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目的通过对唐山市丰南区儿童手足口病发病影响因素进行分析,提出有针对性的防控措施。方法选取2014-2015年唐山市丰南区5岁以下手足口病病例91例,选择与病例生活在同一社区、相同性别、年龄相差不超过1岁的健康儿童作为对照,按照1∶1的比例对照组选择91人,分别对病例组及对照组家长开展问卷调查,多因素logistic回归模型进行分析,探讨手足口病发病的主要影响因素。结果幼托儿童、近1周与手足口病病例接触过、近1周与其他儿童共用玩具是儿童发生手足口病的危险因素,OR值(95%CI)分别为11.50(1.92~66.67)、8.11(2.67~41.46)、3.75(1.86~7.56);饭前便后洗手、父母了解手足口病预防知识是减少手足口病发病的保护因素,OR值(95%CI)分别为0.21(0.08~0.67)、0.13(0.02~0.41)。结论幼托机构是手足口病防控的重点,通过健康教育,提倡家长及孩子养成良好卫生习惯,以有效防控手足口病的发生和流行。
Objective To analyze the influencing factors of hand-foot-mouth disease in Fengnan District of Tangshan City and put forward targeted prevention and control measures. Methods 91 cases of hand, foot and mouth disease under 5 years of age in Fengnan District of Tangshan City from 2014 to 2015 were selected as control. Healthy children with the same sex and age less than 1 year old were selected as control. According to the ratio of 1: 1, The control group of 91 selected, respectively, the case group and control group parents to carry out questionnaires, multivariate logistic regression model analysis of the main factors affecting the incidence of hand-foot-mouth disease. Results The children of kindergarten who had contact with hand-foot-mouth disease in the past 1 week had the risk of hand-foot-mouth disease in children in the past 1 week. The odds ratios (95% CI) were 11.50 (1.92 ~ 66.67) 8.11 (2.67 ~ 41.46) and 3.75 (1.86 ~ 7.56), respectively. After washing their hands before and after washing their hands, parents’ understanding of hand-foot-mouth disease prevention knowledge was the protective factor to reduce the incidence of HFMD. 0.67), 0.13 (0.02-0.41). Conclusion The kindergarten is the focus of hand-foot-mouth disease prevention and control. Through health education, parents and children are encouraged to develop good hygiene habits so as to effectively prevent the occurrence and prevalence of hand-foot-mouth disease.