Dounias G, Kypraiou E, Rachiotis G, Tsovili E, Kostopoulos S
Department of Occupational and Industrial Hygene, National School of Public Health, Athens, Greece.
Occup Med (Lond). 2005 Jan;55(1):60-3. doi: 10.1093/occmed/kqi007.
To evaluate the prevalence of hepatitis B virus (HBV) markers among municipal solid waste workers (MSWWs) in Keratsini (Greece).
We assessed in a cross-sectional study the prevalence of biological markers of HBV infection (HbsAg, anti-Hbc, anti-Hbs) and their association with exposure to waste and other socio-demographic factors in 166 municipal employees in Keratsini (Greece).
The prevalence of anti-Hbc (+) did differ significantly between exposed and non-exposed employees to waste. Older employees had a significantly higher prevalence of anti-Hbc (+). MSWWs who were anti-Hbc (+) were less educated than non-exposed employees. Logistic regression analysis has shown that the exposure to waste and age were independently associated with the anti-Hbc positivity.
Occupational exposure to waste is possibly associated with the acquisition of HBV infection. Immunization of MSWWs should be considered to reduce the risk of HBV infection.
评估希腊凯拉齐尼市城市固体废弃物处理工人（MSWWs）中乙肝病毒（HBV）标志物的流行情况。
在一项横断面研究中，我们评估了希腊凯拉齐尼市166名市政雇员中HBV感染生物学标志物（乙肝表面抗原、乙肝核心抗体、乙肝表面抗体）的流行情况，以及它们与接触废弃物及其他社会人口统计学因素之间的关联。
接触废弃物和未接触废弃物的雇员中，乙肝核心抗体阳性（anti-Hbc(+)）的流行率存在显著差异。年龄较大的雇员中乙肝核心抗体阳性（anti-Hbc(+)）的流行率显著更高。乙肝核心抗体阳性（anti-Hbc(+)）的城市固体废弃物处理工人受教育程度低于未接触废弃物的雇员。逻辑回归分析表明，接触废弃物和年龄与乙肝核心抗体阳性独立相关。
职业性接触废弃物可能与感染HBV有关。应考虑对城市固体废弃物处理工人进行免疫接种，以降低HBV感染风险。
