广州市南沙区学龄前儿童手足口病流行情况及干预效果分析

发布时间：2018-06-01 10:57

本文选题：儿童 + 学龄前　；参考：《中国校医》2016年12期

【摘要】：目的分析广州市南沙区儿童手足口病(HFMD)状况,评估综合干预效果,为防控HFMD提供资料。方法借助于"中国疾病预防控制信息系统",对广州市南沙区2011—2015年6岁以下儿童HFMD发生情况进行分析。以在医院诊治的6岁以下HFMD患儿和家长及医院辖区幼儿园的幼师、园长、保健人员为综合干预目标人群,干预实施期6个月,采取问卷调查的形式,了解和分析HFMD状况及影响因素。应用方差和logistic分析的方法,进行统计分析。结果 2012年发病最高(746/10万),2013年和2015年发病最低(197/10万和201/10万),发病年龄以1~3岁为主,每年5—6月为发病高峰季节,最早报告的病例在1月份。以散居儿童为主。Logistic分析表明:病例接触史、散居幼儿和近1周到过人群密集场所是HFMD发生的危险因素,而幼儿洗手、用具消毒、家长行为则是保护因素;干预6个月后,有关HFMD知识、态度及行为均有显著提高或改善(P0.01)。结论加强针对性健康教育和行为干预,有助于HFMD的防控。
[Abstract]:Objective to analyze the status of HFMD in children with HFMD in Nansha District, Guangzhou, and to evaluate the effect of comprehensive intervention and provide data for prevention and control of HFMD. Methods the incidence of HFMD in children under 6 years of age from 2011 to 2015 in Nansha District of Guangzhou City was analyzed with the aid of China Disease Prevention and Control Information system. Children under 6 years old with HFMD, parents and kindergarten teachers, directors and health workers who were under 6 years old in hospital were taken as the target groups of comprehensive intervention. The intervention was carried out for 6 months, and the questionnaire survey was adopted. Understand and analyze HFMD status and influencing factors. The method of variance and logistic analysis was used to carry out statistical analysis. Results in 2012, the highest incidence rate was 746 / 100,000, and the lowest incidence in 2013 and 2015 was 197-100,000 and 201-100 000. The age of onset was mainly 1 ~ 3 years old. The peak onset season was May-June every year. The earliest reported cases were in January. Logistic analysis showed that the risk factors of HFMD occurred in children with scattered children and close to 1 week crowd density, but washing hands, disinfecting utensils and parents' behavior were the protective factors after 6 months of intervention. The knowledge, attitude and behavior of HFMD were significantly improved (P 0.01). Conclusion strengthening health education and behavioral intervention is helpful to the prevention and control of HFMD.
【作者单位】：广州市南沙区第一人民医院检验科;广州市南沙区第一人民医院儿科;广州市增城区疾病预防控制中心检验科;广州市血液中心增城区血站;中山大学公共卫生学院;
【基金】：广州市南沙区民生科技项目课题(2014MS08)
【分类号】：R725.1;R181.3

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