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作 者:李丽[1] 张再兴[1] 杜尊伟[1] 周升[1] 许建卫[1] 吴超[1] 夏敏[1] 许时燕[1] 汪丽波[1] 陈章伟[1] 郭晓芳[1]
机构地区:[1]云南省寄生虫病防治所
出 处:《医学动物防制》2008年第4期260-262,共3页Journal of Medical Pest Control
摘 要:目的了解云南省湄公河流域瑞丽市疟疾传播过程中各项危险因素,为该地区疟疾控制提供科学性的依据。方法采用分层随机整群抽样,开展居民个案调查,同时采集滤纸血滴。对疟疾患病情况及其危险因素进行logistic回归分析。结果多因素logistic回归分析显示居民的经济情况和住房四周环境情况两个危险因素有统计学意义。结论在云南省瑞丽市制定抗疟措施时,应充分考虑该地区居民经济情况和住房四周环境情况,重点考虑经济情况差和住房四周有蚊孳生地和栖息地的人群。环境治理结合预防服药、现症病人治疗等干预措施将会是十分经济有效的防治措施。Objective This study aims to better understanding of malaria risk factors in order to provide evidences for malaria control measures in Rui li county of Yunnan province.Methods Stratified random cluster was applied to conduct the investigation to collect questionnaire and filter blood spot.Multivariate logistic regression was used to analysis the prevalence and potential risk factors.Results Two risk factors which were economic status and breeding sites nearby houses were identified as significantly risk factors of malaria in these areas.Conclusion Controlling malaria in Rui li county of Yunnan should carefully consider economic status and breeding sites,especially focus on people with lower economic status and breeding sites nearby their houses.Environmental management combining with chemoprophylaxis and case treatment is more cost-effective intervention in Rui Li county.
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