Awareness of knowledge about hepatitis C prevention and control among outpatients in Ningbo City
TAN Shiwen1, SHI Hongbo1, JIANG Haibo1, CHU Kun1, YE Zehao1, YANG Jianhui1, ZHOU Xin2
1. Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang 315010, China; 2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
Abstract:Objective To investigate the awareness of knowledge about hepatitis C prevention and control among outpatients in Ningbo City, Zhejiang Province, and its influencing factors, so as to provide the evidence for strengthening health education on hepatitis C prevention and control. Methods Based on sentinel surveillance of hepatitis C, the outpatients aged 15 to 65 years at seven hospitals in Yinzhou District, Cixi City and Xiangshan County of Ningbo City were selected using the convenient sampling method from April to June during 2020 and 2022. Demographic information, knowledge and behaviors related to hepatitis C prevention and control were collected through questionnaire surveys. The influencing factors for knowledge about hepatitis C prevention and control were analyzed using a multivariable logistic regression model. Results A total of 2 792 participants were surveyed, including 1 157 males (41.44%) and 1 635 females (58.56%). The awareness rate of knowledge about hepatitis C prevention and control was 56.23%, and was lower in knowledge about hepatitis C vaccine and treatment. The awareness rates of knowledge about hepatitis C prevention and control among outpatients from 2020 to 2022 were 47.11%, 53.22% and 70.65%, respectively, showing an upward trend (P<0.05). Multivariable logistic regression analysis showed that participants aged 25 to <50 years (OR=1.358, 95%CI: 1.073-1.719), with an educational level of high school or junior college (OR=1.431, 95%CI: 1.134-1.806) or above junior college (OR=3.728, 95%CI: 2.958-4.699), with household monthly income per capita of 3 000 to <5 000 yuan (OR=1.828, 95%CI: 1.344-2.486) or ≥5 000 yuan (OR=1.858, 95%CI: 1.366-2.526), without a history of invasive treatments such as pedicure in public places (OR=1.287, 95%CI: 1.024-1.618), without a history of contact with family members' blood-contaminated items (OR=2.050, 95%CI: 1.552-2.707), and always using condoms during sexual contacts (OR=1.740, 95%CI: 1.273-2.378) had higher awareness of knowledge about hepatitis C prevention and control. Conclusions The awareness of knowledge about hepatitis C vaccine and treatment among outpatients in Ningbo City needs to be improved. Age, educational level, household monthly income per capita, history of invasive treatments such as pedicure in public places, history of contact with family members' blood-contaminated items and frequency of condom use during sexual contacts are associated with outpatients' awareness of knowledge about hepatitis C prevention and control.
谭诗文, 史宏博, 姜海波, 褚堃, 叶泽豪, 杨建辉, 周欣. 宁波市医院就诊者丙型病毒性肝炎防治相关知识调查[J]. 预防医学, 2025, 37(2): 192-196.
TAN Shiwen, SHI Hongbo, JIANG Haibo, CHU Kun, YE Zehao, YANG Jianhui, ZHOU Xin. Awareness of knowledge about hepatitis C prevention and control among outpatients in Ningbo City. Preventive Medicine, 2025, 37(2): 192-196.
[1] World Health Organization.Global hepatitis report2024:action for access in low-and middle-income countries[EB/OL].[2024-11-29].https://www.who.int/publications/i/item/9789240091672. [2] 李健,庞琳,李东民,等.2015—2021年我国丙型肝炎病例报告与哨点监测分析[J].中国艾滋病性病,2023,29(6):634-638. LI J,PANG L,LI D M,et al.Hepatitis C case report and sentinel surveillance in China from 2015 to 2021[J].Chin J AIDS STD,2023,29(6):634-638.(in Chinese) [3] 中华预防医学会医院感染控制分会.中国丙型病毒性肝炎医院感染防控指南[J].传染病信息,2013,26(2):71-75. Nosocomial Infection Control Branch of Chinese Preventive Medicine Association.China's guideline on nosocomial infection prevention and control of viral hepatitis C[J].Infect Dis Info,2013,26(2):71-75.(in Chinese) [4] 刘迎男,杨景元,李慧,等.2013—2021年内蒙古自治区五类重点人群丙型肝炎监测结果[J].预防医学,2022,34(9):941-945. LIU Y N,YANG J Y,LI H,et al.Surveillance of hepatitis C among five high-risk populations in Inner Mongolia Autonomous Region from 2013 to 2021[J].China Prev Med J,2022,34(9):941-945.(in Chinese) [5] 周欣,程伟,潘晓红,等.2004—2021年浙江省报告丙型肝炎病例特征分析[J].中国艾滋病性病,2023,29(3):334-337. ZHOU X,CHENG W,PAN X H,et al.Epidemiological characteristics of hepatitis C in Zhejiang Province from 2004 to 2021[J].Chin J AIDS STD,2023,29(3):334-337.(in Chinese) [6] 林琳,黄鹏翔,张娜,等.2021年山东省医院就诊者丙型肝炎防治知识知晓率调查及影响因素分析[J].中华实验和临床病毒学杂志,2023,37(1):20-24. LIN L,HUANG P X,ZHANG N,et al.A survey on knowledge awareness rate of hepatitis C prevention and treatment and its influencing factors among patients presented to hospitals in Shandong province in 2021[J].Chinese J Exp Clin Virol,2023,37(1):20-24.(in Chinese) [7] 杨雨晴,张琬悦,刘春桃,等.云南省部分医疗机构就诊者丙型病毒性肝炎防治知识知晓情况分析[J].中国艾滋病性病,2023,29(4):462-463. YANG Y Q,ZHANG W Y,LIU C T,et al.Awareness of knowledge about prevention and control of viral hepatitis C among patients visiting some medical institutions in Yunnan Province[J].Chin J AIDS STD,2023,29(4):462-463.(in Chinese) [8] 苏兴芳,夏淼,张小斌,等.云南省医务人员丙型肝炎防治知识知晓情况分析[J].皮肤病与性病,2024,46(4):257-262. SU X F,XIA M,ZHANG X B,et al.Awareness of knowledge about prevention and control of viral hepatitis C among healthcare workers in Yunnan Province[J].Dermatol Venereol,2024,46(4):257-262.(in Chinese) [9] 侯志刚,葛锐,张倩倩,等.嘉兴市临床医生丙型肝炎防治知识调查[J].预防医学,2023,35(7):636-639. HOU Z G,GE R,ZHANG Q Q,et al.Awareness of hepatitis C prevention and control knowledge among clinicians in Jiaxing City[J].China Prev Med J,2023,35(7):636-639.(in Chinese) [10] 陈友惠,高建鹏,王辉,等.昆明地区丙型肝炎病毒基因型分布特征的研究[J].现代医学,2021,49(7):747-750. CHEN Y H,GAO J P,WANG H,et al.Distribution characteristics of hepatitis C virus genotypes in Kunming City[J].Mod Med J,2021,49(7):747-750.(in Chinese) [11] 杨晓静,谢宜羚.2019年重庆市綦江区280人丙肝防治知识知晓率调查结果[J].预防医学情报杂志,2020,36(7):879-883. YANG X J,XIE Y L.Awareness rate of knowledge towards hepatitis C among different population in Qijiang District in 2019[J].J Prev Med Inf,2020,36(7):879-883.(in Chinese) [12] 虞接军,徐朋,刘鹏程,等.丙型病毒性肝炎患者疾病防治知识知晓情况及相关因素[J].中华疾病控制杂志,2023,27(7):745-750. YU J J,XU P,LIU P C,et al.Analysis of the awareness of hepatitis C prevention and treatment knowledge among hepatitis C patients[J].Chin J Dis Control Prev,2023,27(7):745-750.(in Chinese) [13] 李娜,范吉祥,邱柏红,等.吉林省大众人群丙肝防治知识知晓率及其影响因素研究[J].实用预防医学,2023,30(10):1257-1259. LI N,FAN J X,QIU B H,et al.Awareness of knowledge about hepatitis C prevention and control and its influencing factors among the general population in Jilin Province[J].Pract Prev Med,2023,30(10):1257-1259.(in Chinese)