Wijewardene K, Fonseka P, Wijayasiri W A
Department of Community Medicine, Faculty of Medicine, University of Ruhuna.
Ceylon Med J. 1992 Dec;37(4):116-9.
Data regarding factors contributing to acute diarrhoea in children under five years in urban populations in Sri Lanka is meagre. Studies of diarrhoeal disease have been limited mainly to descriptive epidemiological investigations. A case control study on 200 families in the Galle Municipality was undertaken to identify some of the social, behavioural and environmental factors contributing to childhood diarrhoea. Twelve variables were studied by logistic regression, and the following variables were identified as conferring a significant risk of causing diarrhoeal disease in children below five years in an urban setting in Sri Lanka; (1) unavailability of pipe-borne water in the house (2) lack of water-seal latrine in the household (3) low level of mother's education and her lack of awareness regarding infectious nature and mode of spread of diarrhoea (4) not disposing of children's faeces in a latrine (5) improper disposal of garbage.
关于斯里兰卡城市地区五岁以下儿童急性腹泻相关因素的数据匮乏。腹泻病研究主要局限于描述性流行病学调查。在加勒市对200个家庭进行了一项病例对照研究，以确定一些导致儿童腹泻的社会、行为和环境因素。通过逻辑回归研究了12个变量，以下变量被确定为在斯里兰卡城市环境中会使五岁以下儿童患腹泻病风险显著增加：（1）家中没有管道供水；（2）家庭中没有水封厕所；（3）母亲教育水平低且对腹泻的传染性及传播方式缺乏认识；（4）不将儿童粪便倒入厕所；（5）垃圾处理不当。
