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[中国河南省马桥乡丙型肝炎的血清流行率及相关危险因素]

[Sero-prevalence and associated risk factors on hepatitis C in Maqiao township, Henan province of China].

作者信息

Guo Yong-Hao, Fan Jun-Xing, Wang Zhe, Sun Ding-Yong, Wang Hai-Feng, Li Meng-Lei, Liu Jia, Cui Wei-Guo, Liu Guo-Hua, Guo Wan-Shen

机构信息

Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2012 Jul;33(7):722-5.

Abstract

OBJECTIVE

To describe the prevalence and risk factors of hepatitis C virus (HCV) occurred in Henan province, at the end of 2011.

METHODS

Five villages round Maqiao township, including 5187 residents, were selected for the study. Five-milliliter-blood was drawn from every one of the interviewee. Clinical data including age, gender and anti-HCV antibody was recorded. Patients with positive antibodies against HCV were tested for HCV RNA.

RESULTS

A total number of 5187 people from five villages were studied, with age span from 1 to 97. The average age was 48 years and the sex ratio was 1:1.34. The anti-HCV result showed that the prevalence was 2.27%, with 1-9 age group the lowest (1.55%) and the ≥ 50 year-olds the highest (4.93%). Different villages seemed to have significant differences on the prevalence of HCV, with the highest as 8.68% and the lowest as 0.55%. Under risk factors analysis and distance-infection rates linear regression analysis, data showed that the prevalence might have correlated to the behavior of a certain family-run clinic.

RESULTS

from multivariate analysis indicated that factors as intravenous dropping, intravenous injection and the use of surgery/endoscope were associated with the HCV infection in this village.

CONCLUSION

Although the public health care system had been developed for more than ten years, iatrogenic infection was yet responsible for the infection of HCV patients in the rural areas of China that called for further attention paid to the system.

摘要

目的

描述2011年底河南省丙型肝炎病毒(HCV)的流行情况及危险因素。

方法

选取马桥乡周边5个村庄的5187名居民进行研究。从每位受访者采集5毫升血液。记录包括年龄、性别和抗HCV抗体在内的临床数据。抗HCV抗体阳性患者检测HCV RNA。

结果

共研究了5个村庄的5187人,年龄跨度为1至97岁。平均年龄为48岁,男女比例为1:1.34。抗HCV结果显示,患病率为2.27%,其中1 - 9岁年龄组最低(1.55%),≥50岁年龄组最高(4.93%)。不同村庄的HCV患病率似乎有显著差异,最高为8.68%,最低为0.55%。经危险因素分析和距离感染率线性回归分析,数据表明患病率可能与某个体诊所的行为有关。

多因素分析结果表明,静脉滴注、静脉注射以及手术/内镜使用等因素与该村庄的HCV感染有关。

结论

尽管公共卫生保健系统已发展了十多年,但医源性感染仍是中国农村地区HCV患者感染的原因,这需要对该系统给予进一步关注。

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