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目的调查晚期血吸虫病(晚血)的社会负担,为晚血防治及救助政策的制定提供科学依据。方法在湖南省汉寿县有现症晚血患者分布的村及湖北省江陵县20%的村,对患者、村民、村干部进行问卷调查;对县一级晚血负责人员进行深度访谈。结果现场调查中,66.1%的村干部认为晚血对村人均收入存在不同程度的影响;56.2%的村干部认为晚血对本村劳动就业有不同程度的影响;26.1%的村民认为晚血对自身心理会产生不同程度的影响;80%以上的村民及村干部均认为晚血对本村社会安定各方面无影响。患者当年接受晚血救助的金额平均每人约4 100元;晚血救助各方面满意度均>85%;除现有救助外,77%的患者仍然存在某些亟待解决的需求。深度访谈结果显示晚血对当地社会各个方面存在一定影响。结论晚血对当地社会经济、政府形象及大众心理等方面均存在一定影响,减轻该负担应依靠当地政府对防治工作的重视、依靠防治工作的有效开展和依靠晚血救助政策的不断完善与有效实施。
Objective To investigate the social burden of late schistosomiasis (late blood) and provide a scientific basis for the development of late blood prevention and rescue policies. Methods In Hanshou County of Hunan Province, there were 20 villages with late-blooded patients and 20% villages in Jiangling County of Hubei Province. Questionnaires were made among patients, villagers and village cadres. Results In the field survey, 66.1% of village cadres thought late blood had different impacts on per capita income of their village; 56.2% of village cadres thought late blood had different effects on their employment; 26.1% of villagers considered late blood on themselves More than 80% of the villagers and village cadres think that late blood has no effect on the social stability of their village. In the same year, the average amount of patients receiving late blood aid was about 4,100 yuan. Satisfaction in all aspects of late blood rescue was> 85%. Apart from the existing relief, 77% of patients still had some urgent needs to be solved. In-depth interview results show that late blood has some impact on all aspects of the local community. Conclusion Late blood has some influence on local social economy, government image and public psychology. To reduce this burden, local government should pay more attention to prevention and control work. Based on the effective prevention and treatment work and continuous improvement and effective relying on late blood rescue policy Implementation.