论文部分内容阅读
目的调查湖南4县市居民华支睾吸虫病知晓情况,并进行知晓率比较及影响因素分析,为湖南省华支睾吸虫病防治策略制定提供参考。方法采用多阶段整群抽样的方法抽取有效调查对象共1 224名,采用问卷调查及面对面访谈的形式进行知晓情况调查,并采用χ~2检验及Logistic回归对知晓率的影响因素进行分析。结果湖南4县市居民知晓率为:永州市15.67%(68/434)、岳阳市9.94%(34/342)、望城县13.25%(31/234)、通道县21.96%(47/214);疾病各方面知识的知晓率为:病原学44.67%(2 734/6 120),临床表现56.44%(3 454/6 120),流行病学特征60.95%(7 460/12 240),个人日常预防42.47%(2 599/6 120);Logistic回归结果显示,影响华支睾吸虫病知晓率的因素有长期就餐地点、家庭中是否有从医人员、对相关新闻报道的关注程度及寄生虫病史。结论湘西南地区华支睾吸虫病知晓率水平较高,但湖南各地区知晓率总体水平不高,应加强有关华支睾吸虫病个人日常预防知识及食品卫生知识的宣教。
Objective To investigate the status of Clonorchis sinensis in 4 counties and cities in Hunan Province and to compare the awareness rates and influencing factors so as to provide reference for the development of Clonorchis sinensis prevention and control strategies in Hunan Province. Methods A total of 1 224 valid respondents were selected by multistage cluster sampling method. Awareness survey was conducted by means of questionnaire survey and face-to-face interview. The influencing factors of awareness rate were analyzed by Chi-square test and Logistic regression. Results The rates of residents in 4 counties and cities in Hunan Province were 15.67% (68/434) in Yongzhou City, 9.94% (34/342) in Yueyang City, 13.25% (31/234) in Wangcheng County and 21.96% (47/214) in Passageway County. The awareness rate of all aspects of disease knowledge was 44.67% (2 734/6 120), clinical manifestations 56.44% (3 454/6 120), epidemiological features 60.95% (7 460/12 240), personal daily prevention 42.47% (2 599/6 120). Logistic regression analysis showed that the factors affecting the rate of awareness of Clonorchis sinensis were long-term eating place, whether there was any medical practitioner in the family, the degree of concern about the news reports and the history of parasites . Conclusion The level of awareness of Clonorchis sinensis is high in the southwestern Hunan Province, but the overall level of awareness is not high in all regions of Hunan. So it is necessary to strengthen the knowledge of daily prevention and diagnosis of Clonorchiasis sinensis.