深圳市幼儿园儿童手足口病发病影响因素分析

发布时间：2018-04-21 12:13

本文选题：幼儿园 + 儿童　；参考：《中国公共卫生》2017年11期

【摘要】：目的对幼儿园儿童手足口病发病影响因素进行分析,为制定手足口病防制策略提供参考和借鉴。方法 2015年在深圳市18家幼儿园中开展手部卫生干预,在干预开始前对全部8 275名儿童的基本情况进行问卷调查,2015年4—10月对以上儿童的手足口病发病情况进行持续监测。结果监测期间共有122名儿童发生手足口病,其中9名儿童为二次发病。单因素分析表明,干预组儿童手足口病发病率(0.9%)明显低于对照组(2.5%)(χ~2=33.154,P0.001),年龄越小手足口病发病率越高;居住在住宅小区的儿童手足口病发病率(1.7%)高于居住城中村者(2.5%)(χ~2=14.019,P0.001)。多因素回归分析表明,手部卫生干预可显著降低儿童手足口病发病风险(OR=0.404,95%CI=0.272~0.601),而年龄较小、家庭平均月收入较低、居住在住宅小区、主要监护人学历较高的儿童,手足口病发病风险较高。结论手部卫生干预可显著降低幼儿园儿童的手足口病发病风险,同时儿童手足口病发病情况还受年龄、家庭收入、居住地、监护人学历等多种因素影响。
[Abstract]:Objective to analyze the influencing factors of hand foot and mouth disease (HFMD) in kindergarten children, and to provide reference and reference for the prevention and control strategy of hand foot and mouth disease. Methods hand hygiene intervention was carried out in 18 kindergartens in Shenzhen in 2015. The basic situation of all 8275 children was investigated before the intervention. From 4 to October 2015, the above children were investigated. The incidence of hand foot and mouth disease was monitored continuously. A total of 122 children had hand foot and mouth disease during the monitoring period, of which 9 children were two times. The single factor analysis showed that the incidence of hand foot and mouth disease (0.9%) in the intervention group was significantly lower than that of the control group (2.5%) (x ~2=33.154, P0.001), the higher the age of hand foot and mouth disease, the higher the incidence of hand foot and mouth disease; residence in the house The incidence of hand foot and mouth disease in children (1.7%) was higher than that in the villages in the residential city (2.5%) (x ~2=14.019, P0.001). Multiple factor regression analysis showed that hand hygiene intervention could significantly reduce the risk of hand foot and mouth disease (OR=0.404,95%CI=0.272~0.601) in children, but the age was smaller, the average monthly income of the family was lower, and the main guardians lived in the residential district. The risk of hand foot and mouth disease in kindergarten children is significantly reduced by hand health intervention, and the incidence of hand foot and mouth disease in children is also influenced by many factors, such as age, family income, residence, guardian education and so on.

【作者单位】：深圳市疾病预防控制中心;荷兰伊拉姆斯大学公共卫生学院;
【基金】：深圳市卫生计生系统科研项目(201602001)
【分类号】：R181.3;R725.1

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