Analysis of factors affecting the occurrence of advanced Schistosomiasis japonica in Poyang Lake area
HUANG Xing-hua1, XIE Shu-ying2, JIN Hai-hui1, NING An2, HU Fei2
1. Yugan County Station of Schistosomiasis Control, Jiangxi Province, Yugan 335100, China; 2. Jiangxi Provincial Institute of Parasitic Diseases; Jiangxi Province Key Laboratory of Schistosomiasis Prevention and Control, Nanchang 330046, China
Abstract：To analyze the main influencing factors of advanced schistosomiasis (AS) in Poyang Lake region, so as to provide a scientific prevention gist for effective control of the AS occurrence. A total of 169 AS cases were selected as case group, and chronic cases were chosen as control group matched by gender, age and close residence at ratio of 1∶1 since 2002. A questionnaire with 20 indicators was used to conduct a retrospective survey. The survey content included the basic information of the participants, the factors related to the AS occurrence before and after the diagnosis of chronic schistosomiasis, as well as the data of examinations and treatments collected since 2002. Univariate analysis showed that occupation, occupational changes, concomitant diseases in the digestive system of chronic schistosomiasis, the interval years between examinations, medication compliance, cumulative number of medications, annual detection rate, annual positive rate of antibody detection, annual positive rate of stool examination, and annual medication rate etc., totally 11 indicators, were statistically significant. The result of logistic regression showed that the cumulative years leaving endemic areas, the high risk exposure to infested water, and the cumulative medications are the protective factors for the AS occurrence, while the higher annual positive rate of antibody detection, the higher seasonal exposure to infested water, the poorer medication compliance, and concomitant with hepatitis B were risk factors. To establish an effective schistosomiasis case tracking management system, and strengthen intervention measures of the risk factors may effectively control the occurrence of advanced schistosomiasis.
黄兴华, 谢曙英, 金海辉, 宁安, 胡飞. 鄱阳湖地区影响晚期日本血吸虫病发生的因素分析[J]. 中国人兽共患病学报, 2021, 37(12): 1129-1134.
HUANG Xing-hua, XIE Shu-ying, JIN Hai-hui, NING An, HU Fei. Analysis of factors affecting the occurrence of advanced Schistosomiasis japonica in Poyang Lake area. Chinese Journal of Zoonoses, 2021, 37(12): 1129-1134.
2021, Vol. 37 
