海南省琼中县社会经济因素及人的行为对疟疾流行和控制影响的调查研究  

A STUDY ON HUMAN BEHAVIOR AND SOCIOECONOMIC FACTORS AFFECTING MALARIA TRANSMISSION AND CONTROL IN QIONGZHONG,HAINAN

作　　者：蔡贤铮[1] 邓达[2] 吴开琛[2] 汤林华[2] 兰昌雄 顾政诚[2] 何贻基 王克安[3] 吴多琳 杜建伟[1] 

机构地区：[1]海南省热带病防治研究所 [2]中国预防医学科学院寄生虫病研究所 [3]中国预防医学科学院 [4]海南省琼中县卫生防疫站

出　　处：《中国寄生虫学与寄生虫病杂志》1995年第2期89-93,共5页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：世界卫生组织TDR资助项目 ID：910384

摘　　要：琼中县和平镇是当前海南省疟疾严重流行地区之一，年发病率波动在５％左右。调查表明当地黎、苗族社会经济仍较落后，仍然保留上山住宿看守作物等行为习惯，基层卫生组织也较薄弱，但在生活水平、文化程度、使用蚊帐习惯和求医行为方面，较之过去已有明显改善。灰色关联度分析显示，上山住宿、使用蚊帐、求医及医疗保健服务是影响疟疾的主要社会因素。认为开展健康教育、提高蚊帐使用率、改变上山住宿行为和加强基层卫生组织，是进一步控制当地疟疾的关键性措施。This study was conducted in Heping District of Qiongzhong County,a hyperedemic mountainous area,in August-September 1992.The comparative surveys between the village and state run farm,Li and Miao nationalities and Han nationality were carried out by using the sociological method together with the epidemiological methods. Gray relational analysis was conducted between the aforementioned 7 socioeconomic human behavioral factors and IFA rates.The result showed that their degrees of relation (r) were in the following order:(1) percentage of persons who had stayed in the mountain overnight(r=0.8690);(2)percentage of bed net users(r=0.7990);(3) percentage of households seeking medical service(r=0.7990);(4)number of mosquito nets per person(r= 0.7867); (5)percentage of househloders knowing malaria transmission route (r=0.7798); (6)percentage of households with tile roofed houses(r=0.6767)and (7)income per capita(r= 0.6636). It indicates that staying in the mountain,using bed net and seeking medical service were three discriminating factors affecting local malaria transmission and control. Therefore,it is suggested that carrying out health education,changing the stay in mountain behavior,increasing the utilization of mosquito nets and reinforcing the primary health care should be taken as the fundamental measures for malaria control programme.

关 键 词：疟疾 流行病学 社会经济因素 

分 类 号：R531.301[医药卫生—内科学]