期刊论文详细信息
BMC Public Health
Hepatitis B virus infections and risk factors among the general population in Anhui Province, China: an epidemiological study
Jing Li1  Shun Li1  Liu Xuan1  Fuyang Ge1  Xiaorong Sheng1  Feng Huang2  Dongqing Ye2  Biao Cai1  Adrian Liau3  Yingjun Zheng1  Xiaoqing Li1 
[1] Anhui Academy of Medical Sciences, No. 1 Yonghong Road, Luyang District, Hefei, Anhui 230061, People's Republic of China;School of Public Health, Anhui Medical University, No. 69 Meishan Road, Shushan District, Hefei, Anhui 230032, People's Republic of China;Indiana University School of Medicine, 410 W. 10th Street, HS 100, Indianapolis, IN 46202, USA
Others  :  1163703
DOI  :  10.1186/1471-2458-12-272
 received in 2011-09-14, accepted in 2012-04-05,  发布年份 2012
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【 摘 要 】

Background

Hepatitis B is one of the most common infectious diseases in China. The aim of this study was to determine the prevalence of hepatitis B surface antigen (HBsAg) among the general population and the risk factors associated with HBV infection in Anhui province, China.

Methods

A provincial serosurvey was conducted in four cities, and selected through stratified clustering sampling. Data on demographics, immunization history, medical history, family medical history, and life history were collected, along with serum tested for HBsAg. Completed surveys were analysed from 8,875 participants.

Results

Overall prevalence of HBsAg was 7.44%. Using multivariate analysis, older age was a risk factor for HBsAg infection among children younger than 15 years. Among adults 15-59 years old, the risk factors were male gender, a history of surgical operations, at least one HBsAg-positive family member, and non-vaccination. For adults older than 59 years, the risk factor was a blood transfusion history.

Conclusions

Though Anhui province has already reached the national goal of reducing HBsAg prevalence to less than 1% among children younger than 5 years, there are still several risk factors for HBsAg infection among the older population. Immunization programs should continue to focus on adults, and interventions should be taken to reduce risk factors associated with being infected with Hepatitis B.

【 授权许可】

   
2012 Li et al; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Shepard CW, Simard EP, Finelli L, Fiore AE, Bell BP: Hepatitis B virus infection: epidemiology and vaccination. Epidemiol Rev 2006, 28:112-125.
  • [2]Xia GL, Liu CB, Cao HL, Bi SL, Zhan MY, Su CA, Nan JH, Qi XQ: Prevalence of hepatitis B and C virus infections in the general Chinese population. Results from a nationwide cross-sectional seroepidemiologic study of hepatitis A, B, C, D and E virus infections in China, 1992. Int Hepatol Commun 1996, 5:62-73.
  • [3]Zhuang H: Epidemiology of hepatitis. Chin J Vaccine Immun (Chin) 2004, 10:180-181.
  • [4]He J, Gu DF, Wu XG, Reynolds K, Duan XF, Yao CH, Wang JL, Chen CS, Cheng J, Wildman RP, Klag MJ, Whelton PK: Major causes of death among men and women in China. N Engl J Med 2005, 353:1124-1134.
  • [5]Ministry Of Health/China Center for Disease Control and Prevention/World Bank Project: Completion report on immunization component of China disease prevention project under World Bank loan. Beijing, China Social Express (Chin) 2005, 90-91.
  • [6]Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y, Wang F, Zheng H, Wang F, Guo J, Jia Z, Ma J, Wang H, Luo H, Li L, Jin S, Hadler SC, Wang Y: Evaluation of the impact of hepatitis B vaccination among children born during 1992-2005 in China. J Infect Dis 2009, 200:39-47.
  • [7]Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y, Wang F, Zheng H, Wang F, Guo J, Jia Z, Ma J, Wang H, Luo H, Li L, Jin S, Hadler SC, Wang Y: Epidemiological serosurvey of Hepatitis B in China - Declining HBV prevalence due to Hepatitis B vaccination. Vaccine 2009, 27:6550-6557.
  • [8]Liang XF, Wu ZL: Hundreds of millions of people protected by 30 years national immunization programme. Chin J Prev Med (Chin) 2008, 42:4-6.
  • [9]Harpaz R, Von Seidlein L, Averhoff FM, Tormey MP, Sinha SD, Kotsopoulou K, Lambert SB, Robertson BH, Cherry JD, Shapiro CN: Transmission of hepatitis B virus to multiple patients from a surgeon without evidence of inadequate infection control. N Engl J Med 1996, 334:549-554.
  • [10]William ML, Hepatitis B: virus infection. N Engl J Med 1997, 337:1733-1745.
  • [11]Ren J, Wang YM, Zhao ZL, Xu MD: Analysis for viral hepatitis from 1959 to 1996, Anhui province. Anhui J Pre Med (Chin) 1997, 3:1-3.
  • [12]EpiData Software [http://www.epidata.dk] webcite 2004. [updated 2010 Sep 10]
  • [13]The Children's Vaccine Initiative and the Global Programme for Vaccines and Immunization. Recommendations from the Special Advisory Group of Experts. Part I Wkly Epidemiol Rec 1996, 71:261-266.
  • [14]Ministry of Health (China): National review on national immunization programme in 2004. Beijing, Chinese People's Health Express (Chin) 2005, 7-8.
  • [15]Lin SY, Chang ET, So SK: Why we should routinely screen Asian American adults for hepatitis B: a cross-sectional study of Asians in California. Hepatology 2007, 46:1034-1040.
  • [16]Centers for Disease Control and Prevention: Screening for chronic hepatitis B among Asian/Pacific Islander populations--New York City, 2005. MMWR Recomm Rep 2006, 55:505-509.
  • [17]Davis LG, Weber DJ, Lemon SM: Horizontal transmission of hepatitis B virus. Lancet 1989, 1:889-893.
  • [18]Zheng Y, Lu Y, Ye Q, Xia Y, Zhou Y, Yao Q, Wei S: Should chronic hepatitis B mothers breastfeed? A meta-analysis. BMC Public Health 2011, 11:502. BioMed Central Full Text
  • [19]Vernon TM, Wright RA, Kohler PF, Merrill DA: Hepatitis A and B in the family unit: nonparenteral transmission by asymptomatic children. JAMA 1976, 235:2829-2831.
  • [20]Nordenfelt E, Dahlquist E: HBsAg positive adopted children as a cause of intrafamilial spread of hepatitis B. Scand J Infect Dis 1978, 10:161-163.
  • [21]Friede A, Harris JR, Kobayashi JM, Shaw FE Jr, Shoemaker-Nawas PC, Kane MA: Transmission of hepatitis B virus from adopted Asian children to their American families. Am J Public Health 1988, 78:26-29.
  • [22]Allos BM, Schaffner W: Transmission of hepatitis B in the health care setting: the elephant in the room... or the mouse? J Infect Dis 2007, 195:1245-1247.
  • [23]Spijkerman IJ, van Doorn LJ, Janssen MH, Wijkmans CJ, Bilkert-Mooiman MA, Coutinho RA, Weers-Pothoff G: Transmission of hepatitis B virus from a surgeon to his patients during high-risk and low-risk surgical procedures during 4 years. Infect Contr Hosp Epidemiol 2002, 23:306-312.
  • [24]Gershon RR, Sherman M, Mitchell C, Vlahov D, Erwin MJ, Lears MK, Felknor S, Lubelczyk RA, Alter MJ: Prevalence and risk factors for bloodborne exposure and infection in correctional healthcare workers. Infect Contr Hosp Epidemiol 2007, 28:24-30.
  • [25]Fan Q, Yang H, Jia Y, Su F, Zhang Y, Zhao Y, Wang X, Cai J: Prevention and control of nosocomial infection: a cross-section study among medical staff in grass-roots medical institutions. Chin J Nosocomiol (Chin) 2008, 18:1531-1533.
  • [26]Qiao M, Zhao Z, Zhao C: Analysis of monitoring results of disinfection efficacy in medical institution of Shanxi Province. Chin J Disinfection (Chin) 2008, 25:49-51.
  • [27]Henderson DK, Dembry L, Fishman NO, Grady C, Lundstrom T, Palmore TN, Sepkowitz KA, Weber DJ: SHEA guideline for management of healthcare workers who are infected with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus. Infect Control Hosp Epidemiol 2010, 31:203-232.
  • [28]Chiarello LA, Cardo DM: Preventing transmission of hepatitis B virus from surgeons to patients. Infect Contr Hosp Epidemiol 2002, 23:301-302.
  • [29]Saag MS, Squires KE, Aberg JA, Bardeguez A: Letter in response to the new SHEA guideline for healthcare workers with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus. Infect Contr Hosp Epidemiol 2010, 31:1092-1093.
  • [30]Liu X, Shang GF, Wang F: Residual risk evaluation for transfusion-transmitted viral infections in Shenzhen, China, 2001 through 2004. Chin J Nat Med (Chin) 2006, 8:130-132.
  • [31]Lu FM, Zhuang H: Prevention of hepatitis B in China: achievements and challenges. Chin Med J (Engl) 2009, 122:2925-2927.
  • [32]Kuhns MC, Busch MP: New strategies for blood donor screening for hepatitis B virus: nucleic acid testing versus immunoassay methods. Mol Diagn Ther 2006, 10:77-91.
  • [33]Zannolli R, Morgese G: Hepatitis B vaccine: current issues. Ann Pharmacother 1997, 31(9):1059-1067.
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