影响农村晚期血吸虫病患者防治因素的访谈调查

刘兆春; 肖水源; 余冬保; 李岳生; 方金城; 李华忠; 张继海

Abstract

刘兆春,肖水源,余冬保,李岳生,方金城,李华忠,张继海.影响农村晚期血吸虫病患者防治因素的访谈调查[J].Chinese journal of Epidemiology,2005,26(1):14-17

影响农村晚期血吸虫病患者防治因素的访谈调查

In??depth interviews on late stage schistosomiasis patients about factors related to prevention and treatment in the rural areas

Received:January 05, 2004

DOI：

KeyWord: 晚期血吸虫病影响因素

English Key Word: Late stage schistosomiasis Infective factors

FundProject:WHOJacquesPalisotFoundation;湖南省血吸虫病专家咨询委员基金资助项目

Author Name	Affiliation
LIU Zhao-chun	The School of Public Health,Central South of University, Changsha 410078, China
XIAO Shui-yuan	The School of Public Health,Central South of University, Changsha 410078, China
YU Dong-bao	中国疾病预防控制中心性病艾滋病预防控制中心, 长沙 410078
LI Yue-sheng	湖南省血吸虫病防治所, 长沙 410078
FANG Jin-cheng	湖南省血吸虫病防治办公室, 长沙 410078
LI Hua-zhong	湖南省血吸虫病防治办公室, 长沙 410078
ZHANG Ji-hai	The School of Public Health,Central South of University, Changsha 410078, China

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Abstract:

目的探索影响现阶段晚期血吸虫病防治(血防)的相关因素。方法采用偶遇抽样和判断抽样的方法,在洞庭湖区抽取61例晚期血吸虫病患者分别进行访谈调查。结果影响晚期血吸虫病防治的因素为患者社会支持程度较高(61/61),缺乏个人应对自己的健康负责任的观念,血防知识知晓率偏低(28/61)、年龄偏大(57.40岁±10.08岁)、受教育程度低(4.70年)、家庭收入较低、社会缺乏有效的医疗保障系统和缺乏高效的“接近患者系统”。结论防治晚期血吸虫病需要患者个人、卫生机构和社会的积极参与。加强对疫区居民的血吸虫病健康教育,强化其血防意识和对自己的健康负责任的观念,建立健全疫区医疗保障体系、农村公共卫生体系和重大疾病救治体系,提高农村卫生系统的反应能力和居民卫生服务的可及性。

English Abstract:

Objective ?? To explore factors r elated to cur rent prevent ion and treatment of Adv anced cases on schistosomiasis. Methods ?? In??depth interviews were introduced to the qualitative study on 61 Advenced cases of schistosomiasis in Dongting Lake regions. Sampling was accidentally and judgmentally perfo rmed. Results ?? Related factors on pr ev ention and treatment of Advenced cases of schistosomiasis w ould include: hig her deg ree of social support for patients ( 61/ 61) , excessive dependence on the past patter n of schistosomiasis control, lack of the idea that one should be r esponsible for his/ her own healt h, lack of know ledge about preventio n and treatment of schistosomiasis( 28/ 61) , older age( 57. 40 ?? 10. 80) , lower education( 4. 70 years) , less family income, lack o f effect ive medical insurance system and efficient close??to??client system. Conclusion?? Activ e par ticipation from patients, medical institutions and society w as needed to control Late Stage Schistosomiasis. Health education campaign should be intensified to impr ove t he health aw areness for schistosomiasis among residents in the heavy endemic areas. Medical insurance system should be set up in epidemic areas, w hile public healt h and cure systems for impor tant diseases should be intensified in r ural areas. The ability of public health system to be r esponsive and the accessibility of residents to health ser vice system should be improved in rural areas as well.

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