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目的了解天津市农村居民腹泻发病的环境影响因素,为制订干预措施提供依据。方法于2011—2015年按照分层随机抽样方法,抽取天津市2个区县的800户农村家庭进行调查,收集居民基本情况、家庭饮水情况、环境卫生状况、行为习惯情况及两周内腹泻发生情况,并进行多因素非条件logistic回归分析。结果调查的800户家庭中,两周内发生腹泻22户,占2.75%。多因素logistic回归分析显示,影响家庭腹泻发生的环境和行为因素包括使用非卫生厕所(OR=5.29,95%CI:2.12~13.21)、饮生水(OR=7.31,95%CI:2.94~18.21)和饭前便后不洗手(OR=3.29,95%CI:1.23~8.77)。结论应改善农村环境卫生,加强健康教育,以便有效控制农村居民腹泻发生。
Objective To understand the environmental factors affecting the incidence of diarrhea among rural residents in Tianjin and provide the basis for making interventions. Methods According to stratified random sampling method from 2011 to 2015, 800 rural households from 2 districts and counties in Tianjin were surveyed to collect the basic information of residents, family drinking water, sanitation, behavior and diarrhea in two weeks Conditions, and multivariate non-conditional logistic regression analysis. Results Among the 800 households surveyed, 22 households had diarrhea within two weeks, accounting for 2.75%. Multivariate logistic regression analysis showed that the environmental and behavioral factors influencing family diarrhea included non-sanitary latrines (OR = 5.29, 95% CI: 2.12-13.21), drinking water (OR = 7.31, 95% CI: 2.94-18.21 ) And no wash after meals (OR = 3.29, 95% CI: 1.23-8.77). Conclusion Environmental sanitation should be improved in rural areas and health education should be strengthened in order to effectively control the incidence of diarrhea among rural residents.