热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (3): 151-154.

• 论著 • 上一篇    下一篇

2017—2020 年河源市人群华支睾吸虫感染情况与知信行调查分析

龚丽芬1,刘翠娟1,叶丽群2,魏惠平1   

  1. 1. 河源市疾病预防控制中心 2. 源城区疾病预防控制中心
  • 出版日期:2021-06-20 发布日期:2021-07-13
  • 作者简介:龚丽芬,女,本科,副主任医师,研究方向:寄生虫病防控、艾滋病防控工作。E-mail:529923759@qq.com

Investigation and analysis on the infection status of Clonorchis sinensis and its related knowledge-attitude-practice in population#br# in Heyuan City from 2017 to 2020

GONG Li-fen1,LIU Cui-juan1 ,YE Li-qun2 ,WEI Hui-ping1   

  1. 1. Heyuan Center for Disease Control and Prevention；2. Yuancheng District Center for Disease Control and Prevention
  • Online:2021-06-20 Published:2021-07-13

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摘要：

目的　了解河源市华支睾吸虫病流行特征及华支睾吸虫病知识、行为与态度,为制定针对性的干预策略提供有效依据。方法　2017—2020 年在河源市每年选取1~2 个县区作为监测点,采用改良加藤厚涂片法轮流开展人群华支睾吸虫感染情况调查,同时开展知信行问卷调查,并对调查结果进行描述性分析。结果　全市共调查6 430人,检出阳性330 人,感染率为5. 13%,其中龙川县感染率最高,为30. 40%;男性感染率高于女性,40~49 岁年龄组感染率最高(12. 35%);感染率居前三的学历分别为高中、中专(或中技)和大专;感染率居前三的职业分别为离退休人员(22. 92%)、餐饮食品业(20. 88%)、服务业(19. 62%)。问卷调查共774 人,华支睾吸虫知信行合计回答正确率56. 12%;知识正确率龙川县最高(87. 00%),行为正确率(30. 00%)和态度正确率(65. 67%)龙川县最低;知识正确率男性高于女性,行为正确率和态度正确率男性低于女性;20~59 岁人群知识正确率均在30. 00%以上,≥80岁和3~9 岁年龄段知识正确率偏低。结论　河源市总体属华支睾吸虫病中度流行区,五县一区人群中均存在华支睾吸虫感染,其中龙川县仍属高度流行区,为该市华支睾吸虫病的重点防治区域。今后应将健康促进和行为改变作为华支睾吸虫病防控工作导向,重点干预职业是离退休人员、商业服务和餐饮食品业等,青壮年男性是重点干预对象。

关键词: 华支睾吸虫, 知信行, 问卷调查, 河源市

Abstract:

Objective　To understand the epidemiological characteristics of clonorchiasis sinensis and the current knowledge,behavior and attitude towards Clonorchis sinensis infection in population in Heyuan City,so as to provide effective evidences for developing targeted intervention strategies.Methods　From 2017 to 2020,1~2 counties in Heyuan City were annually selected as surveillance sites. Modified Kato-Katz thick smear technique was applied to detecting the infection status of Clonorchis sinensis in population,and questionnaire survey was carried out in the subjects investigated for their knowledge, attitude and practice towards Clonorchis sinensis infection. The results were then analyzed with descriptive epidemiology.Results　A total of 6 430 people were investigated. The infection rate was 5. 13%(330/6 430) for the population across the city,in which the infection accounted for 30. 40% in Longchuan County. The infection rate was higher in males than in females,and peaked in the 40~49 age group. The top infection consisted of population with education of high school,technical secondary or intermediate school and junior college. Among occupational population,the infection rate ranked from retirees(22. 92%),employees in catering and food industry service(20. 88%) to commercial service(19. 62%). A total of 774 people received questionnaire survey. The total correct rate of KAP was 56. 12%. Population in Longchuan County had the highest response rate of accurate knowledge(87. 00%),yet the correct response rate for the practice and attitude was the lowest(30. 00% and 65. 67%,respectively). The correct rate of knowledge was higher in males than in females,yet the appropriate practice and attitude towards clonorchiasis was lower in males than in females. Accurate knowledge for clonorchiasis was generally over 30. 00% in population aged 20~39 years,and lower in those aged≥80 years,and between 3 and 9 years.Conclusion　Clonorchiasis is moderately prevalent in Heyuan City,and exists in the population of the five counties and one district. Longchuan County is a highly prevalent area,suggesting that this area should be the target in following prevention and control of clonorchiasis. And in the future,prevention and control efforts for Clonorchis sinensis infection should be orientated at health promotion and behavior change,particularly in the retired and employees in commercial service catering and food industry service.

Key words: Clonorchis sinensis, Knowledge-attitude-practice, Questionnaire survey, Heyuan City

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