| Objective:To know the infection status and influencing factors of clonorchis sinensis in Fuyu and provide scientific basis for the prevention and control of clonorchiasis in Fuyu.Methods:A total of 3,068 local residents were selected,and the survey methods included questionnaire survey,laboratory testing,ultrasonic testing,etc.2,911 of them had complete questionnaire information,among which 854 cases had clonorchis sinensis infection(fecal smear microscopy found clonorchis sinensis eggs),and 2,057 cases had no clonorchis sinensis infection.Results:1.In this study,a total of 3,068 local residents in Fuyu were selected,among whom 2,911 had complete questionnaire information.Among them,854 were infected with clonorchis sinensis,with an infection rate of 29.34%,and 2,054 were not infected with clonorchis sinensis.2.Male infection rate was 39.37%,female infection rate was18.73%,male infection rate was higher than female,the difference was statistically significant(P < 0.05).3.Infection was found in all age groups,and the infection rate was the highest in the 31-60 group(30.69%),and the lowest in the < 30group(16.84%),with statistically significant difference(P < 0.05).4.The infection rate of the junior college,university and above groups was the lowest(17.75%),and the infection rate of the junior highschool,high school and primary school groups was the highest(33.49%,32.94% and 29.62% respectively).The difference was statistically significant(P < 0.05).5.Clonorchis sinensis infection was found in all occupational groups,and the highest infection rate was 30.62% in the farmer group,with statistically significant difference(P < 0.05).6.All the 10 villages in Fuyu were infected with clonorchis sinensis,with a positive rate of 17.01%-37.50%.Among them,hejiang village had the highest infection rate(37.5%),and the difference was statistically significant(P < 0.05).7.The infection rate in the smoking group was 35.16%,higher than that in the non-smoking group,and the difference was statistically significant(P<0.05).The infection rate in the drinking group was43.62%,higher than that in the non-drinking group,and the difference was statistically significant(P < 0.05).8.The infection rate of the group that regularly ate raw fish and shrimp(twice a week or more)was 53.33%,significantly higher than that of other groups,and the difference was statistically significant(P <0.05).9.Males prefer to eat raw fish and shrimp more than females,and the middle-aged group and the elderly group prefer to eat raw fish and shrimp.The rates of raw fish and shrimp in linhe village,beijiang village,qianyang village,huandong village and xiaoweizi village are the highest,which are 69.71%,68.92%,68.89%,68.47% and 68.16% respectively,with statistically significant differences(P < 0.05).10.There was no statistically significant difference in infection rate among different groups with or without cats and dogs(P > 0.05).There was no statistically significant difference in infection rate between the different habits of cats and dogs in the family(P > 0.05).11.The awareness rate of clonorchiasis among the population was76.61%,and the awareness rate of disease hazards among the population was 45.99%.The infection rate of clonorchiasis awareness group was30.72% higher than that of the unknown group,and the difference was statistically significant(P < 0.05).The infection rate in the group with clonorchiasis awareness was 31.59% higher than that in the group without awareness,and the difference was statistically significant(P <0.05).12.Regarding the awareness of clonorchiasis,the awareness rate of males was 81.48%,higher than that of females;The awareness rate of the middle-aged group was 77.97%,higher than that of the youth group and the elderly group.The awareness rate of each village was different,and the difference was statistically significant(P < 0.05).13.The previous treatment rate of the population infected with clonorchis sinensis was 31.38%(764/854),and the infection rate of the group with previous treatment history was 35.08%,which was higher than that of the group without treatment history,and the difference was statistically significant(P < 0.05).14.The infection rate of clonorchis sinensis in the group with HBV infection was 37.58%,higher than that in the group without HBV infection,and the difference was statistically significant(P < 0.05).The infection rate of clonorchis sinensis in the group with HCV infection was 27.88%,lower than that in the group without HCV infection,and the difference was not statistically significant(P?0.05).15.Multivariate Logistic regression analysis showed that male,farmer,drinking habit and raw fish and shrimp eating habit were independent risk factors for clonorchis sinensis infection.Conclusion:1.The infection rate of clonorchiasis was 29.34% in Fuyu,.2.The infection rate of male group,middle-aged group,farmer group and Hejiang village is higher.3.Epidemiological questionnaire shows that the infection rate increases with the increase of the frequency of raw fish and shrimp.Among them,the male group,the middle-aged group and the elderly group prefer to eat fish and shrimp raw,so it is necessary to strengthen health education and regular physical examination for this group.4.Regarding the knowledge of clonorchiasis,the infection rate of clonorchiasis group was higher than that of the unaware group.The infection rate of the disease-hazard group was higher than that of the unaware group,and the local residents had a know-how separation phenomenon.5.In terms of treatment,the infection rate of the previous deworming treatment group was higher than that of the untreated group.Local residents have a phenomenon of separation of knowledge and behavior.6.Male,farmer,drinking habit and raw fish and shrimp eating habit were independent risk factors for clonorchis sinensis infection. |
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