新疆维吾尔自治区哈巴河县人群包虫病流行特征及影响因素分析

目的 分析新疆维吾尔自治区哈巴河县人群包虫病流行特征及其影响因素,为推进当地包虫病防治提供依据。方法 收集2008 2013年全县人群筛查数据进行流行特征分析,相关因素采用logistic回归分析。结果 共查出包虫病患者161例,其中泡型患者2例,推算全县包虫病患病率380.11/10万,囊型包虫病患病率375.39/10万,泡型包虫病患病率4.72/10万。10岁以下人群包虫病患者构成比为2.48% (4/161),10~20岁人群包虫病患者构成比为9.94%(16/161)。随着年龄增长,当地居民患包虫病的风险增加,40~50岁达到最高(OR=2.5325);牧民患病风险比农民高2.626倍,私宰牲畜比未私宰牲畜居民患病风险高3.245倍;牧业乡加依勒玛乡的居民患病风险比农业乡的居民患病风险高2.352倍。结论 随着包虫病综合防治措施推进,10岁以下人群包虫病患者构成比明显下降,但当地患病风险依然存在。

Epidemiological characteristics of human hydatidosis and risk factors in Habahe County,Xinjiang

Objective To analyze epidemiological characteristics and risk factors of human hydatidosis in Habahe, Xinjiang uygur autonomous region, and provide evidence for the local prevention and control of human hydatidosis. Methods The data of local people receiving screening from 2008 to 2013 were analyzed with software SPSS 17.0, and risk factors were identified through univariate and multivariate logistic regression analysis. Results A total of 42 356 residents were screened, 161 of them were diagnosed with hydatidosis (2 were diagnosed with alveolar hydatidosis), the overall prevalence of hydatidosis was 380.11/100 000. The prevalence of cystic hydatidosis was 375.39/100 000 and the prevalence of alveolar hydatidosis was 4.72/100 000. The patients aged 10 years accounted for 2.48% (4/161), the patients aged 10-20 years accounted for 9.94% (16/161). The risk of hydatidosis increased with age, which peaked at age of 40-50-years (OR =2.5325); the risk of hydatidosis in herdsmen was 2.626 times higher than that in farmers, the risk of hydatidosis in the residents who slaughtered livestock was 3.245 times higher than that in those who did not slaughter livestock; the risk of hydatidosis in the residents living in pastoral townships was 2.352 times higher than in those living in agricultural townships. Conclusion The proportion of the patients aged 10 years decreased significantly due to the comprehensive prevention and control. However, the risk of hydatidosis still exists, it is necessary to further strengthen the prevention and control of hydatidosis.