云南省个旧市急性腹泻的影响因素分析

发布时间：2018-10-21 09:17

【摘要】：目的了解个旧市急性腹泻的影响因素,为科学制定防制措施提供依据和支持。方法采用病例-对照研究的方法,自行设计量表收集个旧市8家医疗机构一年内的初诊急性腹泻病例和同样数量的医院内对照的基本情况、暴露史、卫生习惯等信息。数据采用单因素卡方和多因素Logistic回归进行分析。结果个旧市急性腹泻的主要临床表现,如大便性状、腹痛、呕吐、发热等,提示以感染性腹泻为主。多因素Logistic回归分析显示,家庭人均年收入(OR=0.819,P=0.001)、饭前便后洗手(OR=0.572,P=0.001)、经常与别人共用餐具(OR=2.163,P=0.010)、经常外出就餐(OR=2.471,P=0.008)、发病3 d内外出就餐(OR=2.566,P=0.006)和接触腹泻患者(OR=1.152,P=0.039)为急性腹泻感染的影响因素。结论个旧市急性腹泻以夏季高发;影响因素有家庭人均年收入、饭前便后洗手习惯、经常与别人共用餐具、经常外出就餐、发病3 d内外出就餐和接触腹泻患者等,防制措施包括开展居民卫生习惯的健康教育、帮助低收入家庭改善卫生条件、加强餐饮行业的食品安全监管等。
[Abstract]:Objective to understand the influencing factors of acute diarrhea in Gejiu City and provide scientific basis and support for the prevention and control measures. Methods A case-control study was conducted to collect the basic information, exposure history and hygiene habits of the first diagnosed acute diarrhea cases and the same number of in-hospital controls in 8 medical institutions in Gejiu city. The data were analyzed by single factor chi-square and multivariate Logistic regression. Results the main clinical manifestations of acute diarrhea in Gejiu city, such as stool, abdominal pain, vomiting, fever and so on, were mainly infectious diarrhea. Multivariate Logistic regression analysis showed that OR=0.819,P=0.001, OR=0.572,P=0.001, OR=2.163,P=0.010, OR=2.471,P=0.008, OR=2.566,P=0.006 and OR=1.152,P=0.039 were the influencing factors of acute diarrhea infection. Conclusion the incidence of acute diarrhea in Gejiu city is high in summer. The influencing factors are annual income of family, habit of washing hands before and after meals, sharing tableware with others, eating out often, eating out within 3 days of onset and contact with patients with diarrhea, etc. Preventive measures include carrying out health education on residents' hygiene habits, helping low-income families to improve hygiene conditions, and strengthening food safety supervision in the catering industry.
【作者单位】：云南省疾病预防控制中心;
【分类号】：R512.5

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