Abstract: Objective Objective To study the prevalence of tick bites and relative factors of outpatients with fever from health care fa? cilities in Tengchong County. Methods Methods From July to August，2014，the outpatients with fever in five health care facilities namely Tengchong Center for Disease Control and Prevention，Hehua Health Center，Jietou Health Center，Qushi Health Cen? ter and Xinhua Health Center were investigated by questionnaires. The factors related to tick bites were explored with the univari? ate analysis and multiple regression models. Results Results Totally 884 effect questionnaires were acquired. Among the 884 partici? pants，85（9.6%）had experienced tick bites. The frequency of tick bites was associated with locations，gender，age group，own? ership of cattle，working at foreign country，firewood cutting and lumbering in the forest（all P < 0.05） . The multiple regression revealed that the male and people raising cattle，working at foreign country，engaging in firewood cutting and lumbering in the forest had a more risk for tick bites. Conclusions Conclusions Tick bites are common in the residents of Tengchong County. The risk of be? ing bitten varies in different populations. The local health departments should promote health education in the high?risk popula? tion to reduce the risk of infecting tick?borne diseases.

Key words: Tick bites, Influencing factor, Outpatients with fever, Tengchong County

摘要： 目的 目的 了解腾冲县医疗机构发热病人蜱虫叮咬情况及相关影响因素。方法 方法 选择2014年7-8月在腾冲县疾病 预防控制中心、 荷花卫生院、 界头卫生院、 曲石卫生院和新华卫生院5家医疗机构门诊就诊的发热病人为调查对象， 对调 查对象进行问卷调查， 了解其一般情况及蜱虫叮咬史等信息。采用单因素分析及多因素Logistic回归分析对蜱虫叮咬的 影响因素进行分析。结果 结果 共回收884份有效问卷。884名调查对象中， 85人 （9.6%） 报告有蜱虫叮咬史。单因素分析表 明， 蜱虫叮咬史与性别、 年龄、 家中是否养牛、 境外务工史、 进山砍柴史和进山伐木史等因素有关 （P均＜0.05）； 多因素Lo? gistic回归分析表明， 男性、 家中养牛以及有境外务工史、 进山砍柴和伐木史者蜱虫叮咬风险更高。结论 结论 部分腾冲县居 民存在蜱虫叮咬风险， 蜱虫叮咬风险在不同特征的人群中存在差异。相关疾控部门应加强对高危人群的健康教育， 以减 少人群感染蜱传疾病的风险。

关键词: 蜱叮咬, 影响因素, 发热病人, 腾冲县