농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)
- 제27권2호
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- Pages.27-33
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- 2002
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- 1738-9577(pISSN)
섬진강 유역 순창 지역 주민의 간흡충증 혈청역학적 조사
A Seroepidemiological Survey for Human Clonorchiasis on Soonchang-gun Near the Sumjin River in Korea
- Kim, Suk-Il (Department of Parasitology, College of Medicine, Chosun University) ;
- Oh, Gyung-Jae (Department of Preventive Medicine, College of Medicine, Wonkwang University) ;
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Park, Hyun
(Department of Parasitology, College of Medicine, Wonkwang University)
- 발행 : 2002.12.30
초록
섬진강 유역 순창 지역 주민의 간흡충 관리를 위하여 2,591명을 대상으로 효소면역측정법(ELISA)을 실시하여 유병률을 파악하고 ELISA 양성자를 대변검사로 간흡충 감염을 확진한 대상을 상대로 설문조사를 실시하고 95명의 조사 결과를 통계적으로 분석하여 역학적 특성을 파악한 결과는 아래와 같다. 1. 순창군 간흡충 유병률은 평균 16.1% 이었고 각 면 단위별로 33.6%에서 7.0% 범위를 보였다. 2. 면소재 마을별 유병률은 최고 39.2%, 최저 0.0% 범위를 보였으며, 섬진강변에 위치한 면 또는 마을 지역이 강으로부터 먼 지역보다 유병률이 높았다. 3. OR 값은 남자와 여자에서 2.76, 음주군과 비음주군에서 2.14, 민물고기 생식군과 비생식군에서 2.40, 자신이 건강하다고 생각하는 사람과 그렇지 않은 군에서 2.44, 간흡충에 대해 잘 아는 사람과 그렇지 않은 군에서 5.23, 약물치료후 민물고기를 재생식한 사람과 그렇지 않은 군에서 3.32이었다. 이상의 결과에서, 섬진강 상류에 위치한 순창 지역은 간흡충 감염이 유행하고 있었고, 간흡충 유행의 여러 관련요인이 작용하고 있는 역학적 특성을 나타내어 간 흡충 질환이 이 지역의 보건학적 문제가 되고 있음을 확인하였다.
Aims: This study was carried out to find the prevalence of human clonorchiasis and to know epidemiological features in a Clonorchis sinensis-endemic area in Korea. Methods and materials: The EHSA was applied for the serodiagnosis of clonorchiasis. A total of 2,591 inhabitants at Soonchang-gun county adjacent to the Sumjin River were screened through the assay. The questionnaire survey was performed for several epidemiological points related to C. sinensis infection. Data from 95 inhabitants were processed for the statistical analysis. Results: The prevalence of human clonorchiasis in Soonchang-gun was 16.1% in average from 33.6% to 7.0% according to the villages of the survey. In the riverside villages to the Sumjin River the prevalences were higher than those in other villages located far from the river. The odd ratio (OR) between men and women was 2.76, indicating that the clonorchiasis was 2.76 times more prevalent in man than woman. The ORs were 2.14 in alcoholic group, 2.40 in the group of raw-eating of fresh-water fishes, 2.44 in the people who thought they were healthy, 5.23 in the people who knew well about the clonorchiasis, and 3.32 in the people who had again raw-eating of the fishes following medication. Conclusions: These results suggested that human clonorchiasis was still highly endemic in riverside area of the Sumjin River and some predisposing factors such as raw-eating of fresh-water fishes were significantly related to the human clonorchiasis.