成都市居民腹泻病流行特征及就医现状调查

目的了解成都市腹泻病流行现状及就诊趋势,为腹泻病管理和防控措施的制定提供基础数据。方法按照多阶段随机抽样的方法选择成都市成华区和大邑县29 355名居民为调查对象,采用问卷调查的方式对其腹泻发病和就医现状进行调查。结果腹泻的2周发病率为3.8%。10岁组的腹泻发病率在各年龄段中最高,为7.4%,学生的腹泻发病率在各职业中最高,为5.9%,各年龄段间和职业间腹泻发病率差异均有统计学意义。被调查的腹泻患者中仅有28.4%选择到医院就诊或住院治疗,34.7%的被调查者腹泻后不做任何治疗,36.9%的被调查者腹泻后自行买药治疗。结论成都市居民腹泻发病率较高,尤其是低年龄段学生的腹泻发病最多,需要进一步加强居民,尤其是重点人群的健康教育和行为干预等工作。

Diarrheal Disease Prevalence and Its Medical Care Stutus Among Residents in Chengdu

Objective To investigate the epidemic characteristics and medical treatment seeking behavior of diarrhea in Chengdu,and to provide scientific basis for the prevention and control measures of food borne disease.Methods A questionnaire survey was conducted among 29355 respondents from Chenghua district and Dayi county in Chengdu with multistage random sampling.The incidence and attendance rates of diarrhea were investigated.Results The two-week incidence rate of diarrhea was 3.8%.The incidence of 10-20 year old group was 7.4%,the highest among all ages.The incidence of students was 5.9%;and the differences among ages and occupations were statistically significant.The attendance rates of diarrhea were 28.4%;36.9% respondents bought medicine by themselves;34.7% respondents were without any treatment.Conclusion The incidence of diarrhea is comparatively high,especially in the students with low age.It is necessary to strengthen health education and behavior intervention.