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安徽省土源性线虫病流行特征及相关因素分析 被引量:22

Distribution and risk factors of soil-transmitted nematode diseases in Anhui Province
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摘要 目的掌握安徽省土源性线虫病流行特征,分析其易感因素。方法分层整群抽取48个调查点,每个调查点调查人数不少于250人,改良加藤厚涂片法检查蛔虫、鞭虫和钩虫虫卵;透明胶纸肛拭法检查12岁以下儿童蛲虫卵;行为因素采用问卷方式进行调查;使用χ~2检验和条件Logistic回归分析对土源性线虫感染的影响因素进行筛选。结果人群总体感染率为2. 41%,以钩虫感染为主。性别、年龄、职业、生活地区、人均收入及使用新鲜粪便施肥等因素与土源性线虫感染有关。结论我省人群土源性线虫感染率已大幅下降。老人、农民、家庭妇女和低收入人群是土源性线虫病易感人群,粪便无害化处理是降低农村人群感染率有效措施。 Objective To understand the distribution and risk factors of soil-transmitted nematode diseases in Anhui province. Methods A total of 48 pilotsin Anhui province were selected by stratified cluster random sampling. The number of people investigated in every pilot must be more than 250. Modified Kato-Katz thick smear was applied to examine eggs of trichuristrichiura and hookworms. Presence of the eggs of enterobiusvermicularis among children below 12 years old were examined by adhesive-tape technique. Behavior factors were investigated by questionnaire. Chi-square test and condi- tioned Logistic regression analysis were used to explore the risk factors of soil-transmitted nematode diseases. Results The total infection rate of soil-transmitted nematode diseases was 2.41%, among which the most common one was Hookworm in- fection. Sex, age, occupation, living area, average income and fertilizing fresh excreta on farmland were associated with soil-transmitted nematode diseases. Conclusions The infection rate of soil-transmitted nematode diseases decreased greatly in Anhui province. Old people, farmers, housewives and low-income people were in high risk. Night soil hazard-free treatment is an effective strategy to decrease the infection rate.
作者 金伟 郭见多 张世清 刘道华 朱磊 汪敏 汪天平 JIN Wei;GUO Jian-duo;ZHANG Shi-qing;LIU Dao-hua;ZHU Lei;WANG Min;WANG Tian-ping(Department of Parasitic Diseases,Anhui Provincial Institute of Schistosomiasis,Hefei 230061,China)
出处 《中华疾病控制杂志》 CAS CSCD 北大核心 2018年第10期1041-1045,共5页 Chinese Journal of Disease Control & Prevention
基金 安徽省科技攻关计划项目(1604a0802076) 安徽省重点研究与开发计划项目(1704a0802155)
关键词 安徽省 土源性线虫病 分布 危险因素 Anhui province Soil-transmitted nematode diseases Distribution Risk factors
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