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初中生学习(中) 2004年第Z2期 76-79页

作者： jane buxton,树人美

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Differing profiles of people diagnosed with acute and chronic hepatitis B virus infection in British Columbia,Canada

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World Journal of Gastroenterology 2018年第11期24卷 1216-1227页

作者： Mawuena Binka Zahid A Butt Stanley Wong Mei Chong jane a buxton Nuria Chapinal Amanda Yu Maria Alvarez Maryam Darvishian Jason Wong Gina McGowan Mikhail Torban Mark Gilbert Mark Tyndall Mel Krajden Naveed Z Janjua British Columbia Centre for Disease Control Vancouver BC V5Z4R4Canada School of Population and Public Health University of British ColumbiaVancouver BC V6T1Z3Canada Division of Population and Public Health Ministry of HealthVictoria BC V8W9P1Canada Department of Pathology and Laboratory Medicine University of British ColumbiaVancouver BC V6T1Z2Canada

AIM To describe the characteristics of people diagnosed with acute and chronic hepatitis B virus(HBV) infection in British Columbia(BC).METHODS We used data from the BC Hepatitis Testers Cohort(BCHTC),which includes all individuals tested for hepatitis C virus(HCV) or human immunodeficiency virus(HIV) or those diagnosed with HBV or active tuberculosis in BC since *** data were integrated with prescription drug,medical visit,hospitalization and mortality *** cases were classified as acute or chronic according to provincial *** compared characteristics of individuals by HBV infection group(acute,chronic and negative).Factors associated with acute or chronic HBV infection were assessed with multinomial logistic regression models in comparison to the HBV negative ***46498 of the 1058056 eligible BC-HTC participants were diagnosed with HBV infection.4.3% of HBV positive individuals were diagnosed with acute HBV infections while 95.7% had chronic *** alcohol use,injection drug use,and HIV or HCV co-infection were more common among individuals diagnosed with acute HBV compared to those with chronic infections and HBV negative *** multivariable multinomial logistic regression models,we observed significant associations between acute or chronic HBV diagnosis and being male,age at HBV diagnosis or birth cohort,South and East Asian ethnicity,HCV or HIV infection,and injection drug *** odds of acute HBV decreased with increasing age among people who inject drugs,while the opposite was true for chronic *** with acute HBV were predominantly White(78%) while those with chronic HBV were mostly East Asian(60%).Relative to Whites,East Asians had 12 times greater odds of being diagnosed with chronic HBV *** odds increased with increasing socioeconomic *** Differences in the profiles of people diagnosed with acute and chronic HBV infection necessitate differentiated screening,preven

关键词： Hepatitis B virus Ethnicity Drug use Acute hepatitis B BC Hepatitis Testers Cohort North America

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