| 徐上知,靳蕾,叶荣伟,郑俊池,杨瑞兰,汤建芳,蔡丽娟,胡秀华,陈浩,孙
霞美,李竹.江苏和浙江省六个县级市1993-2003年婚前医学检查妇女贫血状况研究[J].Chinese journal of Epidemiology,2008,29(1):34-37 |
| 江苏和浙江省六个县级市1993-2003年婚前医学检查妇女贫血状况研究 |
| Study on anemia among premarital women in 6 counties from 1993 to 2003 |
| Received:September 17, 2007 Revised:June 20, 2012 |
| DOI： |
| KeyWord: 贫血 妇女 患病率 医学检查 婚前 |
| English Key Word: Echovirus type 6 Aseptic meningitis Outbreak Risk factors |
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| Abstract: |
| 目的 了解江苏和浙江省婚前医学检查妇女贫血患病率及其分布特征.方法 资料来源于"中美预防出生缺陷与残疾合作项目"的围产保健监测系统的婚前检查报告.采用世界卫生组织推荐的未孕妇女贫血诊断标准.研究对象为江苏省的太仓、昆山、吴江市和浙江省的海宁、桐乡、慈溪市1993-2003年193 434名未孕婚前医学检查妇女.结果 1993-2003年6个县级市婚前医学检查妇女贫血患病率为42.9%(82 995/193 434)，其中以轻中度贫血为主(占99.7%).乡镇企业工人和农民贫血患病率较高，汉族低于少数民族|妇女文化程度越低、体重指数越小、年龄较大者贫血患病率越高.季节分布特点是9月份贫血患病率最高(48.2%)，3月份最低(39.5%)，11年间婚前医学检查妇女贫血患病率呈逐年下降趋势(1993年为65.5%，2003年下降为25.8%).结论 虽然11年来江苏和浙江省6个县级市婚前医学检查妇女贫血患病率已经大幅度下降，但少数民族、年龄较大、低文化程度和农民、乡镇企业工人中患病率仍较高。 |
| English Abstract: |
| Objective To understand the epidemiological,clinical and etiological characteristics of an Eehovirus type 6 meningitis outbreak in Jinzhai county,Liu'an city in Anhui,and to find out the proper way in controlling the aseptic meningitis outbreak.Methods A surveillance system for aseptic meningitis was established in Jinzhai to confirm the case definition.Stool or cerebrospinal fluid(CSF) specimens from some cases were collected for entero-viruses isolation and identification.Case-control study was conducted. The case group involved patients while the controls would include:patients' classmate with same gender and the age difference was not over one year.Neutralization antibody in serum specimens were collected and tested in cases and in healthy people.Results 105 cases were distributed in 17 of the 30 towns in Jinzhai county while 41.0% of the cases were in Banzhuyuan town with an incidence rate of 203/10~5.Cases were clustered by school and classroom with age ranging from 3 to 15 years old and the highest as 10.9/10~5 in the 6 to 10 group.The incidence in males was 24.2/10~5 compared to 8.4/10~5 in females.The main clinic characteristics of cases were:fever,headache and vomiting.Echovirus type 6 from 25 of the 72 CSF samples(35%) was isolated.When comparing the cases group with control group,the OR of drinking home-made beverages was 4.1 (95% CI;1.4-12.0),especially the beverages sacked by plastic bag:3.3 (95% CI:1.3-8.8).6 out of 7 workers engaging in producing home-made beverages were detected to have carried Echovirus type 6 from their stool specimens.The Echovirus type 6 neutralization antibody positive rate in cases(73.5%) was significantly higher than that in 100 healthy people(46.0%)(χ~2=12.526,P= 0.000).Conclusion This episode of meningitis outbreak was caused by Echovirus type 6.The proportion of drinking home-made beverages,especially the beverages sacked by plastic bag in cases group was higher than in control group. |
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