三峡库区社会环境因素对人群健康影响的预测分析(英文)

Predictive analysis of impact of social environmental factors on population health in Three-Gorges areas

背景:长江三峡工程的兴建引起了自然环境和社会环境的重大变化,可能会对移民的身心健康产生何种影响。目的:调查三峡库区社会环境因素改变对人群健康的潜在影响及其产生原因。设计:横断面调查。单位:重庆医科大学公共卫生学院和云阳、开县、万州三县的疾病预防控制中心。对象:调查于2004-02/12完成。选取三峡库区消落带面积最大的3个区县重庆市云阳、开县、万州全部人口的疾病监测资料作为调查对象。方法:收集重庆市云阳、开县、万州全部人口的疾病监测资料进行整理分析,同时选择非库区县的人口疾病监测资料作为对照,并参考大量文献,采取定性与定量相结合、现状与预测相结合的方法进行分析。主要观察指标:①社会经济发展指标。②移民存在的心理健康问题。③公共卫生突发事件发生情况。结果:①三峡库区社会经济发展滞后导致人均收入仍较低。②三峡库区近年来与人口流动有关疾病的发病率明显增加。③搬迁使移民产生了相关的心理健康问题。④库区公共卫生体系薄弱,有出现公共卫生突发事件的可能性。结论:应该对存在的问题进行分析,并积极采取预防措施,从而使社会环境因素对人群健康的影响降到最低。

BACKGROUND： The construction of the Changjiang Three-Gorges project may cause significant change in both natural and social environments; consequently, it may have profound impact on population＇s physical and mental health. OBJECTIVE： To investigate the potential impact from the change of social environments in Three Gorges dam on population health and also to explore the associated causes. DESIGN： Cross-sectional study SETTING： School of Public Health of Chongqing University of Medical Sciences, CDCs of Kaixian, Yunyang and Wanzhou counties. PARTICIPANTS： This research was conducted in Kaixian, Yunyang and Wanzhou of Chongqing from February to December of 2004. Data, which were about disease monitoring of overall population in the three counties in Three-Gorges areas mentioned above, were analyzed. METHODS： Data on disease monitoring of overall population in Yunyang, Kaixian and Wanzhou were collected and sorted, and the data on disease monitoring of non-Three-Gorges areas were taken as a control, all of these data were analyzed with the combination of quantitative and qualitative methods, as well as actuality and predicting methods and a number of literatures were referred to. MAIN OUTCOME MEASURES： （1） Indicators of socio-economical development; （2） current situation of psychological health problems of migrants; （3） status of occurrence of emergent public health events. RESULTS： （1） In Three-Gorges dam areas, local socio-economy development greatly lags behind, which consequently results in poor income in local people. （2） In recent years, the incidence of floating people-related diseases greatly increased in Three-Gorges areas. （3） Migration had resulted in socio-psychological health problems of migrants. （4） The public health system in reservoirs is very weak, which may result in possible emergent public health events. CONCLUSION： It is urgent to closely study the existing problems, and to take active preventive measures to reduce the impact of socio-environmental factors on population health as possible.