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目的了解平山县布鲁氏菌病重点职业人群布鲁氏菌病感染状况,评价措施效果,为防控布病疫情提供依据。方法按照WS269-2007《布鲁氏菌病诊断标准》中规定的方法,对2011-2014年平山县布鲁氏菌病重点职业人群的血清学检测结果进行分析。结果连续三年对布鲁氏菌病重点职业人群开展健康教育和行为干预工作,阳性率由干预前的7.94%降到4.00%及以下,干预前后相比总体差异有统计学意义(χ2=8.300,P=0.040);乡镇、年龄、性别、职业分布差异有统计学意义(分别χ2=12.583,P=0.014;χ2=10.996,P=0.027;χ2=6.168,P=0.013;χ2=8.065,P=0.045)。结论通过干预能降低重点职业人群的布鲁氏菌病阳性率,应在今后工作中加强对重点职业人群的健康教育和行为干预。
Objective To understand the prevalence of brucellosis in key occupational groups of brucellosis in Pingshan County, and to evaluate the effect of brucellosis in order to provide basis for the prevention and control of brucellosis. Methods According to the diagnostic criteria of WS269-2007 “Brucellosis”, the serological test results of the key occupational groups of brucellosis in Pingshan County during 2011-2014 were analyzed. Results The health education and behavioral intervention were carried out for the occupational groups with brucellosis for three consecutive years. The positive rate decreased from 7.94% before intervention to 4.00% or below. The overall difference was statistically significant before and after intervention (χ2 = 8.300 , P = 0.040). There was significant difference in the distribution of township, age, sex and occupation (χ2 = 12.583, P = 0.014; χ2 = 10.996, P = 0.027; = 0.045). Conclusion Intervention can reduce the prevalence of brucellosis in key occupational groups. Health education and behavioral intervention should be strengthened in key occupational groups in future work.