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咸海地区(乌兹别克斯坦花拉子模州)腹泻病的风险因素分析

Risk factor analysis of diarrhoeal diseases in the Aral Sea area (Khorezm, Uzbekistan).

作者信息

Herbst Susanne, Fayzieva Dilorom, Kistemann Thomas

机构信息

Institute for Hygiene and Public Health, University of Bonn, Germany.

出版信息

Int J Environ Health Res. 2008 Oct;18(5):305-21. doi: 10.1080/09603120701834507.

DOI:10.1080/09603120701834507
PMID:18821371
Abstract

In the Aral Sea basin, human activities have resulted in the severe degradation of water and soil, which is considered to cause serious human health problems. This study investigated the risk factors: water, sanitation and related hygiene issues for diarrhoeal disease in Khorezm province, Uzbekistan. The risk factors were studied using a combination of quantitative and qualitative methods including water quality monitoring, standardised questionnaires and spot checks. Multiple linear regression analysis revealed that visible contamination of drinking water during storage and the absence of anal cleansing materials were significantly associated with the number of diarrhoeal episodes per household. Overall, the findings of the study show that the domestic domain plays a major role with regard to faecal-oral disease transmission in Khorezm, Uzbekistan. Unhealthy excreta disposal habits and unsafe drinking water storage practices have to be urgently tackled in order to break the faecal-oral transmission route.

摘要

在咸海流域,人类活动导致了水土严重退化,这被认为会引发严重的人类健康问题。本研究调查了乌兹别克斯坦花拉子模州腹泻病的风险因素:水、卫生设施及相关卫生问题。采用定量和定性方法相结合的方式研究这些风险因素,包括水质监测、标准化问卷调查和抽查。多元线性回归分析表明,饮用水储存过程中的可见污染以及缺乏肛门清洁用品与每户腹泻发作次数显著相关。总体而言,研究结果表明,在乌兹别克斯坦花拉子模州,家庭环境在粪口疾病传播方面起着主要作用。必须紧急解决不健康的排泄物处理习惯和不安全的饮用水储存做法,以阻断粪口传播途径。

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