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目的探讨佛山市均安镇流动儿童手足口病发生的相关危险因素,为手足口病的防控提供科学依据。方法在中国疾病预防控制信息系统中随机选择2014年1月—2015年6月报告的300例手足口病流动患儿作为病例组,并以1∶1配对方式选择300例非手足口病健康流动儿童作为对照组,分别对家长进行问卷调查,采用多因素logistic回归分析筛选手足口病发病的危险因素。结果对流动儿童手足口病危险因素单因素分析发现,儿童带养类型、手足口病患者接触史、有吮咬手指的习惯、无使用肥皂/洗手液洗手的习惯、居住地有人粪堆积现象、居住地有生活垃圾堆积现象、儿童生病频率与流动儿童手足口病的发生有关(P<0.05)。多因素logistic回归分析显示:散居儿童(OR=1.196)、手足口病接触史(OR=2.130)、有吮咬手指的习惯(OR=1.252)、居住地有人粪堆积(OR=1.986)是流动儿童手足口病发病的危险因素。结论减少和控制手足口病的危险因素是预防流动儿童手足口病发病的重要环节。
Objective To investigate the risk factors of hand-foot-mouth disease among migrant children in Junan Town, Foshan City, and to provide a scientific basis for prevention and control of hand-foot-mouth disease. Methods A total of 300 HFMD children reported from January 2014 to June 2015 in China CDC were randomly selected as case group and 300 healthy non-HFMD patients were selected by 1: 1 matching method Children as control group, parents were surveyed by multivariate logistic regression analysis of risk factors for HFMD. Results The single factor analysis of the risk factors of hand, foot and mouth disease in migrant children found that children with feeding type, hand-foot-mouth disease contact history, the habit of sucking fingers, soap-free hand-washing habits, living with manure accumulation, Living garbage accumulation phenomenon, the frequency of children with migrating children with hand-foot-mouth disease (P <0.05). Multivariate logistic regression analysis showed that there was a habit of biting a finger (OR = 1.252) in the diaspora (OR = 1.196), hand-foot-mouth disease history Risk factors of hand, foot and mouth disease in children. Conclusions The risk factors of HFMD reduction and control are an important part of prevention of hand-foot-mouth disease in migrant children.