社会经济因素与日本血吸虫病流行──一个中国农村的调查(英文)

SOCIOECONOMIC FACTORS AND PREVALENCE OF SCHISTOSOMIASIS JAPONICA IN A RURAL AREA OF CHINA

目的调查和确定影响中国农村日本血吸虫病流行的有关社会、经济和文化因素。方法采用医学人类学、社会学和流行病学的研究方法。结果试点村人口为1337人，多数村民为农民。1993年产值为平均每人1268元。卫生设施十分有限，村里没有卫生室。1994年的血吸虫感染率为13．％，1992～1994年累积感染率为29．3％。该村的血吸虫病有家庭聚集性，影响因素为居室至钉螺孳生地的距离、家长的教育程度和家庭的卫生状况。

Objective To investigate and identify social, economic and cultural factors which influence the prevalence of schistosomiasis japonica. Metbods Anthropological and sociological research methods supplemented by epidemiological approaches were used. Results The population of the village was 1337, and the majority were farmers. Gross product per capita was 1 268 yuan (US $150)in l993. Health services were limited and there was no medical clinic in the village. The infection rate of schistosomiasis was 13. 9 % in 1994. The cumulative infection rate was 29. 3% between 1992 and 1994. There was a clustering of schistosomiasis in families. The influential factors were the distance from houses to host snail habitats, the education level of household heads and the general sanitation of households.