在夏威夷联邦合格卫生中心的外国出生的亚洲人和太平洋岛民中,B型肝炎的流行率和危险因素,2015-2020年
Yash Vyas1, Naoky C Tsai2, Alan R Katz3
1Hep Free Hawai'i, Honolulu, HI (YV).
Hawai'i journal of health & social welfare
|February 12, 2024
概括
在外国出生的亚洲人和太平洋岛民中,家庭接触显著增加了慢性乙型肝炎的风险. 针对性查对这一群体至关重要,以预防乙型肝炎病毒 (HBV) 感染.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 乙型肝炎病毒 (HBV) 感染仍然是一个重大的全球健康问题.
- 外国出生的人口,特别是亚洲人和太平洋岛民,不成比例地受到HBV的影响.
- 了解特定的人口结构中的流行率和风险因素对于有效的公共卫生战略至关重要.
研究的目的:
- 确定在外国出生的亚洲人和太平洋岛民中慢性乙型肝炎感染的流行率.
- 调查慢性和已解决的HBV感染与家庭暴露和出生地等风险因素之间的关联.
- 为目标查和干预计划提供信息.
主要方法:
- 在卡利希-帕拉马健康中心 (2015年9月 - 2020年7月) 采用997名参与者的数据进行了横截面研究.
- 多变量逻辑回归分析以评估慢性和已解决的HBV感染的风险因素.
- 数据收集包括人口统计信息,出生地和家庭暴露于HBV的历史.
主要成果:
- 慢性乙型肝炎感染的患病率为10.7%.
- 家庭接触HBV感染者与慢性HBV感染的几率增加了3.3倍.
- 年龄是一个显著的预测因素;35-44岁年龄组的慢性HBV患病率最高,而65岁以上的人群的HBV患病率最高.
结论:
- 在这个人群中,家庭暴露是慢性乙型肝炎的关键风险因素.
- 针对性查和及时跟进,包括疫苗接种和治疗,对于外国出生的亚洲人和太平洋岛民至关重要.
- 公共卫生倡议应专注于高风险年龄组和密切接触,以减少HBV负担.
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