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张雅明, 高胜男, 王玥, 张文佳, 于洋, 周丹. 2018年哈尔滨地区华支睾吸虫病流行现状分析[J]. 中国公共卫生, 2021, 37(8): 1254-1256. DOI: 10.11847/zgggws1127986
引用本文: 张雅明, 高胜男, 王玥, 张文佳, 于洋, 周丹. 2018年哈尔滨地区华支睾吸虫病流行现状分析[J]. 中国公共卫生, 2021, 37(8): 1254-1256. DOI: 10.11847/zgggws1127986
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ZHANG Ya-ming, GAO Sheng-nan, WANG Yue, . Prevalence of clonorchiasis among permanent residents in Harbin municipality, 2018: a cross-sectional survey[J]. Chinese Journal of Public Health, 2021, 37(8): 1254-1256. DOI: 10.11847/zgggws1127986
Citation: ZHANG Ya-ming, GAO Sheng-nan, WANG Yue, . Prevalence of clonorchiasis among permanent residents in Harbin municipality, 2018: a cross-sectional survey[J]. Chinese Journal of Public Health, 2021, 37(8): 1254-1256. DOI: 10.11847/zgggws1127986
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2018年哈尔滨地区华支睾吸虫病流行现状分析

Prevalence of clonorchiasis among permanent residents in Harbin municipality, 2018: a cross-sectional survey

    摘要
  • 摘要:
      目的  了解哈尔滨地区华支睾吸虫病感染状况，为华支睾吸虫病防治提供科学依据。
      方法  于2018年，采用整群随机抽样法从黑龙江省哈尔滨市9个区/县抽取45个调查点，调查对象为常住人口，采用改良加藤厚涂片法（Kato-Katz）检测受检者粪便中华支睾吸虫的虫卵；同时收集调查对象生食淡水鱼行为信息。采用流行病学描述与分析方法对收集资料进行分析。
      结果  共调查8 980人，华支睾吸虫平均感染率为3.91 %，农村地区华支睾吸虫平均感染率为6.30 %，城镇地区平均感染率为0.33 %。华支睾吸虫轻度感染者239例，中度感染者89例，重度感染者23例，构成比分别为68.09 %（239/351）、25.36 %（89/351）、6.55 %（23/351）。男、女性华支睾吸虫感染率分别为5.05 %（236/4 674）、2.67 %（115/4 306），差异有统计学意义（P < 0.001）。60～69岁年龄组人群感染率最高，为7.12 %（77/1 082），不同年龄人群感染率差异有统计学意义（P < 0.01）；职业分布以农（牧、渔）民感染率最高，为5.64 %（330/5 855），差异有统计学意义（P < 0.01）；文化程度以文盲或半文盲人群感染率最高，为10.39 %（16/154），差异有统计学意义（P < 0.01）。
      结论  哈尔滨地区华支睾吸虫病流行状况仍较严重，积极开展多种形式的科普教育，提高疾病防范意识，加强健康行为依从性，仍是今后防治华支睾吸虫病的工作重点。

     

    Abstract:
      Objective  To examine the infection of Clonorchiasis sinensis among permanent residents in Harbin city for providing evidences to the prevention and treatment of clonorchiasis.
      Methods  Using cluster random sampling, we recruited 9 000 permanent residents at 27 rural and 18 urban survey points in 9 districts/counties of Harbin municipality for a survey conducted in 2018. The eggs of Clonorchis sinensis in feces samples of the participants were detected with modified Kato-Katz method. The information on behaviors of fresh water fish were also collected. Descriptive statistics was performed to analyze the data collected.
      Results  Among the 8 980 enrollees completing the survey, 351 Clonorchis sinensis infections were detected; the average infection rate of was 3.91% for all the participants and the infection rate was 6.30% and 0.33% for rural and urban participants. Of the Clonorchis sinensis infections, 239 (68.09%), 89 (25.36%), and 23 (6.55%) were mild, moderate, and severe infection, respectively. The infection rate of male participants (5.05%, 236/4 674) was significantly higher than that (2.67%, 115/4 306) of female participants (χ2 = 34.620, P < 0.001). The highest infection rate (7.12%, 77/1 082) was detected among the participants aged 60 – 69 years and the infection rate differed significantly by age among the participants (χ2 = 116.741, P < 0.001). The infection rate was different significantly among the participants of various occupations (χ2 = 233.979, P < 0.001), with the highest infection rate of 5.64% (330/5 855) among farmers (herdsmen and fishermen). The infection rate was also differed significantly by education (χ2 = 125.798, P < 0.001) and the highest infection rate (10.39%, 16/154) was detected in the participants being illiterate or semi-illiterate.
      Conclusion  The prevalence of clonorchiasis is relatively serious among rural and urban permanent residents in Harbin municipality and various health education programs on prevention and control of the disease should be promoted in the population.

     

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