深圳市某区幼儿手足口病患病危险因素分析

发布时间：2018-05-11 10:07

本文选题：手足口病 + 回归分析　；参考：《中国学校卫生》2014年11期

【摘要】：目的探讨儿童手足口病患病的危险因素,为有效预防和控制幼儿手足口病的发生提供科学依据。方法根据"国家疾病监测信息报告管理系统",选取深圳市某区2013年1—9月全部经粪便检测为EV71或Cox A16阳性的103例手足口病确诊病例幼儿作为病例组,同时根据病例组选取年龄相差1岁以内、无手足口病症状和体征的幼儿作为对照组进行1∶1配对,对手足口病患病危险因素进行单因素与多因素非条件Logistic回归分析。结果单因素分析结果显示,散居儿童、早产儿、低收入家庭、不能独立排便、保姆育儿、过敏性体质、家长手足口病预防知识薄弱、发病前7 d与他人共用玩具、父母一方学历低于小学、饭前便后不洗或少洗手、发病前7 d因其他疾病就诊11个变量为手足口病发病的危险因素(B值分别为1.24,1.23,1.39,1.17,0.93,1.43,1.40,0.87,1.13,1.41,1.69,P值均0.05);多因素分析结果显示,散居儿童、不能独立排便、过敏性体质、家长卫生防病意识薄弱、发病前7 d与他人共用玩具、饭前便后不洗或少洗手、发病前7 d因其他疾病就诊等7个因素可能提高发生手足口病的风险(B值分别为1.04,0.76,1.13,1.16,1.08,1.19,1.15,P值均0.05)。结论儿童手足口病发病的主要危险因素是间接接触。通过强化幼儿及其护理人员的卫生防病知识,使易感人群养成良好的个人卫生习惯,对于有效防控手足口病有重要意义。
[Abstract]:Objective to explore the risk factors of HFMD in children and to provide scientific basis for prevention and control of HFMD in children. Methods according to the "National Disease Surveillance Information report Management system", 103 infants with EV71 or Cox A16 positive were selected from January to September 2013 in a district of Shenzhen as the case group. At the same time, children with no symptoms and signs of hand foot and mouth disease were matched at 1:1 according to the age difference of less than 1 year in the case group. Univariate and multivariate conditional Logistic regression analysis was used to analyze the risk factors of HFMD. Results the results of univariate analysis showed that scattered children, premature infants, low-income families, unable to defecate independently, babysitter, allergic physique, parents' knowledge of hand, foot and mouth disease prevention was weak, and they shared toys with others 7 days before onset of disease. One parent's education was lower than that of primary school, no washing or washing hands after meals. The risk factors of hand, foot and mouth disease were 1.24 / 1.231.39 / 1.170.93 / 1.431.40 / 0.831.131.131.41 / 1.69P respectively 7 days before onset, and the results of multivariate analysis showed that children living in the Diaspora had a significant risk factor of hand, foot and mouth disease (P < 0.05), and the risk factors of hand, foot and mouth disease (HFMD) were 1.24 / 1.231.39 / 1.170.93 / 1. Unable to defecate independently, allergic constitution, weak awareness of hygiene and disease prevention of parents, sharing toys with others 7 days before onset of disease, not washing or washing hands after meals, 7 days before onset, 7 factors such as other diseases may increase the risk of hand, foot and mouth disease. The risk B values of HFMD were 1.040.76 / 1.131.161.161.191.19 / 1.15p, respectively. Conclusion indirect contact is the main risk factor of HFMD in children. It is of great significance for the effective prevention and control of hand, foot and mouth disease by strengthening the knowledge of health prevention and control of young children and their nursing staff, so that the susceptible population can form a good personal hygiene habit.
【作者单位】：广东省深圳市罗湖区疾病预防控制中心传防科;
【分类号】：R725.1;R181.3

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