改水改厕典型地区腹泻疾病负担研究

发布时间：2018-10-18 09:02

【摘要】：目的了解农村改水改厕、仅改水、仅改厕、未改水未改厕地区人群的腹泻疾病负担。方法分别于2009年7月和9月,采用多阶段分层随机抽取四川省丹棱县改水改厕、仅改水、仅改厕、未改水未改厕四个类型村,调查人群腹泻的发病情况,并用伤残调整寿命年(DALY)表示疾病负担。结果本研究共调查11 256人次,改水改厕村、仅改水村、仅改厕村和未改水未改厕村的腹泻年发病率分别为0.26、0.30、0.41、1.42次/(人·年)。与改水改厕人群比较,改水、改厕和未改水未改厕村人群腹泻的OR值分别为1.15(95%CI:0.99~1.35)、1.58(95%CI:1.36~1.83)、5.45(95%CI:4.78~6.21)。调查人群腹泻的疾病负担为0.263 8 DALYs/千人。改水改厕类型村的人群为0.163 6 DALYs/千人,仅改水村、仅改厕村和未改水未改厕村的疾病负担依次增高,分别为0.175 1、0.190 4、0.431 9 DALYs/千人。结论改水改厕可减少腹泻发生,减少疾病负担。
[Abstract]:Objective to understand the burden of diarrhea disease in the population in rural areas where water was changed, only water was changed, toilet was changed only, and no water was changed. Methods in July and September, 2009, four types of villages were randomly selected from Danling County, Sichuan Province to change water to toilet, only to change water, only to change toilet and not to change water to toilet. The incidence of diarrhea was investigated. (DALY) was used to express the burden of disease. Results in this study, 11 256 person-times were investigated. The annual incidence of diarrhea in the village of changing water to toilet, only changing the toilet and not changing the toilet was 0.26 / 0.300.41 / 1.42 times / person year, respectively. The OR values of diarrhea were 1. 15 (95%CI:0.99~1.35), 1. 58 (95%CI:1.36~1.83) and 5. 45 (95%CI:4.78~6.21) respectively. The disease burden of diarrhea was 0.263 8 DALYs/. The population of the village of changing water and changing toilet type was 0.163 6 DALYs/, and the burden of disease in only changed village, only changed toilet village and unmodified latrine village was 0.175 1 / 0.190 4 / 0.431 9 DALYs/, respectively. Conclusion changing water and toilet can reduce the incidence of diarrhea and reduce the burden of disease.
【作者单位】：中国疾病预防控制中心农村改水技术指导中心;
【分类号】：R181.3

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