在实施普遍查之前,美国非医疗机构成年人自报的B型肝炎检测,2013-2017年:全国性基于人口的研究
George A Yendewa1,2, Robert A Salata1,2, Temitope Olasehinde2
1Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Journal of viral hepatitis
|July 30, 2024
概括
在普遍查之前,只有27.2%的美国成年人接受了乙型肝炎病毒 (HBV) 检测. 寻求健康的行为,如先前的肝炎或疫苗接种,强烈预测HBV测试率,指导未来的查策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防传染病 预防传染病
背景情况:
- 美国疾病预防控制中心建议在2023年对B型肝炎病毒 (HBV) 进行普遍查.
- 在此建议之前,美国成年人中HBV检测的流行程度没有得到充分的记录.
研究的目的:
- 确定在2023年普遍查建议之前,美国成年人中接受HBV查的比例.
- 为了确定与自我报告的HBV检测相关的因素.
主要方法:
- 来自国家健康访谈调查 (2013-2017) 的全国代表性数据的分析.
- 包括18岁及以上的非机构化美国成年人.
- 利用Poisson逻辑回归,使用一个框架,包括社会人口统计学,医疗保健准入,健康寻求行为和互联网健康信息准入.
主要成果:
- 自我报告的HBV检测率为27.2% (95%CI 26.2-28.7),显示出从2013-2017年略有增加.
- 测试的最强预测因素包括肝炎病史,HBV疫苗接种,以及先前对型肝炎和艾滋病毒的测试.
- 其他相关因素包括男性性别,年龄较大的年龄组,美国西部居住地和互联网健康信息访问. 西班牙裔种族与较低的测试几率有关.
结论:
- 在普遍查建议之前,美国的HBV检测率很低.
- 寻求健康的行为和经验是HBV检测的关键决定因素.
- 这些发现可以为优化HBV查在普遍测试时代的战略提供信息.
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