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中国疟疾风险评估指标体系构建
  • ISSN号:1001-0580
  • 期刊名称:《中国公共卫生》
  • 时间:0
  • 分类:R513.3[医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]华中科技大学医药卫生管理学院,湖北武汉430030, [2]湖北省人文社科重点研究基地-农村健康服务研究中心, [3]密德萨斯大学,伦敦N111QS
  • 相关基金:国家自然科学基金(71473097)
中文摘要:

目的构建中国疟疾风险评估指标体系,为我国疟疾风险预警工作提供参考依据。方法通过文献研究初步确定疟疾风险评估指标体系,抽取24名从事相关领域的专家参与第1轮指标的筛选,采用熵值法对咨询结果进行优化。结果专家对所有指标熟悉程度的得分均〉7分,权威系数均〉8分,专家咨询的协调系数为0.212(X^2=121.876,P〈0.01);经过熵值法优化调整后疟疾病例数、居民夏季室外暴露时间、疫区流人人员数量和政府疟疾风险关注度指标权重上调幅度较大,权重依次为0.1751、0.1410、0.1006、0.1037,最终得到一套涵盖2个一级指标、8个二级指标、26个三级指标的疟疾风险评估指标体系。结论采用德尔菲法与熵值法相结合进行疟疾风险评估具有一定优势;此评估指标体系评估内容较为全面系统,与实际工作中疟疾风险的发生紧密相关,能较为有效的评估某一地区的疟疾风险。

英文摘要:

Objective To establish an index system for effective assessment of malaria risk in China and to provide references for early warning of malaria risk in China. Methods The index system of malaria risk assessment was estab-lished primarily based on literature research; then an initial screening on indicators of the system was conducted by 24 experts and the expert consultation results were optimized with entropy method. Results The scores of familiarity with all the indexes for the experts were greater than 7 ; the authority coefficients were greater than 8 ; and the coordination coefficient for the expert consultation was 0. 212 (X^2 = 121. 876, P 〈 0. 01 ). After adjustment with entropy optimization, the weight of number of malaria incidents, exposure time of the residents in summer season, number of persons entering an endemic region, and governmental attention for malaria risk were markedly upregulated, with the values of 0. 175 1, 0. 141 0,0. 100 6, and 0. 103 7, respectively. The index system established finally includes 2 first-tier indicators, 8 secondtier indicators, and 26 third-tier indicators. Conclusion Delphi method combined with entropy method is of advantages when used in malaria risk assessment. The established index system is comprehensive,systematic ,and more closely related to the occurrence of malaria risk in real situation and could be used for effective assessment of malaria risk.

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期刊信息
  • 《中国公共卫生》
  • 北大核心期刊(2011版)
  • 主管单位:国家卫生和计划生育委员会
  • 主办单位:中华预防医学会
  • 主编:王宇
  • 地址:沈阳市和平区砂阳路242号
  • 邮编:110005
  • 邮箱:zgggws@vip.sina.com
  • 电话:024-23388443 23388479
  • 国际标准刊号:ISSN:1001-0580
  • 国内统一刊号:ISSN:21-1234/R
  • 邮发代号:8-204
  • 获奖情况:
  • 1999年获中华预防医学会系列期刊优秀期刊二等奖,2000年获中华预防医学会系列期刊优秀期刊三等奖,国家期刊提名奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:66800