Department of Clinical Microbiology and Infectious Diseases, University of Health Sciences, Bozyaka Education and Research Hospital, İzmir, Turkey.
Number 2 General Practioner Center, Bozyaka Education and Research Hospital, İzmir, Turkey.
BMC Public Health. 2018 May 22;18(1):649. doi: 10.1186/s12889-018-5575-6.
Viral Hepatitis is one of the major global health problems, affecting millions of people every year. Limited information is available on the impact of social and economic factors on the prevalence of Hepatitis B virus (HBV) in Turkey. This study, contrary to other studies in the literature, was undertaken with the aim of examining the Majority of the excluded data come from the volunteers.
There are medical and the social-economic factors affecting the prevalence of HBV. This research, while taking medical factors as control variables, clarify the social and economic factors affecting the prevalence of HBV by utilising clinical data with the use of the Binary Probit Model (BPM). The BPM estimation is a powerful tool to determine not only the factors but explain also the exact impacts of each factor.
The estimations of the BPM shows that economic and social variables such as age, gender, migration, education, awareness, social welfare, occupation are very important factors for determining HBV prevalence. Compared to the youngest population, the 46 to 66+ age group has a higher prevalence of HBV. The male respondents were 5% more likely to develop HBV compared to females. When region-specific differences are taken into account, migrating from the poorest parts of the country such as the eastern and south-eastern regions of Turkey are approximately 16% more likely to be infected. The welfare indicators such as a higher number of rooms in the respondent's house or flat decreases the probability of having HBV and, relatively higher income groups are less likely to develop HBV compared to labourers. The Self-employed/Business owner/Public sector worker category are approximately 10% less likely to develop HBV. When people are aware of the methods of prevention of HBV, they are 6% less likely to be infected. Previous HBV infection history increases the probability of having HBV again B by 17%.
These findings strongly suggest that the impact of social and economic factors on the prevalence of HBV is vital. Any improvements in these factors are likely to reduce prevalence of HBV.
病毒性肝炎是全球主要的健康问题之一，每年影响数百万人。关于社会经济因素对土耳其乙型肝炎病毒（HBV）流行率的影响，信息有限。与文献中的其他研究不同，本研究旨在检查大多数排除的数据来自志愿者。
有影响 HBV 流行率的医学和社会经济因素。本研究在将医学因素作为控制变量的同时，利用临床数据利用二元概率模型（BPM）来阐明影响 HBV 流行率的社会经济因素。BPM 估计是一种强大的工具，不仅可以确定因素，还可以解释每个因素的具体影响。
BPM 的估计表明，年龄、性别、迁移、教育、意识、社会福利、职业等经济和社会变量是确定 HBV 流行率的重要因素。与最年轻的人群相比，46 至 66+岁年龄组的 HBV 流行率更高。与女性相比，男性受访者患 HBV 的可能性高 5%。考虑到区域差异，从土耳其最贫困的地区（如东部和东南部地区）迁移的人感染的可能性大约增加 16%。受访者房屋或公寓的房间数量等福利指标增加会降低感染 HBV 的概率，相对较高的收入群体比劳动者更不可能感染 HBV。自营职业/企业主/公共部门工人类别患 HBV 的可能性降低约 10%。当人们了解 HBV 的预防方法时，他们感染的可能性降低 6%。以前的 HBV 感染史会使再次感染 HBV 的概率增加 17%。
这些发现强烈表明，社会经济因素对 HBV 流行率的影响至关重要。这些因素的任何改善都可能降低 HBV 的流行率。
