国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (2): 135-140.doi: 10.7518/gjkq.2017.02.003

• 论著 • 上一篇    下一篇

中国口腔医学各专业实习生对乙型肝炎病毒感染知、信、行情况调查

李昕怡1, 2, 梅朝蓉3, 邝玉1, 黄留叶4, 杨婷1, 李明远1, 杨远1   

  1. 1.四川大学华西基础医学与法医学院微生物学教研室 成都 610041;
    2.口腔疾病研究国家重点实验室 华西口腔医院正畸科(四川大学) 成都 610041;
    3.四川大学华西医院西藏成办分院肿瘤科 成都 610000;
    4.四川大学华西公共卫生学院 成都 610041
  • 收稿日期:2016-04-12 出版日期:2017-03-01 发布日期:2017-03-01
  • 通讯作者: 杨远,副教授,博士,Email:yangyuan1114@163.com
  • 作者简介:李昕怡,学士,Email:xinyili1994@126.com
  • 基金资助:
    国家自然科学基金(30901270/H1940)

Comparison of knowledge, attitudes, and behaviors of Chinese dental interns on hepatitis B among different de-partments

Li Xinyi, Mei Chaorong, Kuang Yu, Huang Liuye, Yang Ting, Li Mingyuan, Yang Yuan   

  1. 1. Dept. of Microbiology, West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, China;
    2. State Key Laboratory of Oral Diseases, Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    3. Dept. of Oncology, Hospital of Chengdu Office of People’s Government of Tibet Autonomous Region, Chengdu 610000, China; ;
    4. West China School of Public Health, Sichuan University, Chengdu 610041, ChinaThis study was supported by the National Natural Science Foundation of China30901270/H1940.
  • Received:2016-04-12 Online:2017-03-01 Published:2017-03-01

摘要: 目的调查及比较中国口腔医学不同专业实习生对于乙型肝炎病毒(HBV)感染的知识、态度、行为(KAB)。方法对232名进入临床实习阶段的口腔实习生进行问卷调查,采用数据描述及双变量分析的方法得出KAB与不同专业及性别之间的关系。结果在各专业口腔实习生中,超过80%的调查对象具有“较高”或者“高”的知识等级,其中修复科实习生的知识得分高于口腔内科(P=0.035)和口腔外科(P=0.019 87)。口腔内科实习生的态度与是否接触HBV感染患者有关(P=0.006),口腔外科亦然(P=0.047)。超过60%的实习生接受过至少3次的乙肝疫苗接种,特别是正畸科实习生(约80%);34%的口腔内科实习生表示“总是”或者“经常”检查抗体滴度,但66%的正畸科实习生表示“很少”或者“从不”;正畸科实习生比口腔内科的针头扎伤率低(P=0.044),与口腔外科相比,有相对较低的趋势(P=0.053);100%的正畸科实习生“总是”使用工作服。此外,口腔内科实习生相比于口腔外科(P=2.31e-6),修复科(P=1.704e-7)及正畸科(P=1.3e-5)实习生来说,行为得分更高,女性学生的行为得分显著高于男性学生(P=2.584e-5)。结论修复科实习生应掌握更多关于HBV传播的知识,正畸科实习生应提升疫苗注射率及检查抗体滴度,口腔内科实习生应更注重理论与实践结合,口腔外科实习生可提升自我效能及保持积极态度。

关键词: 乙型肝炎病毒, 知、信、行, 口腔实习生, 专业, 调查研究

Abstract: Objective This study investigated and compared the knowledge, attitudes, and behaviors(KAB) of Chinese dental interns towards hepatitis B virus(HBV) infection among different departments. Methods A self-administered questionnaire was surveyed among 232 students who were taking clinical practice. Descriptive statistics and bivariate analyses were used to identify associations between KAB and Results obtained from different departments and genders. Results Over 80% of participants, independent of affiliated departments, displayed good or excellent level of knowledge. Prosthodontic students have a higher knowledge score compared with students from oral conservative dentistry(P=0.035) and oral maxillofacial surgery(P=0.019 87). Interns from oral conservative dentistry who were exposed to HBV-infected patients have different attitudes(P=0.006), which is also shared by oral maxillofacial surgery(P=0.047). Interns from each department reported that over 60% of them received all three required doses of vaccination or even over three doses, specifically for orthodontic interns, which is around 80%. 34% interns from oral conservative dentistry reported “always” or “mostly” when checking antibody titer status, but 66% of interns from orthodontics said “rarely” or “never”. Orthodontic students had lower injury rate compared with students from oral conservative dentistry(P=0.044), and has a lower trend compared with students of oral maxillofacial surgery(P=0.053). 100% orthodontic interns “always” wear gown. Oral conservative dentistry had higher score than oral maxillofacial surgery(P=2.31e-6), prosthodontics(P=1.704e-7) and orthodontics(P=1.3e-5). Female students have a significantly higher score than male students(P=2.584e-5). Conclusion More knowledge about transmission of HBV should be required from prosthodontic interns. Orthodontic interns should hold on high vaccination rates and check antibody titer status more frequently. Interns from oral conservative dentistry should combine theory with practice. Interns from oral maxillofacial surgery should improve self-awareness of their knowledge and maintain positive attitudes.

Key words: hepatitis B virus, knowledge, attitudes, behaviors, dental intern, department, questionnaire survey

中图分类号: 

  • R78
[1] Mahboobi N, Agha-Hosseini F, Mahboobi N, et al. Hepatitis B virus infection in dentistry: a forgotten topic[J]. J Viral Hepat, 2010, 17(5):307-316.
[2] Lu FM, Zhuang H. Management of hepatitis B in China[J]. Chin Med J, 2009, 122(1):3-4.
[3] Alavian SM, Mahboobi N, Mahboobi N, et al. Iranian dental students’ knowledge of hepatitis B virus infection and its control practices[J]. J Dent Educ, 2011, 75(12):1627-1634.
[4] Li X, Kang H, Wang S, et al. Knowledge, attitude, and behavior of hepatitis B virus infection among Chinese dental interns[J]. Hepat Mon, 2015, 15(5):e25079.
[5] Zhang X, Zhu M, Dib HH, et al. Knowledge, aware-ness, behavior(KAB) and control of hypertension among urban elderly in Western China[J]. Int J Car-diol, 2009, 137(1):9-15.
[6] Acheampong I, Haldeman L. Are nutrition know-ledge, attitudes, and beliefs associated with obesity among low-income Hispanic and African American women caretakers[J]. J Obes, 2013, 2013:123901.
[7] Hu SW, Lai HR, Liao PH. Comparing dental stu-dents’ knowledge of and attitudes toward hepatitis B virus-, hepatitis C virus-, and HIV-infected patients in Taiwan[J]. AIDS Patient Care STDS, 2004, 18 (10):587-593.
[8] Foster T, Hon H, Kanwal F, et al. Screening high risk individuals for hepatitis B: physician knowledge, attitudes, and beliefs[J]. Dig Dis Sci, 2011, 56(12): 3471-3487.
[9] de Paiva EM, Tiplle AF, de Paiva Silva E, et al. Sero-logical markers and risk factors related to hepatitis B virus in dentists in the Central West region of Brazil [J]. Braz J Microbiol, 2008, 39(2):251-256.
[10] Singh A, Purohit BM, Bhambal A, et al. Knowledge, attitudes, and practice regarding infection control measures among dental students in Central India[J]. J Dent Educ, 2011, 75(3):421-427.
[11] Bakry SH, Mustafa AF, Eldalo AS, et al. Knowledge, attitude and practice of health care workers toward hepatitis B virus infection, Sudan[J]. Int J Risk Saf Med, 2012, 24(2):95-102.
[12] Moghimi M, Marashi SA, Kabir A, et al. Knowledge, attitude, and practice of Iranian surgeons about blood-borne diseases[J]. J Surg Res, 2009, 151(1): 80-84.
[13] Wicker S, Rabenau HF. Occupational exposures to bloodborne viruses among German dental profes-sionals and students in a clinical setting[J]. Int Arch Occup Environ Health, 2010, 83(1):77-83.
[14] ul Haq N, Hassali MA, Shafie AA, et al. A cross sec-tional assessment of knowledge, attitude and practice towards hepatitis B among healthy population of Quetta, Pakistan[J]. BMC Public Health, 2012, 12: 692.
[15] Di Giuseppe G, Nobile CG, Marinelli P, et al. A survey of knowledge, attitudes, and behavior of Ita-lian dentists toward immunization[J]. Vaccine, 2007, 25(9):1669-1675.
[16] Kabir A, Tabatabaei SV, Khaleghi S, et al. Know-ledge, attitudes and practice of Iranian medical spe-cialists regarding hepatitis B and C[J]. Hepat Mon, 2010, 10(3):176-182.
[17] Radcliffe RA, Bixler D, Moorman A, et al. Hepatitis B virus transmissions associated with a portable dental clinic, West Virginia, 2009[J]. J Am Dent Assoc, 2013, 144(10):1110-1118.
[18] Al-Haddad SA, Jawad JS, Al-Sayyad AS. Hepatitis B vaccination among physicians, dentists and nurses in Bahrain[J]. Bahrain Med Bull, 2013, 35(4):186- 189.
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