Nuchprayoon T, Chumnijarakij T
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 1992 Jun;23(2):246-53.
A study of risk factors for hepatitis B carriers among voluntary blood donors of the National Blood Center, Thai Red Cross Society was carried out in a case-control study design during January 1989 to June 1990. Cases were 876 blood donors whose blood identified HBsAg at time of recruitment and continued positive for more than 6 months. Controls were 1,750 blood donors whose blood was free from HBsAg who came for blood donation at the same period as the cases. The ratio of cases:controls = 1:2. Self-administered questionnaires were constructed and pretested before using both cases and controls. The study revealed that the risk factors for hepatitis B among voluntary blood donors were age of less than 30 years old; low socioeconomic status (family income of less than 8,000 Baht/month); single status, especially males; male occupations of students, monks, nongovernment workers compared with government officials; female occupations of laborers, students, nongovernment workers and government officials compared with housewives. Sharing of nail clippers, used blades and tooth brushes among family members are proved to be risk factors, especially among males. In addition, sharing of used blades in barber shops proved to be a risk among males while sharing of nail clippers in beauty salons, history of ear-piercing at department stores or history of caesarean section among females could not be shown to be risk factors.(ABSTRACT TRUNCATED AT 250 WORDS)
泰国红十字会国家血液中心对自愿献血者中的乙肝携带者危险因素进行了一项病例对照研究,该研究于1989年1月至1990年6月期间开展。病例组为876名献血者,其血液在招募时检测出乙肝表面抗原(HBsAg)呈阳性,且持续阳性超过6个月。对照组为1750名献血者,其血液中无HBsAg,与病例组在同一时期前来献血。病例组与对照组的比例为1:2。在对病例组和对照组使用前,自行设计并预先测试了调查问卷。研究表明,自愿献血者中乙肝的危险因素包括年龄小于30岁;社会经济地位低(家庭月收入低于8000泰铢);单身状况,尤其是男性;与政府官员相比,学生、僧侣、非政府工作人员等男性职业;与家庭主妇相比,劳动者、学生、非政府工作人员及政府官员等女性职业。家庭成员之间共用指甲刀、用过的刀片和牙刷被证明是危险因素,尤其是在男性中。此外,理发店共用用过的刀片被证明是男性中的一个危险因素,而女性在美容院共用指甲刀、在百货商店穿耳洞的历史或剖腹产史未被证明是危险因素。(摘要截选至250字)