长江中游湖沼型地区血吸虫病流行影响因素分析  

Risk factors of schistosomiasis transmission in marshland and lake regions in midstream of Yangtze River

作　　者：徐俊芳[1] 许静[1] 杨国静[2] 贾铁武[1] 李石柱[1] 刘琴[1] 周晓农[1] 

机构地区：[1]中国疾病预防控制中心寄生虫病预防控制所,世界卫生组织疟疾、血吸虫病和丝虫病合作中心,卫生部寄生虫病原与媒介生物重点实验室,上海200025 [2]江苏省血吸虫病防治研究所

出　　处：《中国血吸虫病防治杂志》2011年第6期634-641,共8页Chinese Journal of Schistosomiasis Control

基　　金：国家重大科技专项(2008ZX10004-011);国家“十一五”科技支撑计划(2007BAC03A02);上海市优秀学术带头人计划(11XD1405400)

摘　　要：目的研究湖沼型流行区血吸虫病的家庭和个人行为影响因素,为血防工作提供参考。方法采用分层整群随机抽样的方法抽取6个村,开展问卷调查的同时对调查对象采用间接血凝试验进行血吸虫病血清学检测。应用多因素Lo?gistic回归分析血吸虫病血清学结果与相关变量的关系。结果共调查1247户2339人。Logitic回归模型拟合较好(R2=0.5984),模型提示不同流行程度的村、家庭经济状况、村民年龄、文化程度及血吸虫感染史与日本血吸虫病抗体阳性率有回归关系。结论为有效控制血吸虫病疫情,应结合当地经济发展,针对不同流行区、不同防治人群采取适宜的防治措施。Objective To study the risk factors of schistosomiasis related to household economic condition and individual behavior in marshland and lake regions, so as to provide evidences for schistosomiasis control. Methods Six villages were sampled with the stratified cluster sampling method, 2 339 villagers from 1 247 households were surveyed by a questionnaire and meanwhile their sera were assayed for schistosomiasis by IHA. The Logistic regression was used to analyze the relationship between the results of serological examinations and risk factors. Results The Logistic regression model fitted well （R^2=0.598 4） and it indicated that there existed a regressive relationship between the antibody positive rate and the endemic situation of village, family economic status, age, education level and infection history of schistosomiasis. Conclusion Suitable measures should be made in according to the local economic situation, endemic type and population to control the transmission of schistosomiasis effectively.

关 键 词：日本血吸虫病 影响因素 社会因素 湖沼型 

分 类 号：R532.21[医药卫生—内科学]