV prevalence during the age range of peak sexual activity.Lancet Infectious Diseases,2017,17(2):131-132.
[13] 赵培祯,张华源,陈雯,等.社区美沙酮维持治疗者HIV/AIDS高危行为及影响因素.中国公共卫生,2014,30(4):408-411.
[14] 鲍彦平,王同瑜,王子云,等.我国五地区合成毒品滥用者中海洛因多药滥用特征及相关因素分析.中国药物依赖性杂志,2015,24(6):450-460.
[15] 郭燕,宁铁林,周宁.天津市2011-2015年吸毒人群HCV感染状况及影响因素分析.国际病毒学杂志,2017,24(3):178-183.
[16] 李健,朱耀,姚旭东,等.预测淋巴结阳性阴茎癌手术后无病生存率列线图的建立.中华泌尿外科杂志,2011,32(12):807-810.