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辽西地区职业人群布鲁氏菌病患病的影响因素分析
引用本文:程晓萍,周艳彬,李晓卫,张汉成,刘孝刚,柳晓琳. 辽西地区职业人群布鲁氏菌病患病的影响因素分析[J]. 环境与职业医学, 2010, 27(5): 314-316
作者姓名:程晓萍  周艳彬  李晓卫  张汉成  刘孝刚  柳晓琳
作者单位:程晓萍 (辽宁医学院预防医学教研室,辽宁,锦州,121001) ; 周艳彬 (济宁市妇幼保健院,山东,济宁,272000) ; 李晓卫 (锦州市动物疫病预防控制中心,辽宁,锦州,121000) ; 张汉成 (锦州市动物疫病预防控制中心,辽宁,锦州,121000) ; 刘孝刚 (辽宁医学院动物医学院,辽宁,锦州,121001) ; 柳晓琳 (辽宁医学院预防医学教研室,辽宁,锦州,121001) ;
摘    要:[目的]了解辽西地区(凌海、朝阳、兴城、绥中、葫芦岛市)布鲁氏菌病(简称布病)患病的影响因素,为进一步制定预防和干预措施提供科学依据。[方法]采用单纯随机抽样的方法对辽西地区牲畜饲养、贩买及采购、屠宰、兽医等职业人群进行问卷调查。对调查资料进行,检验及多因素非条件Logistic回归分析。[结果]共调查职业人群1740人,其中布病患者98人,总患病率为5.63%。接触流产牲畜者患病率明显高于未接触者(P〈0.001)。不同年龄、不同文化程度、不同职业人群布病患病率差异均有统计学意义(P〈0.001)。经,检验得出10个影响布病患病的可疑危险因素。经多因素非条件Logistic回归分析,得出6个布病危险因素:饲养牲畜不进行免疫(OR=12.756)、不使用消毒液(OR=5.303)、不使用防护衣或手套(OR=3.265)、牲畜粪便不进行无害化处理(OR=3.129)、接触流产牲畜(OR=2.892)、购买牲畜不检疫(OR=2.549)。[结论]职业人群布病知识的缺乏及自我防护意识的淡薄,不良的生活习惯和行为是布病发生的主要原因。

关 键 词:职业人群  布鲁氏菌病  影响因素

Analysis of Influencing Factors about Brucellosis among Ocupational Groups in Western Liaoning Province
CHENG Xiao-ping,ZHOU Yah-bin,LI Xiao-wei,ZHANG Han-cheng,LIU Xiao-gang,LIU Xiao-lin. Analysis of Influencing Factors about Brucellosis among Ocupational Groups in Western Liaoning Province[J]. Journal of Environmental & Occupational Medicine, 2010, 27(5): 314-316
Authors:CHENG Xiao-ping  ZHOU Yah-bin  LI Xiao-wei  ZHANG Han-cheng  LIU Xiao-gang  LIU Xiao-lin
Affiliation:1. Department of Preventive Medicine of Liaoning Medical University, Jinzhou, Liaoning 121001, China; 2. Maternal and Child Health Hospital of Jining, Jining, Shandong 272000, China; 3. Center for Animal Disease Control and Prevention of Jinzhou, Jinzhou, Liaoning 121000, China; 4. Veterinary College of Liaoning Medical University, Jinzhou, Liaoning 121001, China )
Abstract:[ Objective] To study the influencing factors about brucellosis in western Liaoning province ( Linghai, Chaoyang, Xingcheng, Suizhong and Huludao City ), and provide a scientific basis for further developing prevention and intervention measures. [ Methods ] A questionnaire survey was conducted by a simple random sampling method among occupational groups such as people who feeding, selling and slaughtering livestock, and veterinarians, etc. in western Liaoning area. The data were analysed by chi-square test and multivariate non-conditional Logistic regression. [ Results ] There were 98 patients with brucellosis among a total of 1 740 surveyed people, and the total prevalence rate was 5.63 percent. The prevalence rate of the group which had contacted with abortive livestock was higher than that of the non-contacted people( P 〈 0.001 ). The prevalence rates of brucellosis were significantly different among the surveyed people with different age, education level and occupations ( P 〈 0.001 ). Altogether 10 risk factors which probably influenced the prevalence were found by chi-square test. Based on the multi- factor non-condition Logistic regression analysis, 6 risk factors were significantly associated with the Brucellosis, which included raising livestock but without immunization ( 0R=12.756 ), not degerming ( OR=5.303 ), not wearing the protective clothing or gloves ( OR=3.265 ), not detoxicating the animal excrement ( OR=3.129 ), contacting with abortive livestock ( OR=2.892 ), and not quarantining when buying the livestock ( 0R=2.549 ). [ Conclusion ] Lack of knowledge about brucellosis and self-protection consciousness, as well as having bad habits and behaviors were important reasons for brucellosis infection.
Keywords:occupational groups  brucellosis  Influencing factors
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