Abstract:Objective To investigate the status of hepatitis C virus (HCV) infection and its influencing factors among long-distance truck drivers so as to provide information and evidence for comprehensive prevention and treatment and scientific intervention of hepatitis C. Methods During the period of 2013-2015, snowball sampling and respondent driven sampling were used to recruit 400 surveyed subjects in the parking lot in Guangxi Puzhai border trade city from April to June in each year, their general demographic characteristics, behavior characteristics and other related information were investigated. 3-5 ml venous blood samples were collected to detect antibodies against HIV, syphilis and HCV. The status of HCV infection and its possible influencing factors among long-distance truck drivers were analyzed. Results A total of 1,200 long-distance truck drivers were investigated during 2013-2015. 9 cases were positive for anti-HCV antibody, and the total infection rate of HCV was 0.75%. No statistically significant difference was found in the infection rate of HCV among the three years (χ2=1.76, P=0.528). The infection rates of HCV in the drivers with history of drug injection behavior and with syphilis antibody-positive serum were significantly higher than those in the drivers without history of drug injection behavior and with syphilis antibody-negative serum (33.33% vs. 0.67%, 5.41% vs. 0.60%), showing statistically significant differences (χ2=42.895, P=0.022; χ2=11.115, P=0.029).Age, marital status, registered permanent residence, nationalities, educational backgrounds, whether or not whoring andwhether or not using condoms during actsof prostitution didn’t have significant effectson the infection rate of HCV (χ2=0.369-2.527, all P>0.05). Multivariate logistic regression analysis showed that injection drug use (OR=40.915, 95%CI:2.518-664.836) and syphilis antibody-positive (OR=6.951, 95%CI: 1.194-40.468) were the main risk factors for HCV infection in the drivers. Conclusions The infection rate of HCV in the long-distance truck drivers in Guangxi border areas is high. HCV infection is related to the long-distance truck drivers’ injection drug use and syphilis infection spread. It is necessary to continuously strengthen the publicity, education and behavioral intervention among the long-distance truck drivers and promote the changes of high-risk behavior so as to effectively control the infection and spread of HCV.
何波, 农丽萍, 姚敏, 孙恒, 张建明, 钟海东. 2013-2015年长途卡车司机丙型肝炎病毒感染状况及其影响因素[J]. 实用预防医学, 2018, 25(2): 215-218.
HE Bo, NONG Li-ping, YAO Min, SUN Heng, ZHANG Jian-ming, ZHONG Hai-dong. Status of hepatitis C virus infection and its influencing factors among long-distance truck drivers, 2013-2015. , 2018, 25(2): 215-218.