中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2014年
1期
80-83
,共4页
刘凡瑜%关超玲%李晔%袁志忱%王迪%甄清%姚燕
劉凡瑜%關超玲%李曄%袁誌忱%王迪%甄清%姚燕
류범유%관초령%리엽%원지침%왕적%견청%요연
布鲁杆菌病%养殖羊农户%家庭成员%接触方式%流行病学
佈魯桿菌病%養殖羊農戶%傢庭成員%接觸方式%流行病學
포로간균병%양식양농호%가정성원%접촉방식%류행병학
Brucellosis%Farmers breeding livestock%Family members%Contact manner%Epidemiology
目的 了解吉林省西部牧区养殖羊农户家庭成员布鲁杆菌病(布病)感染及接触方式现状,为控制人间布病在养殖羊农户家庭成员中的蔓延提供参考依据.方法 采用多阶段抽样方法,于2012年11月在吉林省西部牧区布病高发地区中选择前郭县,在该县中抽取2个乡镇(查干花镇和乌兰塔拉乡),每个乡镇各抽取一半的村,对村中全部养殖羊农户家庭成员进行问卷调查和临床诊断.问卷内容包括人口学资料(性别、年龄、文化程度等)、布病高危接触方式及布病感染情况.根据知情同意的原则,采集被调查者静脉血,采用试管凝集试验(SAT)进行布病血清学诊断.分析调查对象性别、年龄、文化程度等人口学资料、布病高危行为、防护行为对布病感染率的影响.结果 共收集403份养殖羊农户家庭成员合格问卷,84人感染布病,感染率为20.84％(84/403),男性感染率[24.78％(57/230)]高于女性[15.61％(27/173),x2=5.038,P＜0.05].帮忙喂食、打扫羊圈卫生、抱羊羔、接生、给羊接种疫苗、处理掉羔或流产物、挤奶、屠宰共8种接触方式的接触率分别为86.85％(350/403)、80.40％(324/403)、71.71％(289/403)、61.54％(248/403)、53.85％ (217/403)、47.39％(191/403)、22.08％(89/403)、14.89％(60/403).感染率最高的接触方式为给羊接种疫苗[24.40％(53/217)],最低的接触方式是挤奶[16.90％(15/89)].基本防护率最高的是接生[31.85％(79/248)],其次为处理掉羔和流产物[27.23％(52/191)],基本防护率最低的是屠宰[8.33％(5/60)].尚未发现布病感染与8种接触方式、基本防护行为存在统计学关联.结论 养殖羊农户家庭成员布病感染率较高,布病感染相关接触方式普遍存在,基本防护率较低.应有针对性地开展对养殖羊农户家庭成员的健康教育,提高其防护水平,降低布病感染风险.
目的 瞭解吉林省西部牧區養殖羊農戶傢庭成員佈魯桿菌病(佈病)感染及接觸方式現狀,為控製人間佈病在養殖羊農戶傢庭成員中的蔓延提供參攷依據.方法 採用多階段抽樣方法,于2012年11月在吉林省西部牧區佈病高髮地區中選擇前郭縣,在該縣中抽取2箇鄉鎮(查榦花鎮和烏蘭塔拉鄉),每箇鄉鎮各抽取一半的村,對村中全部養殖羊農戶傢庭成員進行問捲調查和臨床診斷.問捲內容包括人口學資料(性彆、年齡、文化程度等)、佈病高危接觸方式及佈病感染情況.根據知情同意的原則,採集被調查者靜脈血,採用試管凝集試驗(SAT)進行佈病血清學診斷.分析調查對象性彆、年齡、文化程度等人口學資料、佈病高危行為、防護行為對佈病感染率的影響.結果 共收集403份養殖羊農戶傢庭成員閤格問捲,84人感染佈病,感染率為20.84％(84/403),男性感染率[24.78％(57/230)]高于女性[15.61％(27/173),x2=5.038,P＜0.05].幫忙餵食、打掃羊圈衛生、抱羊羔、接生、給羊接種疫苗、處理掉羔或流產物、擠奶、屠宰共8種接觸方式的接觸率分彆為86.85％(350/403)、80.40％(324/403)、71.71％(289/403)、61.54％(248/403)、53.85％ (217/403)、47.39％(191/403)、22.08％(89/403)、14.89％(60/403).感染率最高的接觸方式為給羊接種疫苗[24.40％(53/217)],最低的接觸方式是擠奶[16.90％(15/89)].基本防護率最高的是接生[31.85％(79/248)],其次為處理掉羔和流產物[27.23％(52/191)],基本防護率最低的是屠宰[8.33％(5/60)].尚未髮現佈病感染與8種接觸方式、基本防護行為存在統計學關聯.結論 養殖羊農戶傢庭成員佈病感染率較高,佈病感染相關接觸方式普遍存在,基本防護率較低.應有針對性地開展對養殖羊農戶傢庭成員的健康教育,提高其防護水平,降低佈病感染風險.
목적 료해길림성서부목구양식양농호가정성원포로간균병(포병)감염급접촉방식현상,위공제인간포병재양식양농호가정성원중적만연제공삼고의거.방법 채용다계단추양방법,우2012년11월재길림성서부목구포병고발지구중선택전곽현,재해현중추취2개향진(사간화진화오란탑랍향),매개향진각추취일반적촌,대촌중전부양식양농호가정성원진행문권조사화림상진단.문권내용포괄인구학자료(성별、년령、문화정도등)、포병고위접촉방식급포병감염정황.근거지정동의적원칙,채집피조사자정맥혈,채용시관응집시험(SAT)진행포병혈청학진단.분석조사대상성별、년령、문화정도등인구학자료、포병고위행위、방호행위대포병감염솔적영향.결과 공수집403빈양식양농호가정성원합격문권,84인감염포병,감염솔위20.84％(84/403),남성감염솔[24.78％(57/230)]고우녀성[15.61％(27/173),x2=5.038,P＜0.05].방망위식、타소양권위생、포양고、접생、급양접충역묘、처리도고혹유산물、제내、도재공8충접촉방식적접촉솔분별위86.85％(350/403)、80.40％(324/403)、71.71％(289/403)、61.54％(248/403)、53.85％ (217/403)、47.39％(191/403)、22.08％(89/403)、14.89％(60/403).감염솔최고적접촉방식위급양접충역묘[24.40％(53/217)],최저적접촉방식시제내[16.90％(15/89)].기본방호솔최고적시접생[31.85％(79/248)],기차위처리도고화유산물[27.23％(52/191)],기본방호솔최저적시도재[8.33％(5/60)].상미발현포병감염여8충접촉방식、기본방호행위존재통계학관련.결론 양식양농호가정성원포병감염솔교고,포병감염상관접촉방식보편존재,기본방호솔교저.응유침대성지개전대양식양농호가정성원적건강교육,제고기방호수평,강저포병감염풍험.
Objective To find out the current situation of brucellosis infection and exposure status of family members of sheep farmers in the western pastoral areas of Jilin Province,and to provide a reference for control of human brucellosis spreading among family members.Methods On November 2012,Qianguo County was randomly selected using a multi-stage sampling method,and two townships,Chaganhua and Wulantala,were randomly selected in the county; half of the villages were selected from each township; all family members of the sheep farmers in these villages were investigated about their demographic characteristics (sex,age,education),high-risk behavior and information about brucellosis infection by using a questionnaire survey.Based on the principle of informed consent,respondents venous blood samples were collected.Brucellosis was confirmed with serum agglutination test (SAT).The effects of gender,age,education and other demographic data,high-risk behavior and high-risk behavior protection on the prevalence of brucellosis were studied.Results Out of the 403 copies of qualified questionnaires collected,84 people were found infected with brucellosis,and the infection rate was 20.84％ (84/403).Men infection [24.78％ (57/230)] was higher than that of women [15.61％ (27/173),x2 =5.038,P ＜ 0.05].The rates of eight kinds of high-risk behaviors were:helping feeding 86.85％ (350/403),cleaning sheepfold 80.40％ (324/403),holding lamp 71.71％ (289/403),delivering sheep 61.54％ (248/403),vaccinating sheep 53.85％ (217/403),apoblema 47.39％ (191/403),milking 22.08％ (89/403) and slaughtering sheep 14.89％ (60/403).The highest risk behavior was vaccinating sheep[24.40％(53/217)],and the lowest was milking [16.90％ (15/89)].The highest rate of basic protection was delivering a sheep [31.85％ (79/248)],the next was apoblema[27.23％ (52/191)],and the lowest was slaughtering sheep [8.33％ (5/60)].There was no statistical significant difference between brucellosis infection and the eight kinds of high-risk behaviors as well as the basic protective behaviors.Conclusions The prevalence of brucellosis infection among sheep farmers' family members is higher than others.Brucellosis infection-related contact manner is ubiquitous and the level of basic protection is low.We should carry out targeted health education on sheep farming household members to improve their level of protection,so as to reduce the risk of brucellosis infection.
