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坦桑尼亚卫生工作者对乙肝传播风险的认知

Knowledge of Hepatitis B Transmission Risks Among Health Workers in Tanzania.

作者信息

Debes Jose D, Kayandabila Johnstone, Pogemiller Hope

机构信息

University of Minnesota, Minneapolis, MN Arusha Lutheran Medical Centre, Arusha, Tanzania

Arusha Lutheran Medical Centre, Arusha, Tanzania.

出版信息

Am J Trop Med Hyg. 2016 May 4;94(5):1100-2. doi: 10.4269/ajtmh.15-0797. Epub 2016 Feb 29.

DOI:10.4269/ajtmh.15-0797
PMID:26928835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4856610/
Abstract

Healthcare workers are at increased risk of contracting hepatitis B virus (HBV), particularly in settings of high HBV seroprevalence, such as sub-Saharan Africa. We evaluated HBV knowledge among health-care workers in rural Tanzania by distributing an HBV paper survey in two northern Tanzanian hospitals. There were 114 participants (mean age 33 years, 67% female). Of the participants, 91% were unaware of their HBV status and 89% indicated they had never received an HBV vaccine, with lack of vaccine awareness being the most common reason (34%), whereas 70% were aware of HBV complications and 60% understood routes of transmission. There was a significant difference in knowledge of HBV serostatus and vaccination between participants with a medical background and others, P = 0.01 and 0.001, respectively. However, only 33% of consultants (senior medical staff) knew their HBV serostatus. There was no significant difference between knowledge of HBV transmission routes and occupation. Our study reveals low knowledge of HBV serostatus and vaccination status among hospital workers in Tanzania.

摘要

医护人员感染乙型肝炎病毒(HBV)的风险增加,尤其是在HBV血清流行率较高的地区,如撒哈拉以南非洲。我们通过在坦桑尼亚北部的两家医院发放一份关于HBV的纸质调查问卷,评估了坦桑尼亚农村医护人员对HBV的了解情况。共有114名参与者(平均年龄33岁,67%为女性)。在参与者中,91%不知道自己的HBV感染状况,89%表示从未接种过HBV疫苗,缺乏疫苗知晓率是最常见的原因(34%),而70%知道HBV的并发症,60%了解传播途径。有医学背景的参与者与其他参与者在HBV血清学状态和疫苗接种知识方面存在显著差异,P值分别为0.01和0.001。然而,只有33%的顾问(高级医务人员)知道自己的HBV血清学状态。HBV传播途径的知识与职业之间没有显著差异。我们的研究表明,坦桑尼亚医院工作人员对HBV血清学状态和疫苗接种状况的了解程度较低。