重庆市燃煤污染型地方性氟中毒流行因素分析  

ANALYSIS OF THE EPIDEMIOLOGICAL FACTORS FOR COAL-POLLUTION ENDEMIC FLUOROSIS IN CHONGQING MUNICIPALITY

作　　者：晏维[1] 罗兴建[1] 陈静[1] 谢君[1] 肖邦忠[1] 

机构地区：[1]重庆市疾病预防控制中心,重庆400042

出　　处：《现代预防医学》2009年第16期3006-3008,3011,共4页Modern Preventive Medicine

基　　金：重庆市科委资助地方病预防与控制重大专项(CSTC;2006AB5022)

摘　　要：[目的]了解重庆市燃煤型氟中毒病区各种流行因素如经济收入、文化程度、卫生行为生活习惯等对燃煤型氟中毒的影响,为燃煤型氟中毒防治决策提供科学依据。[方法]采用问卷调查的方式对12个病区村进行入户调查,调查居民的经济收入、文化程度、主食结构、卫生行为、生活习惯、燃料结构、炉灶使用情况等信息,并对这些因素进行单因素R×C关联性分析和多因素Logistic回归分析。[结果]本次共调查8个病区县9个乡镇12个村4512户。4512个户主检出氟斑牙2831人,检出率为62.74%;检出氟骨症257人,检出率为5.70%。单因素统计分析结果显示:户主的年龄(X1)、文化程度(X2)、水缸使用情况(X3)、残留食物存放情况(X4)、厨房卫生情况(X5)、厨房通风情况(X6)、住房结构(X7)、经济收入(X8)、烟道是否出屋(X9)、室内煤烟情况(X10)、燃料种类(X11)、是否食用大米(X12)、是否食用玉米(X13)、是否食用土豆(X14)、是否食用禽肉(X15)、是否食用辣椒(X16)与地氟病流行的关联性都具有统计学意义(r值分别为0.197、0.046、0.094、0.115、0.094、0.047、0.042、0.097、0.110、0.109、0.085、0.052、0.145、0.142、0.030、0.044)。Logistic多因素回归分析结果显示:燃煤型氟中毒流行的主要因素:烟道是否出屋(X9)(OR=2.513,95%CI:1.865～3.387)、燃料种类(X11)(OR=0.561,95%CI:0.413～0.764)、是否食用玉米(X13)(OR=3.500,95%CI:2.585～4.789)。[结论]重庆市燃煤污染型地方性氟中毒的防治应当采取以改炉改灶为主、调整燃料结构、改善饮食结构的综合性防治措施。[Objective] To understand the various economic factors,such as the popular income,education,health habits,on the coal-fired fluorosis in Chongqing municipality,so as to provide scientific basis for preventing and controlling coal-fired fluoride poisoning. [Methods] Questionnaire survey was used to investigate 12 villages with coal-fired fluoride poisoning,including the economic income,education level,staple food structure,health,living habits,fuel structure,the use of stoves and other information. Single factor R × C relevance analysis and the multi-factor Logistic regression analysis were performed in this study. [Results] 4512 cases in 12 villages of eight distriets and nine counties were investigated. Among 4512 people investigated, 2831 people were detected to be dental fluorosis with the rate of 62.74%, and 257 people were detected to be skeletal fluorosis with the rate of 5.70%. Single factor statistical analysis showed that： the head of household age （X1）, education （X2）, water use （X3）, residues in food storage （X4）, kitchen hygiene conditions （X5）, kitchen ventilation （X6）, Housing structure （X7） , income （X8） , whether the flue to housing （X9） , indoor smoke conditions （X10） , types of fuel （X11）, the consumption of rice （X12）, the consumption of maize （X13）, whether or not Consumption of potatoes （X14）, the consumption of poultry meat （X15）, and the consumption of hot pepper （X16） had significantly association with the endemic fluorosis （r values were 0.197 , 0.046, 0.094, 0.115, 0.094, 0.047, 0.042, 0.097, 0.110, 0.109, 0.085, 0.052, 0.145, 0.142, 0.030 and 0.044, respectively）. Logistic multiple regression analysis showed the main factors influenced the coal-fired fluorosis including whether a flue housing （X9）（OR=2.513, 95%CI： 1.865-3.387）, types of fuel （X11）（OR=0.561, 95%CI： 0.413-0.764）, and the consumption of maize （X13）（OR=3.500, 95%CI： 2.585-4.789）. [Conclusion] To adjust fuel structure, chang

关 键 词：燃煤污染型 地方性氟中毒 流行因素 

分 类 号：R595[医药卫生—内科学]