Yan Y W, Yan J, Zhang G P, Gao Z L, Jian H X
Epidemiological Department, Health Bureau of Jingzhou District, 45 Jingbei Road, Jingzhou City, Hubei, China.
Singapore Med J. 2007 Aug;48(8):769-74.
Abuse of the injection services, namely unnecessary injections and unsafe injections, exists extensively in developing countries. Unsafe injection practices contribute to the transmission of blood-borne pathogens. The aims of this study were to survey the prevalence of injections and knowledge of injection safety among the rural residents in Jingzhou district, Hubei, China and to provide scientific data for developing a health educational programme.
A retrospective cross-sectional study was conducted in 12 villages, which were selected from the Jingzhou district by the random sampling method. 50 rural residents were interviewed per village using a questionnaire.
Among the 595 residents studied, 192 had received at least one injection in the past three months, with an injection prevalence of 32.3 percent and an average of 0.93 injections. 90.3 percent of the rural residents knew that unsafe injections could transmit the following blood-borne pathogens: human immunodeficiency virus (74.4 percent), hepatitis B virus (55.8 percent) and hepatitis C virus (22.9 percent). Logistic regression analysis showed that the residents' age, educational level and residential area were important factors in influencing their knowledge about injection safety.
The results indicated that the injection prevalence was high among rural residents in the study area, and their knowledge regarding injection safety should be further improved.
在发展中国家，注射服务的滥用现象，即不必要注射和不安全注射广泛存在。不安全的注射行为会导致血源性病原体的传播。本研究旨在调查中国湖北省荆州区农村居民的注射率及注射安全知识，为制定健康教育计划提供科学数据。
采用随机抽样方法从荆州区选取12个村庄进行回顾性横断面研究。每个村庄使用问卷对50名农村居民进行访谈。
在研究的595名居民中，192人在过去三个月内至少接受过一次注射，注射率为32.3%，平均每人接受0.93次注射。90.3%的农村居民知道不安全注射会传播以下血源性病原体：人类免疫缺陷病毒（74.4%）、乙型肝炎病毒（55.8%）和丙型肝炎病毒（22.9%）。逻辑回归分析表明，居民的年龄、教育程度和居住地区是影响他们注射安全知识的重要因素。
结果表明，研究地区农村居民的注射率较高，他们关于注射安全的知识有待进一步提高。
