晚期血吸虫病社会负担研究  

Study on social burden caused by advanced schistosomiasis

作　　者：邓瑶[1] 贾铁武[2] 何未龙 欧阳善文 贺世豪 周晓农[2] 

机构地区：[1]江苏省血吸虫病防治研究所,无锡214064 [2]中国疾病预防控制中心寄生虫病预防控制所 [3]湖南省汉寿县疾病预防控制中心 [4]湖北省江陵县疾病预防控制中心

出　　处：《中国血吸虫病防治杂志》2009年第2期107-110,共4页Chinese Journal of Schistosomiasis Control

基　　金：WHO/TDR小额资助项目(MVP/CHN/08/01)~~

摘　　要：目的调查晚期血吸虫病(晚血)的社会负担,为晚血防治及救助政策的制定提供科学依据。方法在湖南省汉寿县有现症晚血患者分布的村及湖北省江陵县20%的村,对患者、村民、村干部进行问卷调查;对县一级晚血负责人员进行深度访谈。结果现场调查中,66.1%的村干部认为晚血对村人均收入存在不同程度的影响;56.2%的村干部认为晚血对本村劳动就业有不同程度的影响;26.1%的村民认为晚血对自身心理会产生不同程度的影响;80%以上的村民及村干部均认为晚血对本村社会安定各方面无影响。患者当年接受晚血救助的金额平均每人约4 100元;晚血救助各方面满意度均>85%;除现有救助外,77%的患者仍然存在某些亟待解决的需求。深度访谈结果显示晚血对当地社会各个方面存在一定影响。结论晚血对当地社会经济、政府形象及大众心理等方面均存在一定影响,减轻该负担应依靠当地政府对防治工作的重视、依靠防治工作的有效开展和依靠晚血救助政策的不断完善与有效实施。Objective To study the social burden caused by advanced schistosomiasis so as to provide the evidence for control and assistance approach of the disease in China. Methods All villages with registered advanced schistosomiasis patients in Hanshou County, Hunan Province and 20% of villages of Jiangling County, Hubei Province randomly sampled were selected as investigation sites. The patients, villagers and village cadres were investigated by questionnaire, and the persons in charge of advanced schistosomiasis at the county level were surveyed by in-depth interview. Results In the questionnaire survey, 66.1% of the village cadres thought advanced schistosomiasis influenced the per capital income of the village in varying degrees, and 56.2% of them believed that the disease had some impact on employment in the village. Above 80% of the villagers and village cadres considered advanced schistosomiasis had little influence on social security, and 26.1% of the villagers said advanced schistosomiasis had certain effect on their psychological states. As to the assistance strategy, the average amount of the money that each patient obtained from the assistance was 4 100 Yuan in 2007, and the satisfaction degree in all sides were above 85%. Nevertheless, 77% of the patients in the survey still had certain aspects of demands that were urgent to be solved besides the assistance at present. The result from the in-depth interviews showed the disease affected the local society in all the respects mentioned above. Conclusions Advanced schistosomiasis has certain impact on the local society. To reduce the social burden mostly depends on the concerns from the government and the effective performance of the control programme as well as the appropriate improvement and implementation of the assistance approaches.

关 键 词：晚期血吸虫病 社会负担 问卷调查 深度访谈 

分 类 号：R532.21[医药卫生—内科学]