探讨武汉市黄陂区2012至2013年血吸虫病患者的发病率、发病影响因素与生活现状。

2012至2013年对本地区的血吸虫病高危适检对象进行间接红细胞凝集试验，同时对入选者的一般人口学资料、生活方式、诊治情况以及生活质量进行调查。

2012年本地区血吸虫病的发病率为3.29%，而2013年的发病率为3.13%，差异无统计学意义（χ² = 0.149、P > 0.05）。单因素分析显示，年龄、既往有血吸虫病治疗、务农、性别以及受教育水平与血吸虫病发生显著相关（OR值分别为3.289、2.893、3.223、4.781和8.439，P均< 0.05）。非条件Logistic回归模型结果显示，年龄、既往有血吸虫病治疗和受教育水平是导致血吸虫发生的独立危险因素（OR值分别为2.040、0.787和1.947，P均< 0.05）。血吸虫病患者的心理、生理与社会关系评分均显著低于非血吸虫病健康人群，差异具有统计学意义（t值分别为30.487、35.397和39.445，P均< 0.05）。

本地区2012至2013年血吸虫病监测发病率比较高，多与年龄、既往有血吸虫病治疗以及受教育水平有关，生活质量比较低，要积极进行预防干预。

To investigate the incidence, risk factors and current situation of schistosomiasis living in Huangpi District of Wuhan in 2012-2013.

The high risk suitable cases with schistosomiasis for the kato-katz detecting in 2012-2013, the general demographic information, lifestyle, diagnosis, treatment and life quality were also analyzed, respectively.

The incidence of schistosomiasis in 2012 was 3.29%, which was 3.13% in 2013, with significant difference (χ² = 0.149, P > 0.05). Univariate analysis showed that the age, schistosomiasis treatment history, agriculture, gender and levels of education were significantly associated with the occurrence of schistosomiasis (OR = 3.289, 2.893, 3.223, 4.781 and 8.439; P all < 0.05). Unconditional logistic regression model showed that age, history of schistosomiasis treatment and levels of education were the independent risk factors for schistosomiasis (OR = 2.040, 0.787 and 1.947; P all < 0.05). The mental, physical and social relations scores of the schistosomiasis patients were significantly lower than non-schistosomiasis healthy people (t = 30.487, 35.397 and 39.445; P < 0.05).

The incidence of schistosomiasis in Huangpi District of Wuhan in 2012-2013 were relatively high; the age, history of schistosomiasis treatment and the levels of education were associated with the occurrence of schistosomiasis, and preventive interventions should be actively carried out.