城市固体废弃物收集者感染甲型肝炎病毒的风险是否更高？一项希腊横断面研究。

Are municipal solid waste collectors at increased risk of Hepatitis A Virus infection? A Greek cross-sectional study.

作者信息

Rachiotis George, Tsovili Eva, Papagiannis Dimitrios, Markaki Adelais, Hadjichristodoulou Christos

机构信息

Department of Hygiene and Epidemiology, Medical Faculty, School of Health Sciences, University of Thessaly, Thessalia, Greece.

Department of Social Medicine, Faculty of Medicine, University of Crete, Greece.

出版信息

Infez Med. 2016 Dec 1;24(4):299-303.

PMID:28011965

Abstract

Municipal solid waste collectors are reportedly at risk for Hepatitis A virus infection (HAV) as an occupational hazard. We aimed to investigate the prevalence and possible risk factors of HAV infection among solid waste collectors in a municipality of the broader region of Attica, Greece. A cross-sectional sero-prevalence study was conducted. Fifty (n=50) waste collectors participated in the study (response rate: 95%). The group of municipal waste collectors was compared to a convenient sample of workers not exposed to solid waste (n=83). Municipal solid waste collectors recorded a higher, but not statistically significant, prevalence of anti-HAV(+) in comparison to subjects without occupational exposure to waste (40% vs 34% respectively p=0,4). No significant associations were found between inappropriate work practices and anti- HAV (+). Education was the only factor independently associated with the risk of HAV infection. This study did not corroborate previous reports of an increased prevalence of Hepatitis A Virus infection among municipal solid waste collectors.

摘要

据报道，城市固体废弃物收集者面临甲型肝炎病毒（HAV）感染的职业危害风险。我们旨在调查希腊阿提卡大区一个城市的固体废弃物收集者中HAV感染的患病率及可能的风险因素。开展了一项横断面血清患病率研究。五十名（n = 50）废弃物收集者参与了该研究（应答率：95%）。将城市固体废弃物收集者组与未接触固体废弃物的方便样本工人（n = 83）进行比较。与未从事废弃物职业接触的受试者相比，城市固体废弃物收集者的抗-HAV（+）患病率更高，但无统计学意义（分别为40%和34%，p = 0.4）。在不当工作行为与抗-HAV（+）之间未发现显著关联。教育是与HAV感染风险独立相关的唯一因素。本研究并未证实先前关于城市固体废弃物收集者中甲型肝炎病毒感染患病率增加的报道。