阿富汗坎大哈市成年公民乙型肝炎、丙型肝炎和艾滋病毒感染负担

Khwaja Mir Islam SAEED
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引用次数: 3

摘要

-背景:包括病毒性肝炎在内的血液传播疾病是世界范围内重要的公共卫生挑战。阿富汗乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和艾滋病毒流行率的数据明显缺乏。本研究的目的是估计阿富汗坎大哈市成人人群中HBV、HCV和HIV感染的血清患病率。方法与材料:采用横断面设计于2015年10 - 11月对坎大哈市1165名成年市民进行调查。采用世卫组织STEP明智方法收集人口、社会经济和生活方式因素的数据。进行了快速检测以确定HBV、HCV和HIV感染的流行情况。采用SPSS v.20进行统计分析。结果:597例患者中,女性占51.2%,平均年龄38.3±11.2岁。快速检测HBsAg的HBV患病率为2%(22 / 1153),快速检测抗hcv血清阳性的12例(1%)。所有受试者都没有合并感染。所有标本均未呈HIV感染阳性,患病率为零。已婚人群比例为79.3%,文盲率为73.2%,88.5%的妇女在家做家务(家庭主妇)。约十分之一(9.7%)是吸烟者,16.3%是吸鼻烟者。研究因素与HBV和HCV无统计学相关性。结论:研究发现坎大哈市成年公民的HBV和HCV患病率较低。建议就病毒性肝炎的危险因素开展公众意识和健康教育,并鼓励接种疫苗。由于高危人群易患疾病,因此需要更多地关注他们。
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Burden of Hepatitis B, Hepatitis C and HIV Infections Among Adult Citizens in Kandahar City, Afghanistan
-Background:Blood borne diseases including viral hepatitis are important public health challenges worldwide. There is a notable dearth of data about Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and HIV prevalence in Afghanistan. The objective of this study was to estimate the seroprevalence of HBV, HCV, HIV infections among adult populations in Kandahar city, Afghanistan. Methods and Materials:A total of 1165 adult citizens in Kandahar city were included in the study using a cross-sectional design in October-November 2015. Data on demographic, socioeconomic and lifestyle factors were collected using WHO STEP wise approach. Rapid tests were conducted to identify the prevalence of HBV, HCV, and HIV infections. Statistical analysis performed Using SPSS v.20. Results: Of total records, females constituted almost half 597 (51.2%) with overall mean age of 38.3±11.2 years. The prevalence of HBV was 2% (22 out of 1153) for HBsAg on rapid test and 12 subject (1%) were seropositive for anti-HCV on rapid tests. None of subjects had co-infections. None of specimen were positive for HIV infection showed zero prevalence. Proportion of married groups was 79.3%, illiteracy rate was 73.2% and 88.5% of women were at home doing housework (housewives). About one tenth (9.7%) were smokers and 16.3% were snuffers. There was no statistical association of studied factors with HBV and HCV. Conclusion: The study found low prevalence of HBV and HCV in adult citizens in Kandahar city. Public awareness and health education regarding risk factors for viral hepatitis and encouragement for vaccination is recommended. More focus is needed to be given to high risk groups due their vulnerability to diseases.
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