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目的了解流动人口急性腹泻的相关因素并估计疾病负担。方法以杭州市3个区、县的流动人口聚集地作为调查点,于2013年的3、6、9、12月开展急性腹泻的回顾性调查。结果共调查1813人,4周患病率为4.03%,发病密度为0.54次/人年。原籍居住地在农村的流动人口4周患病率为4.36%、城市为0.33%,两者差异有统计学意义(χ2=4.53,P=0.033)。logistic回归分析表明原籍居住地性质、年龄、教育程度是急性腹泻发病的影响因素。共有28.76%(21/73)具有相关症状体征者至医院及诊所就诊,报告因病休息平均0.4 d/人次,疾病相关费用58.22元/人次。结论杭州市流动人口中原籍农村者和10岁以下儿童急性腹泻患病率较高,应引起关注。
Objective To understand the related factors of acute diarrhea in floating population and estimate the burden of disease. Methods A retrospective investigation of acute diarrhea was conducted in March, June, September and December in 2013 in Hangzhou City, with three districts and counties in Hangzhou. Results A total of 1813 people were surveyed. The prevalence rate at 4 weeks was 4.03% and the disease density was 0.54 times per person. The 4-week prevalence rate of migrant population living in rural areas with original hometown was 4.36% and that of urban areas was 0.33%. The difference was statistically significant (χ2 = 4.53, P = 0.033). Logistic regression analysis showed that the nature of the place of residence, age, education level are the influencing factors of acute diarrhea. A total of 28.76% (21/73) of the patients with relevant symptoms and signs went to the hospitals and clinics for treatment, reporting an average of 0.4 d / person for rest due to illness and 58.22 yuan for disease-related expenses per person. Conclusions The prevalence of acute diarrhea among migrant rural residents and children under 10 years of age in Hangzhou is higher than that of other rural residents.