Aydin Adem, Ergor Alp, Ozkan Hasan
Department of Pediatrics, Dokuz Eylül University School of Medicine, Balcova, Izmir, Turkey.
Pediatr Int. 2008 Apr;50(2):216-20. doi: 10.1111/j.1442-200X.2008.02562.x.
The aim of the present study was to determine the lifetime risk (LTR) of febrile convulsion and the effects of socioeconomic factors affecting this risk among school children in Izmir province, Turkey.
Information was collected from school children aged 7-17 years in a school-based cross-sectional study. Stratified cluster sampling technique was used to define the study population, which represents the schools located in the metropolitan area of Izmir. Data were collected through a standard questionnaire from the parents.
LTR was 9.7% (girls, 9.3%; boys, 10.1%, P > 0.05). The risk of febrile convulsion for children whose fathers' education level was equal to or less than primary school was 2.13 (95% confidence interval [CI]: 1.1-4.0) and, for children whose fathers were blue collar workers it was 1.4 (95%CI: 1.0-1.8).
LTR for febrile convulsion was relatively high in this population, consistent with studies from other developing countries. Lower socioeconomic status and lack of knowledge about febrile convulsions were main factors related to this risk.
本研究旨在确定土耳其伊兹密尔省学龄儿童高热惊厥的终生风险(LTR)以及影响该风险的社会经济因素。
在一项基于学校的横断面研究中收集了7至17岁学龄儿童的信息。采用分层整群抽样技术确定研究人群,该人群代表伊兹密尔大都市区的学校。通过标准问卷从家长处收集数据。
终生风险为9.7%(女孩为9.3%;男孩为10.1%,P>0.05)。父亲教育水平等于或低于小学的儿童高热惊厥风险为2.13(95%置信区间[CI]:1.1 - 4.0),父亲为蓝领工人的儿童该风险为1.4(95%CI:1.0 - 1.8)。
该人群中高热惊厥的终生风险相对较高,这与其他发展中国家的研究结果一致。社会经济地位较低以及对高热惊厥缺乏了解是与此风险相关的主要因素。