北京市流动人口乙肝知信行现状及其关系研究

摘要

Objective To explore current situation of hepatitis B related KAP among migrants in Beijing.Meth-ods 3 villages were selected from Daxing District according to their economic and geography status,and 1812 respondents aged 16 -60 were selected by PPS sampling method in these villages.Compared with the non-migrant,KAP features of the migrant was exploredattitude factors were generated by Exploratory Factor Analysis and logistic model was employed to ana-lyze the influence of knowledge and attitude on hepatitis B vaccination behavior.Results Among 1812 respondents,there are 766 migrant workers and 1046 non-migrant workers.In the high score group of hepatitis B knowledge,the percentage of non-migrant was 62.7% while migrants accounted 37.3%,and the difference was statistically (χ2 =15.508,P =0.000). There had statistically difference in all attitudes to hepatitis B patient between two groups,except “present receiving”and“offspring marriage”.As to vaccination behavior,there had statistically difference between two groups (χ2 =31.196,P =0.000).In the group of completing 3 dose of hepatitis B vaccine,61.1% were non-migrant,while only 38.9% were the migrant.Influence of knowledge and attitude on the hepatitis B vaccination behavior was proved by logistic regression.The probability of high score and middle score knowledge groups to vaccination were 2.3 times (OR =2.300)and 1.523 times compared to low score group.The lower attitude factor 1 and factor 2,that was more afraid of hepatitis B patient,more likely to take vaccine (OR1 =0.686,OR2 =0.701).Conclusion Hepatitis B related KAP among migrants was worse than the non-migrant.To improve hepatitis B related KAP and control hepatitis B,health education is important.%目的：探讨北京流动人口乙肝知信行现状及知识、态度对乙肝疫苗接种的影响。方法按照经济发展水平和地理位置抽取大兴区3个村，村内采用 PPS 抽样方法抽取住户，得到16～60岁调查对象1812人，与非流动人口作比较，探讨流动人口乙肝知信行特点，探索性因子分析生成态度因子，拟合二分类 Logistic 模型分析知识和态度对乙肝疫苗接种行为的影响。结果1812名调查者中，流动人口766例，非流动人口1046人。在乙肝知识得分高分组中，非流动人口占62.7％，高于流动人口37.3％，差异具有统计学意义（χ2＝15.508，P ＝0.000）；在“接受礼物”和“子女婚姻”方面，2组不存在差异，其余对乙肝病人态度2组差异有统计学意义；在乙肝疫苗接种行为方面2组差异有统计学意义（χ2＝31.196，P ＝0.000），在完成3针疫苗接种组中，非流动人口占61.1％，而流动人口仅占38.9％；多因素 Logistic 回归发现，乙肝知识和态度会对流动人口的乙肝疫苗接种行为产生影响，知识得分高分和中分组倾向于接种乙肝疫苗的机会分别是低分组的2.300倍（OR ＝2.300）和1.523倍（OR ＝1.523），态度因子1和态度因子2得分越低，即对乙肝病人的态度越害怕越易接种疫苗（OR1＝0.686，OR2＝0.701）。结论流动人口知信行差于非流动人口，进行健康教育，提高知信行水平是乙肝防控重要措施。