参演部队人员乙型肝炎知识态度行为调查及影响因素

职业与健康 ›› 2023, Vol. 39 ›› Issue (15): 2099-2102.

参演部队人员乙型肝炎知识态度行为调查及影响因素

慕彩妮¹, 何雨肖^2a, 宋咪^2b, 拜春阳^2a, 唐元硕^2a, 王安辉^2b

1.西安国际医学中心医院感控科,陕西西安 710100;
2.空军军医大学 a基础医学院学员队,b军事预防医学系,陕西西安 710032

收稿日期:2022-12-10 修回日期:2023-02-11 发布日期:2026-03-24
通信作者: 王安辉,副教授,E-mail：wangah@fmmu.edu.cn
作者简介:慕彩妮,女,主管护师,主要从事疾病预防与职业防护工作。
基金资助:
国家自然科学基金项目（81872670）

Investigation on knowledge,attitude and behavior of hepatitis B among military personnel participating in exercises and analysis on influencing factors

MU Caini¹, HE Yuxiao^2a, SONG Mi^2b, BAI Chunyang^2a, TANG Yuanshuo^2a, WANG Anhui^2b

1. Infection Control Department,Xi'an International Medical Center Hospital,Xi'an Shaanxi 710100,China;
2. a Cadet Corps of Basic Medical College,b Department of Military Preventive Medicine,Air Force Military Medical University,Xi'an Shaanxi 710032,China

Received:2022-12-10 Revised:2023-02-11 Published:2026-03-24
Contact: WANG Anhui,Associate professor,E-mail：wangah@fmmu.edu.cn

摘要/Abstract

摘要： 目的了解部队人群对乙型肝炎（乙肝）知识、态度及行为的知晓情况及影响因素,为制定合理有效的乙肝宣教策略提供参考依据。方法于2020年7月5—10日,采用现况调查的方法抽取参加演习的部队人群,使用自行设计的调查问卷开展调查。问卷内容包括人口学特征、乙肝基础知识、乙肝传播途径知识、乙肝防治知识、对乙肝感染者态度和行为的问题及对乙肝知识获取途径等,并对数据进行分析。结果 1 002名男性调查对象中,对“乙肝的主要传播途径”知晓率仅为11.6%,对乙肝感染后需要抗病毒治疗的知晓率仅为14.1%。有50.0%的人员介意与乙肝病毒感染者共同进餐,58.1%的人员介意和乙肝病毒感染者或乙肝患者同室居住,41.5%的人员介意与乙肝病毒感染者或乙肝患者握手或近距离交谈。单因素分析显示,调查对象的文化程度是乙肝基本知识评分的影响因素（P<0.05）;调查对象的年龄及母亲的文化程度是乙肝疫苗接种相关知识评分的影响因素（均P<0.05）。态度与行为正向评分与乙肝传播途径知识评分、乙肝临床知识评分、乙肝疫苗相关知识评分均呈正相关（均P<0.05）。结论参演部队人员对乙肝相关知识的知晓率有待提升,不同年龄、文化程度、人员类别的部队人群的乙肝知识、态度及行为存在差异。部队人群中应加强乙肝相关知识的健康教育,以提升部队人群乙肝相关知识的知晓率,倡导采用积极态度和行为与乙肝感染者或患者交往。

关键词: 乙肝, 知识-态度-行为, 部队

Abstract: Objective To understand the knowledge,attitude and behavior of hepatitis B among military population and its influencing factors,provide reference for formulating reasonable and effective hepatitis B publicity and education strategy. Methods During July 5-10,2020,the military personnel who participated in the exercise were selected by the current situation survey,and investigated by the self-designed questionnaire. The contents of the questionnaire included the demographic characteristics,basic knowledge of hepatitis B,knowledge of transmission routes of hepatitis B,knowledge of prevention and treatment of hepatitis B,questions about attitudes and behaviors of persons infected with hepatitis B,and ways of acquiring knowledge about hepatitis B,and the data were analyzed. Results Among the 1 002 male respondents,only 11.6% knew about the "main transmission route of hepatitis B",and the awareness rate of the need for antiviral therapy after hepatitis B infection was only 14.1%. 50.0% of respondents mind having meals with people infected with hepatitis B virus,58.1% mind living in the same room with people infected with hepatitis B virus or hepatitis B patients,41.5% mind shaking hands or talking closely with people infected with hepatitis B virus or hepatitis B patients. The univariate analysis showed that the educational attainment of the respondents was the influencing factor in their hepatitis B basic knowledge score（P<0.05）,the age of the respondents and the educational level of their mothers were influencing their knowledge scores related to hepatitis B vaccination（all P<0.05）. The positive scores of attitudes and behaviors were positively correlated with knowledge scores of hepatitis B transmission routes,hepatitis B clinical knowledge scores,and hepatitis B vaccine-related knowledge scores（all P<0.05）. Conclusions The awareness rate of hepatitis B related knowledge among military personnel participating in exercises needs to be improved. There are differences in hepatitis B knowledge,attitude and behavior among military personnel of different ages,educational levels and personnel categories. It is necessary to strengthen the health education of hepatitis B related knowledge to improve the awareness rate of hepatitis B related knowledge,and advocate positive attitude and behavior to communicate with hepatitis B infected or patients.

Key words: Hepatitis B, Knowledge-attitude-behavior, Troops

中图分类号:

R181.3

慕彩妮, 何雨肖, 宋咪, 拜春阳, 唐元硕, 王安辉. 参演部队人员乙型肝炎知识态度行为调查及影响因素. [J]职业与健康, 2023, 39(15): 2099-2102.

MU Caini, HE Yuxiao, SONG Mi, BAI Chunyang, TANG Yuanshuo, WANG Anhui. Investigation on knowledge,attitude and behavior of hepatitis B among military personnel participating in exercises and analysis on influencing factors. [J]OCCUPATION AND HEALTH, 2023, 39(15): 2099-2102.

参考文献

[1] 闫永平,张维璐,苏海霞,等.我国乙型病毒性肝炎防治研究新进展和面临的挑战[J].中国热带医学,2019,19(10):916-921.
[2] 贾涛,王锐.乙型肝炎病毒母婴阻断研究进展及对策[J].中华预防医学杂志,2016,50(2):197-200.
[3] OTT J J,STEVENS G A,GROEGER J,et al.Global epidemiology of hepatitis B virus infection:New estimates of age-specific HBsAg seroprevalence andendemicity[J].Vaccine,2012,30(12):2212-2219.
[4] 唐玥,杨益,孙走南,等.新兵(学员)预防接种20 μg重组乙型肝炎疫苗(酿酒酵母)的免疫效果分析[J].中国免疫学杂志,2017(3):356-364.
[5] 高东旗,乔杨,赵景平,等.某部乙型病毒性肝炎病例调查及感染危险因素[J].解放军预防医学杂志,2016,34(6):795-798.
[6] 沙花燕,温亮,李申龙,等.2012—2016年军队乙型肝炎流行特征研究[J].解放军预防医学杂志,2018,36(1):1-3.
[7] 姜永. 武警部队传染病疫情趋势和防控进展[J].解放军预防医学杂志,2016,34(6):941-945.
[8] 龙冬梅,方丽,贾媛媛,等.某部新兵重点传染病知识知晓情况调查[J].西南国防医药,2014,24(4):461-462.
[9] 陈洁,胡小兵,周奕帆,等.2010—2014年成都战区部队乙型病毒性肝炎流行病学分析[J].西南国防医药,2015,25(12):1428-1430.
[10] 靳兴,常国辉,孙岩松.某部1991—2014年乙型病毒性肝炎疫情流行病学特征分析[J].实用医药杂志,2016,33(6):539-540.
[11] 冯超,王藩,牛玉坚,等.入伍新兵乙肝知识知晓情况及影响因素分析[J].中华灾害救援医学,2018,6(11):614-617.
[12] 刘颜,张驯,刘念,等.绵阳市高校大学生病毒性肝炎防治知识及健康教育需求现况[J].职业与健康,2013,29(6):718-721.
[13] KIM M J,LEE H,KIANG P,et al.Debunking the myth:low knowledge levels of HBV infection among Asian American college students[J].Asia Pac J Oncol Nurs,2015,2(1):8-16.
[14] 叶美麟,黎燕宁,冯启明,等.广西医科大学学生乙型肝炎知识态度和行为调查[J].职业与健康,2017,33(4):538-541.
[15] 雷世岳. 长沙市大学生对乙肝病毒携带者认知和相关态度的变化[D].长沙:中南大学,2013.
[16] 马汉平,王宇红,蒋永萍,等.兰州地区大学生乙型病毒性肝炎知识行为态度状况[J].中国学校卫生,2013,34(10):1171-1176.
[17] 王艳,刘筱威.健康教育对传染病预防控制的应用价值探讨[J].中国卫生标准管理,2016,7(18):253-254.
[18] 张占彪. 健康教育在传染病预防控制中的应用价值[J].中国城乡企业卫生,2022,37(4):102-104.
[19] 刘兰,汪俊华,黄文湧,等.贵州少数民族农村地区居民乙肝相关健康行为的结构方程模型分析[J].中国卫生事业管理,2017(1):42-44.
[20] 唐万琴,张翔,朱中奎,等.麻疹相关知识、态度、行为的结构方程模型研究[J].中国卫生统计,2015,32(4):632-633.
[21] 周绍英,董红军,边国林,等.宁波大学学生乙型病毒性肝炎知信行调查[J].浙江预防医学,2012,24(5):78-80.
[22] JIA-HORNG K.Molecular epidemiology of hepatitis B virus[J].Korean J Intern Med,2011,26(3):255-261.
[23] 高东旗,闫思雨,徐春艳,等.利用软件评价新兵训练基地乙型肝炎的防控工作[J].解放军预防医学杂志,2019,37(4):3-6.
[24] 慕彩妮,沈约,王嘉楠,等.某军医大学学员乙型肝炎相关知识态度行为调查[J].解放军预防医学杂志,2017,35(5),509-511.
[25] 王培生,何华,王君,等.乙型病毒性肝炎预防控制的研究进展[J].职业与健康,2014,30(14):2027-2030.