首页|2019-2021年南宁市2054例华支睾吸虫感染者认知行为调查与分析

2019-2021年南宁市2054例华支睾吸虫感染者认知行为调查与分析

Investigation and analysis of knowledge,attitudes,and practices of 2054 people infected with Clonorchis sinensis in Nanning city from 2019 to 2021

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目的 了解和分析广西南宁市华支睾吸虫感染者对华支睾吸虫病的相关知识认知、态度、行为情况,为制定有效防治措施提供科学依据.方法 对2019-2021年来广西医科大学寄生虫学实验室进行粪检并检出华支睾吸虫虫卵者进行面对面问卷调查,调查结果采用x2检验进行统计学分析.结果 共收到2 054份有效问卷,其中男性占比(84.86%)高于女性(15.14%):年龄分布以31~40岁组和41~50岁组最高,分别为32.22%、27.36%;人员分布为广西区内、外均有,区外涉及7个省,区内涉及14个市及其直辖县,以广西南宁市为主(87.38%).感染者中99.46%(2 043/2 054)明确吃过"鱼生",对吃"鱼生"会感染华支睾吸虫的知晓率为27.26%,男性知晓率(28.57%)高于女性(19.94%),差异有统计学意义(x2=9.925,P=0.002):吃"鱼生"人群中,喜欢吃"鱼生"的占67.21%,好奇或被怂恿的占32.79%;在吃"鱼生"场所方面,喜欢吃"鱼生"人群与好奇或被怂恿吃"鱼生"人群主要食用地点不同,差异具有统计学意义(x2=393.235,P<0.001);喜欢吃"鱼生"人群每年吃"鱼生"次数≥6次的占80.91%,该人群在每年吃"鱼生"次数、主动介绍他人吃"鱼生"和驱虫治疗后表示还会吃"鱼生"的比例均高于因好奇或被怂恿吃"鱼生"人群,差异均有统计学意义(x2值分别为947.419、616.270、190.312,P值均<0.001).结论 广西南宁市华支睾吸虫感染人群中吃"鱼生"的比例较高,人们对华支睾吸虫的防治知识和危害认识不足;部分人群食"鱼生"习惯难以改变,"鱼生"成为当地餐桌上的常见菜,应根据不同人群的特点采取相应的防控措施并积极寻求新的防治策略.
Objective To understand and analyze the knowledge,attitude,and practice of people infected with Clonorchis sinensis in Nanning,Guangxi,providing scientific evidence to make effective prevention and control measures.Methods A face-to-face questionnaire surveys was conducted on individuals with Clonorchis sinensis eggs detected in fecal samples from 2019 to 2021 at the Parasitology Laboratory of Guangxi Medical University.The survey data were analyzed statistically using Chi-squared tests.Results A total of 2 054 valid questionnaires were received,of which the proportion of males(84.86%)was higher than females(15.14%).The age distribution was highest in the 31-40 and 41-50 age groups,at 32.22%and 27.36%,respectively.The distribution of personnel was both inside and outside Guangxi,involving 7 provinces outside Guangxi and 14 cities and their directly-administered counties within Guangxi,predominantly in Nanning city(87.38%).Among the infected individuals,99.46%(2 043/2 054)reported having consumed"raw fish",but only 27.26%were aware of the risk of infection of Clonorchis sinensis from this practice.The awareness rate among males(28.57%)was higher than females(19.94%),and the difference was statistically significant(x2=9.925,P=0.002).Among the people who consumed"raw fish",67.21%liked to consume"raw fish",and 32.79%were curious or encouraged to consume.In the venue for consuming"raw fish",the main eating places of people who liked to consume"raw fish"and those who consumed"raw fish"out of curiosity or being encouraged were different,and the difference was statistically significant(x2=393.235,P<0.001).80.91%of the people who liked"raw fish"consuming the"raw fish"more than 6 times a year.The number of times they ate"raw fish"each year,the proportion of those who actively introduced others to eat"raw fish"and those who would still eat"raw fish"after deworming treatment were all higher than those who ate"raw fish"out of curiosity or were encouraged,and the differences were statistically significant(x2=947.419,x2=616.270,x2=190.312,P<0.001).Conclusions The proportion of people infected with Clonorchis sinensis who eat"raw fish"is relatively high in Nanning,Guangxi,and people lack knowledge of prevention and control of Clonorchis sinensis and its hazards.It is difficult for some people to change the habits of consuming"raw fish",and it had become a common dish on the local table.Appropriate prevention and control measures should be taken according to the characteristics of different populations and new prevention and control strategies should be actively sought.

Clonorchis sinensisraw fish consumptionawareness rate

卢婷、何姗姗、李晓芹、赖雅诗、韦帅、邓佩超、石云良、李艳文

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广西医科大学基础医学院寄生虫学教研室,广西南宁 530021

广西高校区域性疾病基础研究重点实验室,广西南宁 530021

广西河池市人民医院医学检验科,广西河池 547000

华支睾吸虫 吃"鱼生" 知晓率

2024

应用预防医学
广西壮族自治区疾病预防控制中心

应用预防医学

影响因子:0.914
ISSN:1673-758X
年,卷(期):2024.30(5)