2018年埃塞俄比亚吉马志愿者献血者中乙型肝炎病毒的患病率及其预测因素:一项横断面研究

IF 1.6 Q4 INFECTIOUS DISEASES Journal of clinical virology plus Pub Date : 2022-11-01 DOI:10.1016/j.jcvp.2022.100122
Debele Mekonnen , Tesfaye Solomon , Mamo Nigatu
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引用次数: 0

摘要

以往对埃塞俄比亚献血者的研究集中在所有类型的献血者,在献血前没有进行暴露筛查。本研究的目的是确定乙型肝炎病毒的流行及其预测因素在志愿献血者在吉马,埃塞俄比亚。材料与方法对2018年3月10日至4月20日连续纳入的无偿献血者进行横断面研究。采用血清乙型肝炎表面抗原检测乙肝病毒。通过面对面访谈收集的数据,经过清理和检查,输入Data 3.1,并通过统计软件SPSS version 20进行分析。在多变量逻辑回归中,统计显著性水平为p<0.05。结果共纳入调查对象548人,其中18 ~ 24岁年龄组占60.96%,HBV感染率为2.92%。男性阳性率为12/268(4.48%),女性阳性率为4/280(1.43%)。超过80%的检测呈阳性的人年龄在35岁以下。男性[AOR=3.28, 95%CI: 1.01 ~ 10.68]、18 ~ 24岁[AOR=0.17, 95%CI: 0.36 ~ 0.78]、献血频率[AOR= 0.25, 95%CI: 0.08 ~ 0.76]、接触不安全注射[AOR= 6.98, 95%CI: 1.66 ~ 29.29]是影响因素。结论乙型肝炎表面抗原总体阳性率处于中等水平,男性阳性率较高。此外,年龄、捐献频率和暴露于不安全的治疗药物注射是独立的预测因素。因此,血库应该提高对重复志愿年轻献血者的认识,并将重点放在确定的低风险群体上。
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Prevalence of Hepatitis B virus and its predictors among volunteer blood donors in Jimma, Ethiopia, 2018: A cross-sectional study

Background

Previous studies of blood donors in Ethiopia have focused on all types of donors without exposure screening before blood donation. The purpose of this study was to determine the prevalence of Hepatitis B virus and its predictors among volunteer blood donors in Jimma, Ethiopia.

Materials and methods

Cross-sectional study was conducted on sampled volunteer blood donors who were consecutively included from March 10 to April 20, 2018. Virus detection was investigated by testing for Hepatitis B surface antigen in the serum. Data collected through face-to-face interviews, has been cleaned and checked, entered into Data 3.1 and analyzed by statistical software SPSS version 20. The level of statistical significance was reported to be p<0.05 in the multivariable logistic regression.

Results

A total of 548 participants with 60.96% in the 18–24 age group were participated and the overall prevalence of HBV infection was 2.92%. The test positivity rate among males was 12/268 (4.48%) and while the rate among females was 4/280 (1.43%). More than 80% of those who tested positive were under the age of 35 years. Being male [AOR=3.28, 95%CI: 1.01–10.68], age 18–24 [AOR=0.17, 95%CI: 0.36–0.78], frequency of donation [AOR= 0.25, 95%CI: 0.08–0.76], and exposure to unsafe injection [AOR= 6.98, 95%CI: 1.66–29.29] were significant factors.

Conclusion

The overall prevalence of HBsAg was intermediate with positivity higher in males. Furthermore, age, frequency of donation and exposure to unsafe therapeutic drug injection were independent predictors. Therefore, the blood bank should raise awareness to repeat volunteer young donors and focus on identified low-risk groups.

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来源期刊
Journal of clinical virology plus
Journal of clinical virology plus Infectious Diseases
CiteScore
2.20
自引率
0.00%
发文量
0
审稿时长
66 days
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