论文部分内容阅读
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,P<0.001),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,P<0.001)。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。
Objective To analyze the influencing factors of HFMD in kindergarten children and provide reference and reference for the prevention and control strategy of HFMD. Methods In 2015, hand hygiene interventions were carried out in 18 kindergartens in Shenzhen. Before the start of the intervention, questionnaires were conducted on the basic conditions of all 8,275 children. From April to October 2015, the incidence of hand-foot-mouth disease in these children continued. monitor. Results A total of 122 children were HFMD during the monitoring period, of which 9 were secondary. Univariate analysis showed that the incidence of HFMD in intervention group was significantly lower than that in control group (2.5%) (χ ~ 2 = 33.154, P <0.001) The incidence of hand, foot and mouth disease in children in residential quarters (1.7%) was higher than that in residential villages (2.5%) (χ ~ 2 = 14.019, P <0.001). Multivariate regression analysis showed that hand hygiene intervention could significantly reduce the risk of HFMD in children (OR = 0.404, 95% CI = 0.272-0.601), but younger age and average monthly household income, living in residential areas, The main guardian of children with higher education, HFMD risk higher. Conclusions Hand hygiene intervention can significantly reduce the risk of hand-foot-mouth disease in kindergarten children. Meanwhile, the incidence of hand-foot-mouth disease in children is affected by many factors such as age, family income, residence and guardianship.