2017—2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况

doi:10.12140/j.issn.1000-7423.2021.05.017

中国寄生虫学与寄生虫病杂志 ›› 2021, Vol. 39 ›› Issue (5): 681-686.doi: 10.12140/j.issn.1000-7423.2021.05.017

2017—2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况

刘佳¹(), 雷雯¹, 马霄¹, 张雪飞¹, 樊海宁²^,^*(), 王威¹, 张青¹, 马俊英¹, 蔡辉霞¹, 詹培珍¹, 张静宵¹, 刘玉芳¹, 刘娜¹, 王永顺¹, 赵存哲¹, 张雄英¹, 史可梅¹, 尹秀琴³, 尚顺鑫³

1 青海省地方病预防控制所,西宁 811602
2 青海大学附属医院,西宁 811602
3 久治县疾病预防控制中心,果洛 814499

收稿日期:2021-02-06 修回日期:2021-05-11 出版日期:2021-10-30 发布日期:2021-11-10
通讯作者: 樊海宁
作者简介:刘佳（1989-）,女,硕士,主管医师,主要从事寄生虫病防治研究。E-mail： 457831207@qq.com
基金资助:
青海省科技厅重大科技专项(2016-SF-A5)

Echinococcosis prevalence and knowledge awareness in population in Jiuzhi County of Qinghai Province during 2017—2018

LIU Jia¹(), LEI Wen¹, MA Xiao¹, ZHANG Xue-fei¹, FAN Hai-ning²^,^*(), WANG Wei¹, ZHANG Qing¹, MA Jun-ying¹, CAI Hui-xia¹, ZHAN Pei-zhen¹, ZHANG Jing-xiao¹, LIU Yu-fang¹, LIU Na¹, WANG Yong-shun¹, ZHAO Cun-zhe¹, ZHANG Xiong-ying¹, SHI Ke-mei¹, YIN Xiu-qin³, SHANG Shun-xin³

1 Qinghai Institute for Endemic Disease Prevention and Control, Xining 811602, China
2 Qinghai University Affiliated Hospital, Xining 810000, China
3 Jiuzhi Center for Disease Control and Prevention, Guoluo 814499, China

Received:2021-02-06 Revised:2021-05-11 Online:2021-10-30 Published:2021-11-10
Contact: FAN Hai-ning
Supported by:
Science and Technology Major Project of Qinghai Province(2016-SF-A5)

摘要/Abstract

摘要：

目的了解2017—2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况。方法 2017—2018年,对久治县7个乡（镇）2岁以上常住居民采用整群随机抽样方法,进行B超影像学检查,了解人群棘球蚴病患病情况;针对不同职业人群随机开展棘球蚴病防治知识现场问卷调查,了解人群棘球蚴病防治知识知晓情况。率的比较采用卡方检验。结果共对久治县25 238人进行了B超影像学检查,检出棘球蚴病患者798例,患者检出率为3.2%;其中细粒棘球蚴病患者245例（占30.7%）,多房棘球蚴病患者549例（占68.8%）,混合型棘球蚴病患者4例（占0.5%）。女性棘球蚴病检出率为4.0%（498/12 327）,高于男性的2.3%（300/12 911）（χ² = 60.668,P < 0.01）。60岁以下人群棘球蚴病检出率随年龄增长而增高,其中,50~60岁人群棘球蚴病检出率最高,为8.0%（141/1 756）（χ² = 439.082,P < 0.01）。不同文化程度人群中以文盲人群棘球蚴病检出率最高,为20.7%（693/3 356）（χ² = 3 871.087,P < 0.01）。冬季定居夏季游牧人群棘球蚴病检出率为4.0%（743/18 561）,高于定居人群的0.8%（55/6 677）（χ² = 162.104,P < 0.01）。不同地区中以哇尓依乡人群棘球蚴病检出率最高,为10.9%（349/3 218）（χ² = 881.983,P < 0.01）。2017、2018年针对不同职业人群分别完成问卷调查431份和449份,人群棘球蚴病防治知识知晓率分别为84.5%（364/431）和94.5%（426/449）。结论久治县人群棘球蚴病检出率较高,2018年人群棘球蚴病防治知识知晓率较2017年有所提高。

关键词: 棘球蚴病, 久治县, 人群, 调查研究

Abstract:

Objective To investigate the prevalence and knowledge awareness of echinococcosis in Jiuzhi County, Qinghai Province during 2017—2018. Methods Residents above 2 years of age in seven townships (town) in Jiuzhi County were selected with a cluster random sampling method during 2017—2018 and subjected to B-ultrasound examination to determine the prevalence of echinococcosis in the residents. A field questionnaire regarding knowledge of echinococcosis prevention and control was performed randomly among groups with different occupations. Results A total of 25 238 people in Jiuzhi County received B-ultrasound examination, 798 of them were diagnosed with echinococcosis, showing a prevalence rate of 3.2% (798/25 238). Of the diagnosed cases, 245 were cystic echinococcosis (30.7%), 549 with alveolar echinococcosis (68.8%), and 4 mixed type (0.5%). The prevalence was higher in females (4.0%, 498/12 327) than males (2.3%, 300/12 911) (χ² = 60.668, P < 0.01). The prevalence of echinococcosis increased with age, and was highest in the age group 50-60 (8.0%, 141/1 756) (χ² = 439.082, P < 0.01). The prevalence was highest in the illiterate group (20.7%, 693/3 356) (χ² = 3 871.087, P < 0.01) among all groups of educational levels. The prevalence in the nomadic population (4.0%, 743/18 561) was higher than that in the settled population (0.8%, 55/6 677) (χ² = 162.104, P < 0.01). The prevalence of echinococcosis was highest in Waeryi township (10.9%, 349/3 218) (χ² = 881.983, P < 0.01). In 2017 and 2018, 431 and 449 questionnaires were completed in the residents with different occupations, and the awareness rates of echinococcosis were 84.5% (364/431) and 94.5% (426/449), respectively. Conclusion High prevalence of echinococcosis was found in Jiuzhi County. The rate of awareness on echinococcosis control in 2018 was higher than that in 2017.

Key words: Echinococcosis, Jiuzhi County, Human, Investigation

中图分类号:

R532.32

刘佳, 雷雯, 马霄, 张雪飞, 樊海宁, 王威, 张青, 马俊英, 蔡辉霞, 詹培珍, 张静宵, 刘玉芳, 刘娜, 王永顺, 赵存哲, 张雄英, 史可梅, 尹秀琴, 尚顺鑫. 2017—2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(5): 681-686.

LIU Jia, LEI Wen, MA Xiao, ZHANG Xue-fei, FAN Hai-ning, WANG Wei, ZHANG Qing, MA Jun-ying, CAI Hui-xia, ZHAN Pei-zhen, ZHANG Jing-xiao, LIU Yu-fang, LIU Na, WANG Yong-shun, ZHAO Cun-zhe, ZHANG Xiong-ying, SHI Ke-mei, YIN Xiu-qin, SHANG Shun-xin. Echinococcosis prevalence and knowledge awareness in population in Jiuzhi County of Qinghai Province during 2017—2018[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2021, 39(5): 681-686.

图/表 2

表1

表2

参考文献 14

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特征 Characteristic	B超检查 B-ultrasound examination			χ²	P
特征 Characteristic	检查人数 No. exam’d	患病人数 No. positive	检出率/% Positive rate/%	χ²	P
性别Gender
男性Male	12 911	300	2.3	60.668	< 0.01
女性Female	12 327	498	4.0
小计Subtotal	25 238	798	3.2
年龄Age group
2~9	4 563	19	0.4	439.082	< 0.01
10~19	5 491	92	1.7
20~29	4 348	109	2.5
30~39	3 620	124	3.4
40~49	3 461	169	4.9
50~59	1 756	141	8.0
60~69	1 097	87	7.9
≥ 70	902	57	6.3
小计Subtotal	25 238	798	3.2
职业Occupation
干部Office staff	1 247	8	0.6	502.066	< 0.01
牧民Herdsman	14 022	742	5.3
学生Student	6 932	27	0.4
僧侣Monk	243	13	5.4
其他^a Others^a	131	8	6.1
学龄前Preschool child	2 663	0	0
小计Subtotal	25 238	798	3.2
文化程度Educational level
文盲Illiteracy	3 356	693	20.7	3 871.087	< 0.01
小学Primary school	16 020	54	0.3
初中Junior high school	3 069	23	0.8
高中Senior high school	1 509	11	0.7
大专Junior college	1 220	16	1.3
本科College	64	1	1.6
小计Subtotal	25 238	798	3.2
居住方式Living style
定居Settledown	6 677	55	0.8	162.104	< 0.01
冬季定居夏季游牧Settled in winter and nomadic in summer	18 561	743	4.0
小计Subtotal	25 238	798	3.2
地区Township
白玉乡Baiyu	5 246	248	4.7	881.983	< 0.01
门堂乡Mentang	2 537	32	1.3
索乎日麻乡Suohurima	4 585	67	1.5
索日麻乡Suorima	93	0	0
哇尓依乡Waeryi	3 218	349	10.9
哇塞乡Wasai	3 839	62	1.6
智青松多镇Zhiqingsongduo	5 720	40	0.7
小计Subtotal	25 238	798	3.2

职业 Occupation	2017年							2018年
	调查人数 No. investigated		合格人数 No. qualified		合格率/%Acceptance rate/%	χ²	P	调查人数 No. investigated	合格人数 No. qualified		合格率/%Acceptance rate/%	χ²	P
	调查人数 No. investigated	牧民Herdsman	合格人数 No. qualified	90	合格率/%Acceptance rate/%	χ²	P	调查人数 No. investigated	合格人数 No. qualified	77	合格率/%Acceptance rate/%	χ²	P	85.6	34.882	< 0.01	113	106	93.8	4.6	> 0.05
干部Office staff	86		79		91.9			66	61		92.4
学生^a Student^a	135		113		83.7			195	189		96.9
僧侣Monk	62		51		82.3			62	57		91.9
其他Other	58		44		75.9			13	13		100.0
合计Total	431		364		84.5			449	426		94.9

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2017—2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况

Echinococcosis prevalence and knowledge awareness in population in Jiuzhi County of Qinghai Province during 2017—2018

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