云南高原山区血吸虫病流行区居民接触水体和劳动行为研究

发布时间：2018-01-15 19:01

本文关键词：云南高原山区血吸虫病流行区居民接触水体和劳动行为研究　出处：《中国血吸虫病防治杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的掌握云南高原山区血吸虫病流行区居民接触水体和参加劳动情况,为制定防治措施提供科学依据。方法选择云南省鹤庆县金墩乡高原峡谷型血吸虫病流行区西甸和磨光2个行政村作为调查试区,对6~65岁居民采用随机抽样的方法开展问卷调查,了解居民是否接触水体、接触水体原因、参加劳动情况。问卷后,对调查对象采用间接血凝试验(IHA)进行检查,了解其血吸虫感染情况。结果接触过水体和没有接触过水体的人数占调查总人数的比例分别为88.35%和11.65%,灌溉和游泳玩耍是居民接触水体的主要原因。因游泳玩耍、洗澡、灌溉、洗手和其他原因接触水体的居民中有血吸虫病病史的人数比例分别为1.16%、0、30.80%、3.85%、0,差异有统计学意义(χ2=38.96,P0.01);因上述原因接触水体的居民中本次IHA阳性的居民比例分别为18.60%、0、37.60%、23.08%、0,差异有统计学意义(χ2=12.61,P0.05)。居民中没有参加劳动、每周劳动5次、每周劳动≥5次、没有回答人数占调查人数的比例分别为39.81%、16.50%、43.20%、0.49%,有血吸虫病病史的人数比例分别为13.41%、19.12%、31.46%、0,差异有统计学意义(χ2=17.17,P0.01);IHA阳性的人数比例分别为19.51%、38.24%、35.96%、50.00%,差异亦有统计学意义(χ2=14.21,P0.01)。结论生产性劳动是血吸虫感染的主要途径,改变人们的接触水体行为和劳动方式对有效控制血吸虫病传播有重要意义。
[Abstract]:Objective to understand the situation of water exposure and labor of residents in schistosomiasis endemic areas in mountainous areas of Yunnan Plateau. Methods two administrative villages, Xidian and Gouguang administrative villages, were selected to investigate schistosomiasis in Jindun County, Heqing County, Yunnan Province. A random sampling survey was conducted to investigate whether the residents were in contact with the water body, the reasons for contact with the water body, and to participate in the labor situation. Indirect hemagglutination test (IHA) was used to examine the subjects. Results the proportion of people who had been exposed to water and who had not been exposed to water was 88.35% and 11.65%, respectively. Irrigation and swimming play were the main causes of water exposure. The proportion of people who had history of schistosomiasis was 1.16% among the residents who had a history of schistosomiasis because of swimming, bathing, irrigation, hand washing and other reasons. The difference was statistically significant (蠂 2, 38.96, P 0.01). For the above reasons, the proportion of residents exposed to the water body was 18.600.37.60% and 23.08% respectively. The difference was statistically significant (蠂 2, 12.61, P 0.05). The residents did not take part in labor, 5 times a week, and more than 5 times a week. The proportion of unanswered persons to the number of people surveyed was 39.81 and 16.500.49, and the proportion of those with history of schistosomiasis was 13.41%. The difference was statistically significant (蠂 2, 17.17, P 0.01). The proportion of IHA positive was 19.51 / 38.24 / 35.960.The difference was also statistically significant (蠂 ~ 2 / 14. 21). Conclusion productive work is the main way of schistosomiasis infection. It is important to change people's contact behavior and working mode to control schistosomiasis transmission effectively.
【作者单位】：云南省鹤庆县血吸虫病防治站;云南省大理白族自治州血吸虫病防治研究所;
【基金】：云南省大理州科学技术计划项目(2060402)
【分类号】：R532.21
【正文快照】： 血吸虫病主要由人类的不当行为所引起,主要的是用水习惯和随处大小便[1],安全供水是预防血吸虫感染的重要措施之一[2],如果能提供清洁的饮水及简单的洗衣、洗澡设施,人群感染血吸虫的危险性将大为减少[3]。为了解和掌握云南高原山区血吸虫病流行区居民接触水体和参加劳动情况,

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