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目的探讨流动儿童手足口病发病的相关危险因素,为手足口病的预防与控制提供依据。方法在国家疾病监测信息直报管理系统中随机选择2013年1月-2014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和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)、手足口病患者接触史(OR=2.130)、有吮咬手指的习惯(OR=1.252)和居住地有人粪堆积现象(OR=1.986)是流动儿童手足口病发病的危险因素。结论散居、手足口病患者接触史、有吮咬手指的习惯和居住地有人粪堆积现象是流动儿童手足口病发病的主要危险因素,减少和控制危险因素是预防流动儿童手足口病发病的重要环节。
Objective To explore the related risk factors of HFMD in migrant children and provide basis for the prevention and control of HFMD. Methods A total of 300 cases of hand, foot and mouth disease who were reported from January 2013 to June 2014 were randomly selected from the national disease surveillance information direct management system as the case group and 300 cases of non-hand foot and mouth disease Healthy migrant children as the control group, parents were surveyed by multivariate logistic regression analysis of screening 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, The phenomenon of living garbage accumulation in residence and the frequency of children’s illness are related to the occurrence of HFMD in migrant children (P <0.05). Multivariate logistic regression analysis showed that there was a history of contact with hand-foot-mouth disease (OR = 2.130), finger-biteing habits (OR = 1.252) Is the risk of HFMD in migrant children. Conclusions The history of diarrhea, hand-foot-mouth disease contact history, the habit of sucking fingers and the accumulation of manure in living places are the main risk factors for HFMD in migrant children. Reducing and controlling the risk factors is important for preventing HFMD in migrant children Links.