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[塞阿拉州阿拉里皮高原村沙眼的流行病学]

[Epidemiology of trachoma in the village of Araripe plateau--Ceará State].

作者信息

Lucena Abrahão da Rocha, Velasco E Cruz Antônio Augusto, Akaishi Patrícia

机构信息

Faculdade de Medicina, Universidade de São Paulo, Fortaleza, CE, Brasil.

出版信息

Arq Bras Oftalmol. 2010 May-Jun;73(3):271-5. doi: 10.1590/s0004-27492010000300012.

Abstract

PURPOSE

To evaluate the epidemiological factors of trachoma in the Simão village.

METHODS

Through a field research, 412 individuals (178 men and 234 women) were examined in a village of the Araripe plateau in Ceará State. The median age was 34 years for both genders. Traditional data from trachoma epidemiology were collected and diagnosis of trachoma was performed using binocular loupes of x 2.5.

RESULTS

304 (73.8%) individuals were normal and 108 (26.2%) were trachomatous (5 TF, 98 TS, 3 TT and 2 CO). Regarding socio-economic factors relating to individuals, the illiterate were 1.9 times more likely to have trachoma (p<0.0001), but the more affluent were more affected (p<0.0001). As for the face appearance, the disease was more prevalent in patients with dirty faces (p=0.432). A difference was noted in multivariate analysis of socio-economic factors relating to housing; only the variable number of people per room, which was higher in the normal group (p=0.010).

CONCLUSIONS

The good infrastructure found in the Simão village, especially the amount of houses with piped water and the good personal hygiene habits, favored the low findings of infectious forms.

摘要

目的

评估西芒村沙眼的流行病学因素。

方法

通过实地研究,对塞阿拉州阿拉里皮高原一个村庄的412人(178名男性和234名女性)进行了检查。男女的年龄中位数均为34岁。收集了沙眼流行病学的传统数据,并使用2.5倍的双目放大镜进行沙眼诊断。

结果

304人(73.8%)正常,108人(26.2%)患有沙眼(5例滤泡性沙眼、98例沙眼性炎症、3例沙眼性倒睫和2例角膜混浊)。关于个体的社会经济因素,文盲患沙眼的可能性是其他人的1.9倍(p<0.0001),但较富裕的人受影响更大(p<0.0001)。至于面部外观,该疾病在面部不洁的患者中更为普遍(p=0.432)。在对与住房相关的社会经济因素进行多变量分析时发现了差异;只有每间房的人数这一变量在正常组中更高(p=0.010)。

结论

西芒村良好的基础设施,特别是有自来水供应的房屋数量和良好的个人卫生习惯,有利于减少感染性沙眼病例的发现。

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