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韩国成年人丙型肝炎抗体阳性相关因素:基于2013 - 2018年韩国国家健康与营养检查调查的横断面研究

Factors Associated with Hepatitis C Antibody Positivity in Korean Adults: A Cross-Sectional Study Based on 2013-2018 Korea National Health and Nutrition Examination Survey.

作者信息

Kim Taehui, Kim Jiyoung

机构信息

Department of Nursing, Joongbu University, 201 Daehak-ro, Geumsan-gun 32713, Chungcheongnam-do, Korea.

Department of Nursing, Chungcheong University, 38 Wolgok-gil, Cheongju-si 28171, Chungcheongbuk-do, Korea.

出版信息

Healthcare (Basel). 2021 Oct 14;9(10):1366. doi: 10.3390/healthcare9101366.

Abstract

This study aimed to provide basic data on the prevention of hepatitis C infection by identifying factors related to it based on the data from the National Health and Nutrition Examination Survey (KNHANES). The sixth (2013-2015) and seventh (2016-2018) Korean National Health and Nutrition Examination Surveys conducted by the Korean Disease Control and Prevention Agency were analyzed. This is a population-based, nationally representative, multistage, cross-sectional survey of noninstitutionalized persons in Korea. Multivariate regression analysis was used to assess the significance of the variables. A total of 32,942 persons aged >20 years were selected for this study. Among them, 282 tested positive for hepatitis C antibodies, while 32,660 tested negative. Of the 282 persons who tested positive, 48.6% were men and 51.4% were women. The factors associated with hepatitis C infection were age, education level, self-rated health status, and liver cirrhosis. Therefore, there is a need to educate people and implement preventive programs based on age and education levels to reduce the incidence of hepatitis C infections. In addition, it is necessary to include hepatitis C screening as part of the National Health Examination to diagnose hepatitis C infections.

摘要

本研究旨在基于韩国国家健康与营养检查调查(KNHANES)的数据,通过识别与丙型肝炎感染相关的因素,为预防丙型肝炎感染提供基础数据。对韩国疾病控制与预防机构进行的第六次(2013 - 2015年)和第七次(2016 - 2018年)韩国国家健康与营养检查调查数据进行了分析。这是一项针对韩国非机构化人群的基于人群、具有全国代表性、多阶段的横断面调查。采用多变量回归分析来评估变量的显著性。本研究共选取了32942名年龄大于20岁的人群。其中,282人丙型肝炎抗体检测呈阳性,32660人检测呈阴性。在282名检测呈阳性的人群中,48.6%为男性,51.4%为女性。与丙型肝炎感染相关的因素有年龄、教育水平、自我评估健康状况和肝硬化。因此,有必要开展人群教育,并根据年龄和教育水平实施预防项目,以降低丙型肝炎感染的发生率。此外,有必要将丙型肝炎筛查纳入国家健康检查项目,以诊断丙型肝炎感染。

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