云南腾冲县2008年出境回归人员疟疾发病调查

Survey of related factors and malaria infection in population returning from outside border area in Tengchong County,Yunnan in 2008.

目的了解腾冲县2008年出境回归人员疟疾发病情况及相关影响因素。方法采用多阶段抽样和定量相结合方法对腾冲县三个乡(镇)的出境回归人群进行问卷调查。结果调查1267人中,有227例(21.86%)患过疟疾,其中在境外治疗的病人占0.72%,在国内卫生院治疗的占24.91%,在国内个体诊所治疗的占1.08%,在医院治疗的占73.29%;疟疾病人中规范治疗,用药1d、3d、4d、5d、6d、7d、8d的分别占0.72%、0.36%、6.14%、4.33%、2.17%、0.72%、85.56%。Logistic回归分析显示,出境务工类别、务工时间、性别三个变量进入影响因素。结论腾冲县出境务工人群疟疾患病率较高,是重点防治人群,应开展对疟疾传播途径、预防和患疟疾要及时到医疗机构进行规范治疗等健康教育,提高出境回归人群的及时就诊和规范治疗意识。

Aim To understand status of malaria infection in popaloation returned from outside border area and related factors in Tengchong County,Yunnan Province. Methods Malaria infection and factors related to malaria infection in population returned to Tengchong County of Yunnan Province from outside border area were surveyed by multi-stage sampling and quantitative methods. Results Among the 1 267 persons surveyed 227 of them were infected with malaria （21.86%） and 0.72% of patient were treated abroad,24.91% of patient were treated domestically in the townships of the county. Of those treated in this county, 1.08% of them were treated in private chnics and 73.29% of them were treated in other hospitals of the county. The percentage of patients given standard treatment for 1 day,3 days,4 days,5 days,6 days,7 days and 8 days acounted for 0.72%, 0.36%, 6.14%, 4.33%, 2.17%, 0.72%, 85.56%, respectively. Logistic regression analysis showed that categories,duration and gender were the factors related to malaria infection. Conclusion The infection rate of malaria among the workers returned from outside border area was high and health education including malaria knowledge, standard treatment and behaviors be carried out protect the health of the workers