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在巴基斯坦俾路支省拉斯贝拉地区,营养不良和口腔健康状况不佳是小学生面临的主要风险。

Malnutrition and poor oral health status are major risks among primary school children at Lasbela, Balochistan, Pakistan.

作者信息

Mustufa Muhammad Ayaz, Jamali Abdul Karim, Sameen Ifra, Burfat Fateh Muhammad, Baloch Mir Yousaf, Baloch Abdul Hameed, Baloch Ghulam Rasool, Lashari Shazia Kulsoom, Ayaz Sobiya Mohiuddin, Baloch Muhammad Younus

机构信息

5th Floor, PHRC Specialized Research Centre on Child Health, National Institute of Child Health, 75500, Karachi, Pakistan.

Mehran Reproductive Health Organization, Karachi, Pakistan.

出版信息

J Health Popul Nutr. 2017 May 19;36(1):17. doi: 10.1186/s41043-017-0100-6.

Abstract

BACKGROUND

This survey was focusing on health and oral hygiene status of primary school children at Lasbela district considering the comparatively less developed and socio demographically deprived part of the Country.

METHODS

A cross sectional survey was conducted to determine the health status of primary school children in seven tehseels of district Lasbela, Balochistan after applying proportionate sampling technique from March 2015 to July 2015. Field teams visited assigned schools to screen children and collect health related data on predesigned and pre coded proforma.

RESULTS

Out of 200 schools, 196 schools found opened, while 2% of schools (04) remained closed. A total of 6363 students were clinically screened. About 45% of the school children had normal body mass index (BMI) and rest were falling in different categories of malnutrition. More than 19% had ear, nose and throat (ENT) problems and around 19% presented with clinical anemia. Less than 50% of children had scar of BCG vaccination and 4% informed about use of gutka/supari chewing (smokeless tobacco use).

CONCLUSION

In conclusion, we estimated high prevalence of malnutrition, poor oral health including smokeless tobacco use, and low BCG coverage among primary school children at Lasbela. Current scenario suggests immediate and contextually focused interventions to confine existing public health risks and avoid future burden of disease.

摘要

背景

鉴于拉斯贝拉地区是该国相对欠发达且社会人口状况较差的地区,本次调查聚焦于该地区小学生的健康和口腔卫生状况。

方法

2015年3月至2015年7月,在俾路支省拉斯贝拉地区的七个乡采用按比例抽样技术进行横断面调查,以确定小学生的健康状况。实地调查小组走访指定学校,对儿童进行筛查,并根据预先设计和编码的表格收集与健康相关的数据。

结果

在200所学校中,196所学校开放,2%(4所)学校关闭。共对6363名学生进行了临床筛查。约45%的学童体重指数(BMI)正常,其余则属于不同类型的营养不良。超过19%的儿童有耳鼻喉(ENT)问题,约19%的儿童患有临床贫血。不到50%的儿童有卡介苗接种疤痕,4%的儿童知晓使用古特卡/苏帕里咀嚼物(无烟烟草使用)。

结论

总之,我们估计拉斯贝拉地区小学生中营养不良、包括无烟烟草使用在内的口腔健康状况差以及卡介苗接种覆盖率低的患病率较高。当前情况表明需要立即采取针对性的干预措施,以控制现有的公共卫生风险并避免未来的疾病负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24e4/5437679/7be7c162dd7f/41043_2017_100_Fig1_HTML.jpg

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