2015年浙江某县台风期间农村居民患病及其影响因素  

Prevalence and influencing factors during typhoon period among rural residents in a county of Zhejiang in 2015

作　　者：任慈 张文超 王伟[2] 林君芬[3] 尚晓鹏[3] 马伟 REN Ci;ZHANG Wen-chao;WANG Wei;LIN Jun-fen;SHANG Xiao-peng;MA Wei(Department of Epidemiology,School of Public Health,Shandong University,Ji^nan,Shandong 250012,China;不详)

机构地区：[1]山东大学公共卫生学院流行病学系,山东济南250012 [2]浙江省疾病预防控制中心结核病预防控制所 [3]浙江省疾病预防控制中心公共卫生监测与业务指导所 [4]山东大学气候变化与健康研究中心

出　　处：《环境与健康杂志》2019年第9期802-806,共5页Journal of Environment and Health

基　　金：国家重大科学研究计划(973计划)项目(2012CB955500-95502)。

摘　　要：目的对2015年7月台风"灿鸿"登陆地浙江省某县地区进行调查,分析本次台风期间农村居民患病情况及其影响因素。方法于2015年7月21日,在超级台风"灿鸿"登陆10 d后,采用整群抽样的方法,抽取浙江省某县内来自337个家庭的659名居民进行问卷调查。采用描述性研究与1∶3配对病例对照研究的方法,采用拟合条件logistic回归模型探讨疾病与其影响因素之间的关系。结果调查对象中腹泻患病率最高,为3.8%。条件logistic回归分析结果表明,经常食用凉菜(OR=4.01,95%CI:1.15~13.99)、接触疫水(OR=5.63,95%CI:1.45~21.86)与住所周围有散落的垃圾(OR=3.05,95%CI:1.01~9.28)是腹泻的危险因素。结论腹泻是本次台风期间的主要疾病,加强饮食卫生方面的宣传教育,做好疫水管理与垃圾回收处理工作是当地台风过后预防腹泻的重点。Objective To explore the prevalence of diseases related to typhoon Chan-Hom among rural residents in a county of Zhejiang province in July,and to analyze its influencing factors in order to provide data for making the scientific and effective strategy.Methods A cross sectional study was conducted on July 21,2015,10 days after Chan-Hom landed.Cluster sampling method was used to select study subjects.Information was collected from 659 participants of 337 families using a structured questionnaire.Descriptive study and 1∶3 matched case-control study was used in this survey.The relationship between sensitive diseases and risk factors was analyzed with conditional logistic regression analysis.Results The prevalence of diarrhea was3.8%,higher than other diseases.Conditional logistic regression showed that the occurrence of diarrhea was related to eating cold dishes(OR=4.01,95%CI:1.15-13.99),contacting infected water(OR=5.63,95%CI:1.45-21.86)and existence of garbage around the accommodation(OR=3.05,95%CI:1.01-9.28).Conclusion Diarrhea is the major disease during typhoon period.Diet education,infected water management and garbage collection should be reinforced in preventing diarrhea during the typhoon period.

关 键 词：台风 腹泻 行为 农村居民 

分 类 号：R181.3[医药卫生—流行病学]