Trivello R, Chiaramonte M, Naccarato R, Renzulli G, Zampieri L, Floreani A, Moschen M E, Turi I, Fanecco A, Fiaschi E, Vendramini R
Boll Ist Sieroter Milan. 1982 May;61(2):136-43.
Sera from 3160 subjects without overt liver disease were tested for the presence of HBsAg, anti-HBs, anti-HBc. This group corresponds to a 4%, sample of the population resident in Padova and the surrounding district, selected according to sex and age distribution (in 5 to 5 year classes). The overall prevalence of HBV infection was 23%. The prevalence of HBsAg+ subjects was 3.2% higher in males than in females (3.8% v.s. 2.7%). Children under 5 years of age showed the maximum HBsAg carrier rate (7.3%), which was found to decrease with advancing age. Prevalence of anti-HBs is similar in both sexes (M 15.8% v.s. F 14.2%) and increases with age. Anti-HBc without HBsAg or anti-HBs was found in 4.6%, higher in males than in females (5.8% v.s. 3.6%). These result stress the importance of anti-HBc detection in HBV seroepidemiological surveys and suggest that HBV transmission within the household (both vertical and horizontal) plays a relevant role in HBV spread in our population.
对3160名无明显肝病的受试者血清进行了乙肝表面抗原(HBsAg)、乙肝表面抗体(抗-HBs)、乙肝核心抗体(抗-HBc)检测。该组对应于帕多瓦及其周边地区常住人口的4%样本,根据性别和年龄分布(以5岁为一个年龄段)进行选取。HBV感染的总体患病率为23%。HBsAg阳性受试者的患病率男性比女性高3.2%(3.8%对2.7%)。5岁以下儿童的HBsAg携带率最高(7.3%),且发现该携带率随年龄增长而下降。抗-HBs的患病率在男女中相似(男性15.8%对女性14.2%),并随年龄增加。单独存在抗-HBc而无HBsAg或抗-HBs的情况在4.6%的人群中出现,男性高于女性(5.8%对3.6%)。这些结果强调了在HBV血清流行病学调查中检测抗-HBc的重要性,并表明家庭内的HBV传播(垂直传播和水平传播)在我国人群HBV传播中起重要作用。