刘立, 刘莹莹, 齐顺祥, 赵婉佳, 张世勇, 杨旭霞. 石家庄市手足口病流行影响因素调查[J]. 环境卫生学杂志, 2016, 6(3): 195-200. DOI: 10.13421/j.cnki.hjwsxzz.2016.03.006
    引用本文: 刘立, 刘莹莹, 齐顺祥, 赵婉佳, 张世勇, 杨旭霞. 石家庄市手足口病流行影响因素调查[J]. 环境卫生学杂志, 2016, 6(3): 195-200. DOI: 10.13421/j.cnki.hjwsxzz.2016.03.006
    LIU Li, LIU Yingying, QI Shunxiang, ZHAO Wanjia, ZHANG Shiyong, YANG Xuxia. Factors Influencing Hand-Foot-Mouth Disease Prevalence in Shijiazhuang[J]. Journal of Environmental Hygiene, 2016, 6(3): 195-200. DOI: 10.13421/j.cnki.hjwsxzz.2016.03.006
    Citation: LIU Li, LIU Yingying, QI Shunxiang, ZHAO Wanjia, ZHANG Shiyong, YANG Xuxia. Factors Influencing Hand-Foot-Mouth Disease Prevalence in Shijiazhuang[J]. Journal of Environmental Hygiene, 2016, 6(3): 195-200. DOI: 10.13421/j.cnki.hjwsxzz.2016.03.006

    石家庄市手足口病流行影响因素调查

    Factors Influencing Hand-Foot-Mouth Disease Prevalence in Shijiazhuang

    • 摘要:
      目的  探索影响手足口病流行的因素,采取有针对性的干预措施。
      方法  选择近几年手足口病发病水平较高的县,抽取该县2011年1月-2013年12月期间150例手足口病实验室诊断病例作为病例,居住在相同区域的300例健康儿童为对照,进行病例对照研究。
      结果  单因素分析,房间总数、家庭开窗通风、生活垃圾处理和饮用水类型,看护人的健康状况及文化程度、洗手习惯、被褥晾晒频次,幼儿健康状况、咬手指、啃玩具、混用餐具、喝生水、餐饮具的清洗、洗手习惯,托幼机构用具使用、流水设施、手足口病宣传及晨午检制度的建立等因素入选。多因素分析,家庭房间数量、家庭房间总数、淋浴设施、垃圾堆放、衣服被褥晾晒习惯、看护人健康状况、母亲文化程度、幼儿喝生水、咬玩具、啃手指、饭前便后洗手习惯和有手足口病例接触史入选回归方程,成为手足口病流行的影响因素。
      结论  手足口病流行的影响因素与环境和个人卫生习惯密切相关,防控应采取综合措施。

       

      Abstract:
      Objective  To analyze the factors influencing the prevalence of hand-foot-mouth disease(HFMD) in Shijiazhuang and to take targeted intervention and control measures.
      Methods  A case-control study was applied by questionnaire survey.150 HFMD cases diagnosed in Jan 2011 to Dec 2013 in a county with higher incidence of HFMD were selected as subjects and 300 healthy children living in the same region were selected as controls.
      Results  The number of rooms in a household, opening windows for ventilation regularly, the way of waste disposal, the type of drinking water, the health and culture of caregivers, the habit of washing hands, the frequency of drying bedding under sun light, the health status of children, the habit of chewing finger and joy, drinking unboiled water, the habit of cleaning utensils, receiving propaganda for HFMD, establishing morning and afternoon inspection system in childcare facilities were potential influencing factors entering the regression equation of single-factor analysis. The number of rooms in a household, opening windows, chewing joy, the habit of washing hands and the history of contacting with HFMD patients were potential influencing factors entering the regression equation of multi-factor analysis.
      Conclusion  The influencing factors of HFMD are closely related with the environment and individual life habits. Comprehensive measures should be taken for the control and prevent of HFMD.

       

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