热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (3): 146-150.

• 论著 • 上一篇    下一篇

2015—2019 年云南省常见肠道寄生虫病疾病负担研究

江淑娜1,吴方伟2,李奔福2,严信留2,李建雄2,蔡璇2,彭佳2,王正青2,字金荣2,徐倩2,杨亚明2   

  1. 1. 昆明医科大学公共卫生学院预防医学实验中心；2. 云南省寄生虫病防治所,云南省虫媒传染病防控研究重点实验室,云南省疟疾研究中心
  • 出版日期:2021-06-20 发布日期:2021-07-13
  • 通信作者: 杨亚明,E-mail:yangymsm@126.com
  • 作者简介:江淑娜,女,硕士在读,研究方向:寄生虫病防治。E-mail:jiangshuna@139.com
  • 基金资助:
    国家自然科学基金项目(81660560)

Disease burden of common intestinal parasitic diseases in Yunnan Province from 2015 to 2019

JIANG Shu-na1,WU Fang-wei2,LI Ben-fu2,YAN Xin-liu2,LI Jian-xiong2,CAI Xuan2,PENG Jia2,WANG Zheng-qing2,ZI Jin-rong2,XU Qian2,YANG Ya-ming2   

  1. 1. Department of Experimental Preventive Medicine,School of Public Health,Kunming Medical University；2. Yunnan Institute of Parasitic Diseases,Yunnan Key Laboratory for Prevention and Control of Insect Borne Infectious Diseases,Yunnan Malaria Research Center

  • Online:2021-06-20 Published:2021-07-13
  • Contact: YANG Ya-ming,E-mail:yangymsm@126.com

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摘要：

目的　评估2015—2019 年云南省常见肠道寄生虫病的疾病负担,为优化资源配置和开展防治工作提供科学依据。方法　依据云南省寄生虫病防治所的监测数据,计算2015—2019 年云南省常见肠道寄生虫感染率和性别标化感染率,使用伤残调整寿命年(Disability-adjusted life years,DALYs)估算疾病负担。结果　2015—2019 年云南省常见肠道寄生虫感染率为10. 47%,感染虫种包括钩虫、蛔虫以及鞭虫,感染率分别为3. 98%、3. 00%和3. 49%。男性常见肠道寄生虫感染率为9. 83%,女性感染率为11. 07%,不同性别间感染率差异有统计学意义(χ 2 =26. 889,P<0. 05)。2015—2019 年,云南省常见肠道寄生虫、钩虫、蛔虫和鞭虫的感染率均呈下降趋势(χ 2 = 1903. 447、460. 915、754. 366 和790. 847,P 均<0. 05),常见肠道寄生虫性别标化感染率同样呈下降趋势(rs =-1,P<0. 05),由24. 99%下降至5. 71%,下降的幅度逐年减小。 2015—2019 年,云南省常见肠道寄生虫病年均DALYs 为11. 483人·年,其中男性年均DALYs 为5. 249 人·年,女性年均DALYs 为6. 234 人·年。2016 年常见肠道寄生虫病的DALYs最高,为17. 218 人·年;2015—2019 年云南省常见肠道寄生虫病、钩虫病、蛔虫病和鞭虫病的DALYs 率呈下降趋势(rs =-1、-0. 9、-0. 9、-1,P 均<0. 05)。5~14 岁儿童常见肠道寄生虫病的DALYs 率最高,为8. 456 人·年/ 千人。结论　云南省常见肠道寄生虫病的疾病负担呈逐年下降趋势,但还需要加强对儿童等重点人群的防控,进一步降低常见肠道寄生虫病的疾病负担。

关键词: 肠道寄生虫病, 疾病负担, 云南省

Abstract:

Objective　To estimate the disease burden of common intestinal parasitic infection in Yunnan Province from 2015 to 2019 for evidence to optimize allocation of resources in prevention and control of this prevalence. Methods　Common intestinal parasitic infection and gender standardized infection rates from 2015 to 2019 as well as the disease burden were computed using the formula of disability-adjusted life years(DALYs)based on the surveillance data from Yunnan Institute of Parasitic Diseases. Results　Common intestinal parasitic infection rate between 2015 and 2019 was 10. 47%. The parasites involved in the infection consisted of hookworm,roundworm and whipworm,with an infection rate of 3. 98%, 3. 00% and 3. 49%,respectively. Males had lower infection than females(9. 83% vs. 11. 07%),with difference between genders(χ 2 =26. 889,P<0. 05). The common intestinal parasitic infection,including hookworm,roundworm and whipworm, tended to decrease from 2015 to 2019 in Yunnan(χ 2 = 1 903. 447,460. 915,754. 366 and 790. 847,respectively,all P<0. 05). The gender standardized infection rate was also yearly decreased from 24. 99% to 5. 71%( rs =-1,P<0. 05). Common intestinal parasitic infection rate by DALYs was 11. 483 per year,in which DALYs was 5. 249 per year for males,and 6. 234 per year for females between 2015 and 2019. DALYs was the highest in 2016,with 17. 218 per year. The rate for DALYs by common intestinal parasitic infection,including hookworm,roundworm and whipworm,tended to decrease (rs =-1,-0. 9,-0. 9 and-1,all P<0. 05),yet varied among different age groups,with the highest rate of DALYs in population aged between 5 and 14 years(8. 546 per 1 000 population). Conclusion　Although the burden of common intestinal parasite diseases in Yunnan Province is decreasing annually,yet it is still necessary to strengthen the prevention and control in children in order to further reduce the disease burden of common intestinal parasites.

Key words: Intestinal parasites diseases, Disease burden, Yunnan Province

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