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中国学龄前儿童反复呼吸道感染的危险因素

Risk factors for recurrent respiratory infections in preschool children in china.

作者信息

Hai-Feng L I, Yan Zou, Pei-Gang Jin, Hong-Xing Jin

机构信息

The Children's Hospital Zhejiang University School of Medicine.

Zhejiang Provincial Center for Disease Control and Prevention.

出版信息

Iran J Pediatr. 2014 Feb;24(1):14-22. Epub 2013 Sep 18.

Abstract

OBJECTIVE

To identify and compare risk factors for recurrent respiratory infections in preschool children between resident and floating population in Yiwu, China.

METHODS

Investigations was conducted in resident and floating population in Yiwu city, Zhejiang province. A structured questionnaire was used to collect information on influence factors. Univariate and multivariate analyses were carried out using the Binary logistic regression. Findings : The study was conducted in Yiwu from June 2009 to September 2010. We recruited 844 participants,resident population 639(75.7%) and floating population 205(24.3%) who were preschool children. Multivariate analysis showed that Childbearing age (OR=0.93, 95%CI: 0.88-0.99), Asthma (OR=3.20, 95%CI: 1.60-6.45), Rickets (OR=5.30, 95%CI: 1.99-14.09), Food preference (OR=1.57, 95%CI: 1.02-2.43), Snack (OR=1.50, 95%CI: 1.07-2.07) were the influence factors for recurrent respiratory infections in resident preschool children. Infant feeding (OR=2.24, 95%CI: 1.31-3.81), Snack (OR=2.06, 95%CI: 1.07-3.98,), Trip mode (OR=2.77, 95%CI: 1.11-6.94) were the influence factors for recurrent respiratory infections in floating preschool children.

CONCLUSION

Public health measures against risk factors should be taken to protect against recurrent respiratory infections in resident and floating preschool children respectively.

摘要

目的

识别并比较中国义乌常住和流动学龄前儿童反复呼吸道感染的危险因素。

方法

在浙江省义乌市的常住和流动人口中进行调查。采用结构化问卷收集影响因素信息。使用二元逻辑回归进行单因素和多因素分析。结果:研究于2009年6月至2010年9月在义乌进行。我们招募了844名参与者,其中常住儿童639名(75.7%),流动儿童205名(24.3%)。多因素分析显示,生育年龄(OR=0.93,95%CI:0.88-0.99)、哮喘(OR=3.20,95%CI:1.60-6.45)、佝偻病(OR=5.30,95%CI:1.99-14.09)、食物偏好(OR=1.57,95%CI:1.02-2.43)、吃零食(OR=1.50,95%CI:1.07-2.07)是常住学龄前儿童反复呼吸道感染的影响因素。婴儿喂养方式(OR=2.24,95%CI:1.31-3.81)、吃零食(OR=2.06,95%CI:1.07-3.98)、出行方式(OR=2.77,95%CI:1.11-6.94)是流动学龄前儿童反复呼吸道感染的影响因素。

结论

应针对危险因素采取公共卫生措施,分别预防常住和流动学龄前儿童反复呼吸道感染。

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