广东省流动人口血吸虫病分布与潜在传播危险因素  

Investigation on the distribution and the potential risk factor for spreading of schistosomiasis in the fluid population of Guangdong province

作　　者：黄少玉[1] 林荣幸[1] 张启明[1] 张贤昌[1] 李建中[2] 邓卓晖[1] 王金龙[1] 吴景赠[2] 

机构地区：[1]广东省疾病预防控制中心,广州510300 [2]广东省卫生厅

出　　处：《中国人兽共患病学报》2009年第2期194-197,共4页Chinese Journal of Zoonoses

基　　金：广东省科技计划项目(2004B33701009)

摘　　要：目的了解广东省流动人口血吸虫感染、分布及其血防KABP的状况,为制定血吸虫病监测技术方案提供科学依据。方法2005年6月-2007年12月,全省按地理、经济分层随机抽取22个县(市、区)作为调查点;采用分层整群抽样调查流动人口分布情况,来自疫区的血吸虫病感染情况及血防KABP;用血清检查初筛、病原检查确诊,KABP问卷调查;分析流动人口的分布、血吸虫病感染率、血防知识知晓率等。结果22个县(市、区)共调查统计流动人口数6360505人,主要是分布在农村地区和城乡结合部,占82%。来自疫区的占流动人口的19.49%(24777/127122),其血吸虫抗体阳性率为1.74%(228/13076),患病率为0.38%(50/13076),确诊率为0.05%(6/13076)。血防知识知晓率为42.32%(2982/7047)、血防态度、信念正确率分别为79.09%(5571/7047)、2.24%(158/7047)、血防正确行为的形成率为45.55%(3210/7047)。结论在广东省的流动人口中有数以万计的血吸虫病患者,且大部是居住在粤中水网地带的农村地区或城乡结合部,而当前广东省流动人口的血防KABP是消极因素占主导地位,因此将对当地血防成果的巩固形成较大的威胁。To understand the distribution as well as state of knowledge, attitude, believe and practice （KABP） of schis- tosomiasis in the fluid population of Guangdong province for the sake of offering the scientific basis to make technical strategy of monitoring schistsomiasis from June 2005 to December 2007, 22 counties, cities and districts were selected and used as the sur- veying places according to the different levels of the geographic and economic conditions in province. The stratified cluster sam- pling method was adopted to survey the distribution of the fluid population, the state of the infection with schistsomiasis and the condition of KABP. Also,these conditions were further examined by serological screening at the first time, etiological ex- amination for confirmation and questionnaire of KABP. All these procedures of investigation would provide information on the distribution of the fluid population, rate of infection with schistosomiasis and the knowledge of schistosomiasis control. Total- ly, the number of the fluid population in these 22 counties, cities and districts was 6 360 505 mainly distributed in rural area and the urban-rural intersections accounting to 82%. In the fluid population, 19.49% （24 777/127 122） coming from the infected area, the positive rate of antibodies against schistosoma was 1.74% （228/13 076） ; rate of infection with schstosomiasis was 0.38% （50/13 076）, rate of accuracy of diagnosis was 0.05% （6/13 076）, rate of awareness on knowledge of schistoso- miasis was 42.32% （2 982/7 047）. The rates of accuracy on attitude and believe of schistosomiasis was 79.09% （5571/7047） and 2.24% （158/7 047） respectively and rate of formation of the correct practice on schistomiasis was 45.55% （3 210/7 047）, From the above observations, it is apparent that over ten thousand cases of schistosomiasis are found in the fluid populations, of which most of them live in the rural area and urbamrural intersections of the water-web area in the central part of Guangdong

关 键 词：血吸虫病 外来人口 传播 

分 类 号：R383[医药卫生—医学寄生虫学]