Department of Medical and Surgical Sciences, Infectious and Tropical Diseases Unit, "Magna Graecia" University, Catanzaro, Italy.
Department of Health Sciences, Clinical Microbiology Unit, "Magna Graecia" University, Catanzaro, Italy.
Infez Med. 2020 Jun 1;28(2):223-226.
In Southern Italy, viral hepatitis B and C still represent an important public health problem, with a serious social impact, and significant economic consequences. The objective of our community-based study was to assess the prevalence of risk factors and access to the test for viral hepatitis to get information for guiding prevention and screening strategies in our setting. The study was conducted among population of four selected districts in Southern Italy during May 2019. An anonymous structured questionnaire consisting of multiple-choice questions was administered by trained research assistants in order to assess any possible risk factor for HCV or HBV acquisition, and if any screening was previously performed. Six-hundred participants were included: 367 (61.2%) were females, with a mean age of 51 years (standard deviation, SD: 18 years). The three most frequent risk factors were: dental treatments in 425/600=70.8% (of whom 76/425=17.8% were previously tested), unprotected sexual intercourses in 340/600=56.6% (of whom 54/340=15.8% were previously tested), and injections with glass syringes in 162/600=27% (of whom 32/162=19.7% were previously tested). Only 47/502 (9.3%) patients who were never been tested, did not report any risk factors for HCV or HBV acquisition, while 433 (86.2%) reported at least one risk factor, 293 (58.3%) at least two, 97 (19.3%) at least three, 16 (3.1%) at least four, and 2 reported to have at least five risk factors for HBV/HCV acquisition.
在意大利南部，乙型和丙型病毒性肝炎仍然是一个重要的公共卫生问题，对社会造成严重影响，经济后果重大。我们的社区研究旨在评估病毒肝炎的风险因素的流行率和检测的可及性，以便为我们的环境提供指导预防和筛查策略的信息。该研究于 2019 年 5 月在意大利南部的四个选定地区的人群中进行。经过培训的研究助理采用了一份由多项选择题组成的匿名结构化问卷，以评估丙型肝炎或乙型肝炎感染的任何可能的风险因素，以及是否进行了任何筛查。共纳入 600 名参与者：367 名（61.2%）为女性，平均年龄为 51 岁（标准差，SD：18 岁）。三个最常见的风险因素是：425/600=70.8%（其中 76/425=17.8%之前接受过检测）的牙科治疗、340/600=56.6%（其中 54/340=15.8%之前接受过检测）的无保护性行为和 162/600=27%（其中 32/162=19.7%之前接受过检测）的玻璃注射器注射。仅 47/502（9.3%）从未接受过检测的患者未报告丙型肝炎或乙型肝炎感染的任何风险因素，而 433（86.2%）报告了至少一种风险因素，293（58.3%）报告了至少两种风险因素，97（19.3%）报告了至少三种风险因素，16（3.1%）报告了至少四种风险因素，2 名患者报告了至少五种乙型肝炎/丙型肝炎感染的风险因素。
