Zhang L, Liu J Y, Lyu J J, Yan B Y, Feng Y, Wu W L, Song L Z, Xu A Q
Division of Expanded Immunization Program, Shandong Center for Disease Control and Prevention, Shandong Provincial Key Laboratory of Infectious Disease Control and Prevention, Jinan 250014, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Jun 6;51(6):475-479. doi: 10.3760/cma.j.issn.0253-9624.2017.06.004.
To know the prevalence of hepatitis B virus (HBV) among women in child-bearing age in Shandong Province, China, providing references to the improvement of HBV control strategy. The participants were randomly selected by two-stage sampling method from 12 counties which were representative for the whole province. Firstly two townships were selected from each county by probability proportional to size sampling (PPS) method. Then participants aged 1-4 years, 5-14 years, 15-29 years and 30-59 years were selected by stratified random sampling method. The women in child-bearing age (20-49 years) were involved in this study. Questionnaire survey and 5 ml blood collection were conducted among all participants. Blood samples were detected for hepatitis B surface antigen (HBsAg), antibody against HBsAg (anti-HBs) and antibody against hepatitis B core antigen (anti-HBc). Those who were positive for HBsAg were further detected for hepatitis e antigen (HBeAg), antibody against HBeAg (anti-HBe) and the load of HBV DNA. The basic information of the participants including age, gender, occupation, nationality and residence place were collected. The prevalence of HBV infection indicators after weight adjustment were calculated and compared between participants with different demographic characteristics. A total of 1 151 women in child-bearing age were involved in this study. Twenty-seven participants were positive for HBsAg and the prevalence rate was 2.10% (95 0.97%-3.23%). Five participants were positive for both HBsAg and HBeAg and the prevalence rate was 0.36% (95 0-0.84%). There were 567 and 291 participants who were positive for anti-HBs and anti-HBc respectively and the corresponding prevalence rates were 47.72% (95 41.68%-53.75%) and 24.40% (95 18.50%-30.30%). The number of participants susceptible for HBV was 527 and the percentage of HBV susceptible women was 47.55% (95 41.63%-53.47%). HBV infection among women in child-bearing age has attained very low level in Shandong Province, China. However, the high proportion of women in child-bearing age were still susceptible for HBV and hepatitis B immunization should be improved among them.
了解中国山东省育龄期女性中乙型肝炎病毒(HBV)的流行情况,为完善HBV防控策略提供参考。采用两阶段抽样方法从全省具有代表性的12个县中随机抽取研究对象。首先,通过按规模大小成比例抽样(PPS)方法从每个县中选取两个乡镇。然后,采用分层随机抽样方法选取1 - 4岁、5 - 14岁、15 - 29岁和30 - 59岁的研究对象。本研究纳入育龄期(20 - 49岁)女性。对所有研究对象进行问卷调查并采集5毫升血液。检测血液样本中的乙型肝炎表面抗原(HBsAg)、乙型肝炎表面抗体(抗 - HBs)和乙型肝炎核心抗体(抗 - HBc)。对HBsAg阳性者进一步检测乙型肝炎e抗原(HBeAg)、乙型肝炎e抗体(抗 - HBe)和HBV DNA载量。收集研究对象的年龄、性别、职业、民族和居住地等基本信息。计算体重调整后HBV感染指标的患病率,并比较不同人口学特征研究对象之间的差异。本研究共纳入1151名育龄期女性。27名研究对象HBsAg阳性,患病率为2.10%(95%CI:0.97% - 3.23%)。5名研究对象HBsAg和HBeAg均阳性,患病率为0.36%(95%CI:0 - 0.84%)。分别有567名和291名研究对象抗 - HBs和抗 - HBc阳性,相应患病率分别为47.72%(95%CI:41.68% - 53.75%)和24.40%(95%CI:18.50% - 30.30%)。HBV易感研究对象有527名,HBV易感女性比例为47.55%(95%CI:41.63% - 53.47%)。中国山东省育龄期女性HBV感染已处于很低水平。然而,育龄期女性中仍有较高比例对HBV易感,应加强她们的乙型肝炎免疫接种。