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[新疆和布克赛尔蒙古自治县人体囊型包虫病的危险因素]

[Risk factors on human cystic echinococcosis in Hobukesar Mongolian Autonomous County in Xinjiang].

作者信息

Chu Xiang-dong, Wang Gui-zhi, Feng Xiao-hui, Er Xi-ding, He Jin-hua, Wen Hao

机构信息

Center of Disease Control, Hobukesar Mongolian Autonomous County, Hobukesar 834400, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Mar;31(3):297-9.

PMID:20510057
Abstract

OBJECTIVE

To study the risk factors of human cystic echinococcosis (CE) in Hobukesar Mongolian Autonomous County of Xinjiang (HMACX) and to discuss the related strategies for prevention and control.

METHODS

A randomized sampling method was used to screen local residents for human CE in HMACX. CE related risk factors including ethnicity, age, sex, occupation and personal status on hygiene etc. were analyzed under multi-factor logistic regression.

RESULTS

The prevalence rates of CE and alveolar echinococcosis (AE) were 3.7% (23/627) and 0.16% (1/627) respectively, with the seropositive rate as 12.4% (76/613). The main risk factors that significantly associated with CE were age (OR = 7.6, 95%CI: 2.481 - 23.579) and slaughtering livestock in the households (OR = 3.2, 95%CI: 1.297 - 7.809). Herdsmen had the highest prevalence of CE in all of the occupations in this study.

CONCLUSION

HMACX had been a highly endemic area for human CE, with age and family slaughtering-livestock-behavior appeared to be the main possible risk factors.

摘要

目的

研究新疆和布克赛尔蒙古自治县(和布克赛尔县)人群囊性棘球蚴病(CE)的危险因素,并探讨相关防控策略。

方法

采用随机抽样方法对和布克赛尔县当地居民进行人群CE筛查。在多因素logistic回归分析下,分析与CE相关的危险因素,包括民族、年龄、性别、职业及个人卫生状况等。

结果

CE患病率为3.7%(23/627),泡型棘球蚴病(AE)患病率为0.16%(1/627),血清学阳性率为12.4%(76/613)。与CE显著相关的主要危险因素为年龄(OR = 7.6,95%CI:2.481 - 23.579)和家庭内宰杀牲畜(OR = 3.2,95%CI:1.297 - 7.809)。在本研究所有职业中,牧民的CE患病率最高。

结论

和布克赛尔县是人群CE的高度流行区,年龄和家庭宰杀牲畜行为似乎是主要的可能危险因素。

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