中国血吸虫病防治杂志 ›› 2015, Vol. 27 ›› Issue (3): 306-.DOI: 10.16250/j.32.1374.2014260

• 防治研究 • 上一篇    下一篇

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

李炳桂1*|陈凤2|李文豹1|杨慧2|段玉春2|王海英2|母亮先1|田淑惠1|李萍1|陈绍荣2|罗家军2   

  1. 1 云南省鹤庆县血吸虫病防治站 (鹤庆 671500); 2 云南省大理白族自治州血吸虫病防治研究所
  • 出版日期:2015-06-16 发布日期:2015-06-16
  • 通讯作者: 李炳桂
  • 作者简介:李炳桂| 男| 主任医师。研究方向: 血吸虫病流行病学
  • 基金资助:
    云南省大理州科学技术计划项目 (2060402)

Research of water contact and labor practice of residents in plateau mountain schistosomiasis endemic areas in Yunnan Province

LI Bing-gui 1* |CHEN Feng2 |LI Wen-bao1 |YANG Hui 2 |DUAN Yu-chun2 |WANG Hai-ying2 |MU Liang-xian1 |TIAN Shu-hui 1 | LI Ping1 | CHEN Shao-rong2 |LUO Jia-jun2   

  1. 1 Heqing Station of Schistosomiasis Control|Yunnan Province|Heqing 675100|China;2 Dali Institute of Schistosomiasis Con? trol|China
  • Online:2015-06-16 Published:2015-06-16
  • Contact: LI Bing?gui

摘要: 目的 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 方 法 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 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, P < 0.01); 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, P < 0.05 ) 。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, P < 0.01); 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, P < 0.01)。结论 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。

关键词: 血吸虫病; 接触水体; 劳动行为; 高原山区; 云南省

Abstract: Objective Objective To understand the status of water contact and labor practice of residents in plateau mountain schisto? somiasis endemic areas in Yunnan Province,so as to provide the evidence for formulating the strategy of prevention and control of schistosomiasis in the next step of work. Methods Methods A total of 412 residents aged 6-65 years old in 2 villages were randomly sampled and investigated with questionnaires for their water contacts and labor practices in plateau valley schistosomiasis endem? ic areas. Then the schistosome infection status of the residents was surveyed with the indirect hemagglutination assay(IHA) . Re Re? ? sults sults Among the 412 residents investigated,the rate of water contact was 88.35%,and the main causes of water contact were watering,and swimming and playing. The percentages of residents who had schistosomiasis history were 1.16%,0.00%, 30.80%,3.85%,and 0 in them who had swimming and playing water?contacts,bathing,watering,washing hands,and others, respectively(χ2 = 38.96,P < 0.01) . The positives of IHA in the above?mentioned residents were 18.60%,0.00%,37.60%, 23.08%,and 0,respectively(χ2 = 12.61,P < 0.05) . Conclusions Conclusions The productive infested water contact is the main way of schistosome infection. Therefore,the changes of labor practices and water contact of the residents are very important for the ef? fective prevention and control of schistosomiasis transmission.

Key words: Schistosomiasis; Water contact; Labor practice; Plateau mountain area; Yunnan Province

中图分类号: