2013年杭州市流动人口急性腹泻相关因素与疾病负担现场调查  

Analysis on risk factors and disease burden of acute diarrhea in floating population in Hangzhou,2013

作　　者：黄利明[1] 刘辉[1] 沈利明[2] 王海英[3] 朱晓霞[1] 盛金芳 陈树昶[1] 王玲莉[1] 

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310021 [2]杭州市西湖区疾病预防控制中心,浙江杭州310013 [3]杭州市余杭区疾病预防控制中心,浙江杭州311100 [4]杭州市富阳区疾病预防控制中心,浙江杭州311400

出　　处：《疾病监测》2016年第1期63-67,共5页Disease Surveillance

基　　金：杭州市科技发展计划项目(No.20120433B09)~~

摘　　要：目的了解流动人口急性腹泻的相关因素并估计疾病负担。方法以杭州市3个区、县的流动人口聚集地作为调查点,于2013年的3、6、9、12月开展急性腹泻的回顾性调查。结果共调查1813人,4周患病率为4.03%,发病密度为0.54次/人年。原籍居住地在农村的流动人口4周患病率为4.36%、城市为0.33%,两者差异有统计学意义(χ2=4.53,P=0.033)。logistic回归分析表明原籍居住地性质、年龄、教育程度是急性腹泻发病的影响因素。共有28.76%(21/73)具有相关症状体征者至医院及诊所就诊,报告因病休息平均0.4 d/人次,疾病相关费用58.22元/人次。结论杭州市流动人口中原籍农村者和10岁以下儿童急性腹泻患病率较高,应引起关注。Objective To understand the risk factors and disease burden of acute diarrhea among the floating population in Hangzhou. Methods A retrospective investigation on acute diarrhea incidence was conducted in floating population in 3districts in Hangzhou in March,June,September and December,2013. Results A total of 1813 subjects were included in the study. The four-week incidence was 4. 03% and the incidence density was 0. 54 time / person-year. The four-week incidence in floating population from rural area（ 4. 36%） was higher than that in those from urban area（ 0. 33%）（ χ2= 4. 53,P = 0. 033）. The results of logistic regression analysis indicated that original living area,age and educational level were related factors affecting the incidence of acute diarrhea. Among 73 diarrhea cases,21（ 28. 76%） once sought medical care. The average work time loss was 0. 4 day and average medical care cost was 58. 22 yuan. Conclusion The incidence of acute diarrhea were high in floating population from rural area and in children aged 〈 10 years,to which close attention should be paid.

关 键 词：疾病负担 流动人口 腹泻 监测 

分 类 号：R574.62[医药卫生—消化系统]