云南省玉溪市农村地区手足口病影响因素分析

发布时间：2018-04-30 12:11

本文选题：农村 + 手足口病　；参考：《公共卫生与预防医学》2016年01期

【摘要】：目的了解云南省玉溪市农村地区手足口病流行的相关影响因素,为有效控制手足口病在农村地区的暴发和流行提供依据。方法研究采用1∶1病例对照研究方法,选取疫情报告系统中2014年5月1日至12月31日期间云南省玉溪市人民医院临床或实验室诊断为手足口病的全部乡镇患儿进行编号,采用系统抽样的方法确定了其中来自农村地区的205例病例,按照1∶1配对原则确定205例未患手足口的儿童为对照,采用问卷调查的方法收集资料。用Epi Data 3.0建立数据库,SPSS 17.0统计软件对数据进行单因素、多因素条件Logistic回归分析。结果 Logistic多因素回归分析显示,在控制了各变量间的混杂作用影响后,儿童与手足口病患儿有接触史是流行的危险因素(OR=6.622),而儿童饭前洗手和接受母乳喂养为保护因素(OR分别为0.485、0.396)。结论相比城镇地区,农村地区儿童的手足口病防治应该得到更多关注,培养成良好的卫生习惯、提倡母乳喂养及避免让儿童接触手足口病患者是控制农村手足口病的关键。
[Abstract]:Objective to investigate the related factors of HFMD prevalence in rural areas of Yuxi, Yunnan Province, and to provide evidence for the effective control of HFMD outbreaks and epidemics in rural areas. Methods the 1:1 case-control study was used to identify all the township children with HFMD diagnosed by clinic or laboratory in Yuxi people's Hospital, Yunnan Province from May 1 to December 31, 2014 in the epidemic situation reporting system. A systematic sampling method was used to determine 205 cases from rural areas and 205 children without hand and foot mouth as control according to 1:1 pairing principle. The data were collected by questionnaire. The statistical software SPSS17.0 of Epi Data 3.0 was used to analyze the data by univariate and multivariate conditional Logistic regression analysis. Results Logistic multivariate regression analysis showed that after controlling for the influence of the mixed effects of various variables, the history of contact between children and children with HFMD was an epidemic risk factor of OR6.622, while the OR of washing hands before meals and receiving breast feeding were 0.485 and 0.396respectively. Conclusion compared with urban areas, more attention should be paid to the prevention and treatment of HFMD in rural areas, and the key to control HFMD in rural areas is to cultivate good hygiene habits, to advocate breast-feeding and to avoid contact with HFMD patients in rural areas.
【作者单位】：云南省玉溪市疾病预防控制中心;
【基金】：玉溪市卫生局科研项目(2012-70)
【分类号】：R512.5

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