title: [Study on health-seeking behavior and influencing factors among Chinese hepatitis B surface antigen positive adults].
abstract: OBJECTIVE
  To analyze the characteristics of health-seeking behaviors and related influencing factors of the community-based hepatitis B surface antigen (HBsAg) positive adults, in China.
  
  
  METHODS
  Based on the cohort formed by the HBsAg positive patients, in the national sero-survey project in 2006, we conducted a follow-up programs in 2010 and 2014. In the latest follow-up project, we carried out a cross-sectional study to collect information on health-seeking behaviors of the patients. Questionnaires would include information on clinic visits, diagnosis, regular physical examination and treatments,etc. We used the SPSS 18.0 software for data analysis.
  
  
  RESULTS
  Totally, 2 478 HBsAg positive adults (≥18 years old) were followed through, with 34.4% (853/2 478) of them had visited the doctors and diagnosed after they were informed the status of HBsAg positivity, in the 2006-sero-survey program. Among patients who ever visiting the clinic, 51.2% (372/727) of them underwent at least medical examination once a year, with 31.5% (229/727) of them received treatment. Furthermore, 34.5% (79/229) of the treated patients adopted the traditional Chinese medicine or medicine for ' liver protection'. 56.8% (130/229) of the treated patients received antiviral drugs. Data from the binary logistic regression showed that the major influencing factors on clinic visits would include: age, level of education received and residencial areas (rural/urban).
  
  
  CONCLUSIONS
  Consciousness on health was low in those community-based HBsAg positive people. Standerdized management and clinical treatment programs should be set up accordingly.
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Zheng
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Fuzhen
authors.initials: F
authors.lastname: Wang
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Guomin
authors.initials: G
authors.lastname: Zhang
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Zhenhua
authors.initials: Z
authors.lastname: Wu
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Miao
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Xiaojin
authors.initials: X
authors.lastname: Sun
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Huaqing
authors.initials: H
authors.lastname: Wang
authors.affiliation: National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Fuqiang
authors.initials: F
authors.lastname: Cui
authors.affiliation: Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Liang
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D006509:Hepatitis B / Q000097:blood* / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D006510:Hepatitis B Antibodies / Q000097:blood; D006514:Hepatitis B Surface Antigens / Q000097:blood; D006801:Humans; D016015:Logistic Models; D012111:Residence Characteristics; D012424:Rural Population; D016036:Seroepidemiologic Studies; D011795:Surveys and Questionnaires
chemical_list: D006510:Hepatitis B Antibodies; D006514:Hepatitis B Surface Antigens