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儿童下呼吸道感染的住院风险因素:一项基于蒙古国人群的横断面研究。

Hospitalization risk factors for children's lower respiratory tract infection: A population-based, cross-sectional study in Mongolia.

作者信息

Dagvadorj Amarjargal, Ota Erika, Shahrook Sadequa, Baljinnyam Olkhanud Purevdorj, Takehara Kenji, Hikita Naoko, Bavuusuren Bayasgalantai, Mori Rintaro, Nakayama Takeo

机构信息

Department of Health Informatics, Kyoto University, Yoshida Konoe-cho, Syakyo-ku, Kyoto, 606-8501, Japan.

Department of Health Policy, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535 Japan.

出版信息

Sci Rep. 2016 Apr 19;6:24615. doi: 10.1038/srep24615.

Abstract

This study aimed to assess the potential risk factors for lower respiratory tract infection (LRTI)-related hospital admissions in Mongolian children. A population-based cross-sectional study was conducted in rural Mongolia in 2013, and 1,013 mother-child pairs were included. Of the participating children, 38.9% were admitted to hospital with LRTIs. Home smoking, low birthweight, being a male child, exclusive breastfeeding and healthcare-seeking behaviour showed substantial association with LRTI-related hospital admissions. Number of cigarettes smoked by family members showed a dose-response relationship and increased hospital admissions. Strategies to prevent second-hand-smoke exposure from adult smokers, especially inside the home, are crucial to preventing LRTI-related hospital admissions for children in Mongolia. Improving rates of exclusive breastfeeding and increasing birthweight have great potential to decrease the likelihood of children acquiring a LRTI. Educational initiatives are also necessary for women who are less likely to seek out care for their children's symptoms.

摘要

本研究旨在评估蒙古儿童因下呼吸道感染(LRTI)而住院的潜在风险因素。2013年在蒙古农村地区开展了一项基于人群的横断面研究,纳入了1013对母婴。在参与研究的儿童中,38.9%因下呼吸道感染而住院。家庭吸烟、低出生体重、男性儿童、纯母乳喂养和就医行为与因下呼吸道感染而住院显著相关。家庭成员吸烟数量呈现剂量反应关系,且住院率增加。防止儿童接触成人吸烟者的二手烟,尤其是在家中,对于预防蒙古儿童因下呼吸道感染而住院至关重要。提高纯母乳喂养率和增加出生体重对于降低儿童感染下呼吸道感染的可能性具有很大潜力。对于那些不太可能为孩子的症状寻求治疗的女性,开展教育活动也是必要的。

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