CAJ | 학술논문

目的评价贵州省燃煤污染型氟中毒流行现状,探索贵州省氟中毒防治工作实施的重点区域和主要干预措施.方法应用因子分析法对2010年实施综合防治措施前的23个病区县8～12周岁儿童氟斑牙患病情况、目标学生和家庭户主防氟知识及家庭户健康相关行为等调查数据进行分析和综合评价.结果 ①导致燃煤污染型氟中毒流行的3个主因子(F),分别为经济因子(Fl)、知识因子(F2)和行为因子(F3),F1为8～12岁儿童氟斑牙检出率、回风炉拥有率、玉米正确干燥率、辣椒正确干燥率;F2为炉灶正确使用率、学生知晓率、户主知晓率;F3为玉米食前淘洗率和辣椒食前淘洗率.②经济因子评分排列前三的是遵义、修文、清镇,知识因子评分排列前三的是遵义、习水、西秀,行为因子评分排列前三的是六枝、毕节、西秀.③经综合评分,燃煤污染型氟中毒流行控制相对较强的县有遵义、清镇、习水、西秀、普定、六枝,中等的县有修文、仁怀、关岭等13个县,较弱的县有桐梓、赫章、水城、纳雍.结论 ①燃煤污染型氟中毒流行与众多因素有关,本研究所选指标间具有较强的相关性及敏感性,用于因子分析是真实可信的.②燃煤污染型氟中毒在贵州省各地间流行现状不同,可根据因子分析法综合评价,分类指导各病区县防治重点.
목적 평개귀주성연매오염형불중독류행현상,탐색귀주성불중독방치공작실시적중점구역화주요간예조시.방법 응용인자분석법대2010년실시종합방치조시전적23개병구현8～12주세인동불반아환병정황、목표학생화가정호주방불지식급가정호건강상관행위등조사수거진행분석화종합평개.결과 ①도치연매오염형불중독류행적3개주인자(F),분별위경제인자(Fl)、지식인자(F2)화행위인자(F3),F1위8～12세인동불반아검출솔、회풍로옹유솔、옥미정학간조솔、랄초정학간조솔;F2위로조정학사용솔、학생지효솔、호주지효솔;F3위옥미식전도세솔화랄초식전도세솔.②경제인자평분배렬전삼적시준의、수문、청진,지식인자평분배렬전삼적시준의、습수、서수,행위인자평분배렬전삼적시륙지、필절、서수.③경종합평분,연매오염형불중독류행공제상대교강적현유준의、청진、습수、서수、보정、륙지,중등적현유수문、인부、관령등13개현,교약적현유동재、혁장、수성、납옹.결론 ①연매오염형불중독류행여음다인소유관,본연구소선지표간구유교강적상관성급민감성,용우인자분석시진실가신적.②연매오염형불중독재귀주성각지간류행현상불동,가근거인자분석법종합평개,분류지도각병구현방치중점.
Objective To investigate the epidemic situation of coal-burning-fluorosis,and to explore key areas for implementing prevention and control measures in Guizhou Province.Methods Survey data of dental fluorosis of children aged 8-10,anti-fluoride knowledge and health-related behaviors of target students and their families before implementing the comprehensive disease control measures in 2010,were analyzed and evaluated using the method of factor analysis in 23 diseased districts.Results ①The three main factors (F) related to the endemic of coal-burning-fluorosis were economic factor (F 1),knowledge factor (F2) and behavior factor (F3):F1 included the detection rate of 8 to 12 years old children's dental fluorosis,iron stove ownership,corn correct drying rate and chili correct drying rate; F2 included stove correct utilization rate,students awareness and head of the household awareness; F3 included corn food washing rate before cooking and chili food washing rate.②In the economic factor score arrangement,the first three were Zunyi,Xiuwen and Qingzhen.In the F2 score arrangement,the first three were Zunyi,Xishui and Xixiu.In the F3 score arrangement,the first three was Liuzhi,Bijie and Xixiu.③After comprehensive score,Zunyi,Qingzhen,Xishui,Xixiu,Puding and Liuzhi Counties were found to be relatively stronger in control of the epidemic of coal-burning-fluorosis; Xiuwen,Renhuai,Guanling and so on 13 counties were found to be relatively moderate,and Tongzi,Hezhang,Shuicheng and Nayong Counties were found to be relatively weak.Conclusions ①The endemic of coal-burning-fluorosis is related with many factors,and the indexes we selected in this study have a strong correlation and sensitivity,which may be used in evaluating the prevention effect of control measures to coal-buming-fluorosis.②The endemic of coal-burning-fluorosis in Guizhou Province is quite different,and key prevention and control measures can be applied according to a comprehensive factor analysis.