The prevalence characteristic of Kashin-Beck disease in nuclear families
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.2095-4255.2018.04.007
   		
        
        	
        		- VernacularTitle:大骨节病核心家庭患病特征的分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Na FENG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Zhiguang PING
			        		
			        		;
		        		
		        		
		        		
			        		Fangfang YU
			        		
			        		;
		        		
		        		
		        		
			        		Zhiwen WANG
			        		
			        		;
		        		
		        		
		        		
			        		Fuqi WANG
			        		
			        		;
		        		
		        		
		        		
			        		Xiong GUO
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 710061西安,陕西省血液中心质量管理科;710061西安,西安交通大学医学部公共卫生学院卫计委微量元素与地方病研究重点实验室
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Kashin-Beck disease;
			        		
			        		
			        		
				        		Nuclear family;
			        		
			        		
			        		
				        		Pathogenic characteristic
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Endemiology
	            		
	            		 2018;37(4):291-295
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To analyze the occurrence characteristic of Kashin-Beck disease (KBD) in nuclear families,and to provide a scientific basis for KBD prevention.Methods KBD patients in 15 villages of Linyou County,Shaanxi Province were investigated using clinical and questionnaire survey.According to the prevalence of KBD,the nuclear families were divided into 4 different types:parents did not suffer from KBD (A,n =3 657),mother suffered from KBD and father did not (B,n =674),father suffered from KBD and mother did not (C,n =907),and both patients suffered from KBD (D,n =748).The relationship between prevalence of nuclear families and prevalence of population was analyzed using correlation analysis,and the changes of prevalence in different age groups of family members were analyzed.Results ①The prevalence of nuclear families (38.91%,2 329/5 986) and the prevalence of popttlation (14.42%,3 700/25 656) were significantly correlated (r =0.77,P < 0.05);②The proportions of parental generation men and women with KBD were 9.91% (118/1 191) vs 11.30% (105/929) in 0-10 years old group,62.80% (748/1 191) vs 58.45% (543/929) in 11-20 years old group,15.70% (187/1 191) vs 18.51% (172/929) in 21-30 years old group,7.30% (87/1 191) vs 7.64% (71/929) in 31-40 years old group,2.77% (33/1 191) vs 2.37% (22/929) in 41-50 years old group,1.34% (16/1 191) vs 1.51% (14/929) in 51-60 years old group,and 0.17% (2/1 191) vs 0.22% (2/929) in 61-70 years old group,respectively.③Among the three nuclear families (B,C,D),the age of offspring with KBD was less than 13 years old when the age of their parents with KBD was less than 13 years old(83.33%,20/24);The age of the offspring with KBD was mainly distributed between the ages of 13 and 25 years old when the age of their parents with KBD was 13-25 years old (69.86%,51/73);When the age of parents with KBD was order than 25 years old,the age of their offspring with KBD was mainly less than 25 years old (84.85%,56/66);④Among the four nuclear families,the prevalence rates of male and female in the first filial generation were 1.41% (52/3 683) vs 0.47% (12/2 538) in A family (x2 =0.47,P > 0.05),5.73% (31/541) vs 0.53% (2/378) in B family (x2 =4.32,P < 0.05),6.48% (44/679) vs 0.95% (5/528) in C family (x2 =4.10,P < 0.05),and 9.46% (66/698) vs 3.31% (15/453) in D family (x2 =2.96,P> 0.05),respectively.Conclusions ①The prevalence of the nuclear family with KBD is related to the population prevalence;②the prevalence of male and female with KBD is related to age,and KBD mainly occurs between the age of 11 and 20;③the age of offspring with KBD is partly influenced by the age of their parents;④the prevalence rate of male in the first filial generation is higher than that of female in the first filial generation.