山东省麻风病人家庭聚集性分析  

Analysis on family aggregation of leprosy in Shandong Province

作　　者：刘殿昌[1] 初同胜[1] 张林[1] 于秀路[1] 陈树民[1] 张福仁[1] 

机构地区：[1]山东省皮肤病性病防治研究所,济南250022

出　　处：《中国麻风皮肤病杂志》2013年第10期631-633,共3页China Journal of Leprosy and Skin Diseases

摘　　要：目的:确定山东省麻风病人家庭聚集性的特征,为制定麻风早期发现策略提供参考。方法:采用统一调查问卷对山东省2008年前确诊的麻风治愈存活者及现症病人进行访谈,统计分析其一级亲属和配偶中麻风发病情况。结果:在9447例先证者中,2339例(24.8%)有明确接触史,其中1117例(11.8%)有家庭内接触史。一级亲属中麻风总发现率为1.13%,父母、同胞、子女的发现率分别为1.89%、1.49%和0.38%。父亲中发现率高于母亲(OR=2.106,95%CI=1.684-2.633),兄弟中发现率高于姐妹(OR=2.170,95%CI=1.759-2.678),儿子中发现率高于女儿(OR=2.267,95%CI=1.587-3.239)。结论:麻风发病具有明显家庭聚集性,有必要对家庭内接触者加强健康教育,提高其警觉意识,早期发现病人。Objective： To determine the characteristics of family aggregation of leprosy patients in Shan dong Province, in order to provide information on early detection of leprosy. Methods ： All the persons affected by leprosy registered in Shandong Province by the end of 2008 were interviewed by leprosy control staffs with an interviewer-administrated questionnaire. The prevalence of leprosy among their first degree relatives and spouses were collected and analyzed. Results： Among 9447 index cases, 2339 （24.8%） persons reported a definite history of contact with leprosy patients. Out of these 9447 index cases 1117（ 11.8% ） persons reported a history of household contact. The detection rate of leprosy in the first degree relatives of persons affected by leprosy was 1.13%,and the detection rates in parents, siblings and children were 1.89%, 1.49% and 0.38%, respectively. The detection rate was higher in fathers than in mothers （OR = 2.106,95% CI = 1.684-2.633 ）, was higher in brothers than in sisters （OR = 2. 170, 95% CI= 1.759-2.678） and higher in sons than in daughters （OR = 2.267,95% CI= 1.587-3.239）. Conclusion： Leprosy patients tend to be in clusters in fami- lies, and it is necessary to strengthen health education among household contacts of the patients and to raise their awareness of leprosy in order to detect patients as early as possible.

关 键 词：麻风 家庭聚集性 家庭内接触 

分 类 号：R755[医药卫生—皮肤病学与性病学]