消除血吸虫病关键因素指标体系的建立

发布时间：2019-07-16 06:24

【摘要】：目的建立消除血吸虫病的关键因素指标体系,为制定监测和控制方案、最终在山区阻断血吸虫病传播提供可靠依据。方法采用文献查阅法设计调查问卷,选择24位从事血吸虫病防治、科研和管理的专家进行德尔菲法调查,对消除血吸虫病相关因素的重要性进行评分,建立消除血吸虫病关键因素指标体系并计算体系中各指标的归一化权重和组合权重。结果经过2轮调查,确立了包括3个一级指标、7个二级指标和13个三级指标的消除血吸虫病关键指标体系。疫情、自然环境和社会环境等3个一级指标的归一化权重分别为0.371 1、0.339 5、0.289 4。二级指标中,经济的组合权重最高,为0.289 4;农业生产和卫生设施组合权重最低,均为0.112 7。三级指标中,家畜感染率组合权重最高,为0.124 6,种植结构组合权重最低,为0.053 0。结论消除血吸虫病关键因素指标体系的建立对明确消除血吸虫病阶段监测工作的方向和重点具有指导意义。
[Abstract]:Objective to establish the index system of key factors to eliminate schistosomiasis, and to provide reliable basis for making monitoring and control plan and finally blocking the transmission of schistosomiasis in mountainous areas. Methods A questionnaire was designed by literature review method. 24 experts engaged in schistosomiasis control, scientific research and management were investigated by Delphi method. The importance of related factors of schistosomiasis elimination was evaluated, the index system of key factors of schistosomiasis elimination was established, and the normalization weight and combination weight of each index in the system were calculated. Results after two rounds of investigation, the key index system of schistosomiasis elimination was established, which included 3 first-class indicators, 7 second-order indicators and 13 third-level indicators. The normalization weights of the three first-level indexes, such as epidemic situation, natural environment and social environment, were 0.371, 0.339 5 and 0.289 4, respectively. Among the secondary indexes, the combined weight of economy is the highest, which is 0.289 4, and that of agricultural production and sanitation facilities is the lowest, which is 0.112 7. Among the three indexes, the combined weight of livestock infection rate was the highest (0.124), and the weight of planting structure combination was the lowest (0.053). Conclusion the establishment of index system of key factors to eliminate schistosomiasis is of guiding significance for defining the direction and focus of surveillance at the stage of schistosomiasis elimination.
【作者单位】：四川省疾病预防控制中心;
【基金】：国家科技支撑计划重点项目(2009BA178B06)
【分类号】：R532.21

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