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生活环境与自我评估的发病率:一项基于问卷调查的研究

Living environment and self assessed morbidity: a questionnaire-based survey.

作者信息

Saha Asim, Kulkarni Pradip, Saiyed Habibullah

机构信息

Department of Occupational Medicine, National Institute of Occupational Health, Ahmedabad, India.

出版信息

BMC Public Health. 2007 Aug 30;7:223. doi: 10.1186/1471-2458-7-223.

Abstract

BACKGROUND

Health complaints have been reported to be higher among the industrial area residents when compared with reference community.

METHODS

Such reports being only a few, a questionnaire survey was conducted in three different areas (Industrial, Residential, Commercial) of Ahmedabad city of India to determine the pattern of morbidity and to do a comparative analysis of different areas within the city.

RESULTS

A total of 679 families (243 from commercial, 199 from residential and 237 from industrial area) were included in this study. This study revealed that apart from presence of industry in close proximity to residence (99.2%), industrial area residents are having many other disadvantages from the point of view of public health like waste water stagnation (87.4%), problem of cooking smoke (33.2%) and presence of garbage dumps near residence (72.8%). Consequently, problems like coughing, wheezing, eye irritation, skin irritation, jaundice, asthma, and dental caries have been observed to be more common in industrial area. Comparative risk calculated in terms of odds ratio for different such problems have ranged from 1.83 to 6.2 when industrial area was compared with commercial area. Similarly on comparison of industrial area with residential area, odds ratio for different problems have ranged from 1.82 to 11.5.

CONCLUSION

This study has pointed out the need of separate planning and implementation of specific upliftment programs for addressing the environmental as well as public health issues of industrial localities.

摘要

背景

据报道,与参照社区相比,工业区居民的健康投诉较多。

方法

由于此类报告数量较少,在印度艾哈迈达巴德市的三个不同区域(工业区、居民区、商业区)进行了问卷调查,以确定发病模式并对市内不同区域进行比较分析。

结果

本研究共纳入679户家庭(商业区243户、居民区199户、工业区237户)。该研究表明,除了居住地附近有工厂(99.2%)外,从公共卫生角度来看,工业区居民还有许多其他不利因素,如废水停滞(87.4%)、烹饪烟雾问题(33.2%)以及居住地附近有垃圾场(72.8%)。因此,咳嗽、喘息、眼睛刺激、皮肤刺激、黄疸、哮喘和龋齿等问题在工业区更为常见。与商业区相比,针对不同此类问题计算的相对风险(以优势比衡量)在1.83至6.2之间。同样,将工业区与居民区相比,不同问题的优势比在1.82至11.5之间。

结论

本研究指出,需要单独规划和实施特定的改善计划,以解决工业区的环境和公共卫生问题。

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