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[贫困农村地区6至23个月婴幼儿发热和腹泻两周患病率的相关影响因素]

[Influential factors associated with 2-week prevalence of fever and diarrhea among infants and young children at the age of 6-23 months in poor rural areas].

作者信息

Zhou Xu, Fang Junqun, Luo Jiayou, Wang Hua, Du Qiyun, Huang Guangwen, Feng Binbin, Quan Qinghua

机构信息

Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha 410078, China.

Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha 410078; Department of Health Care, Maternal and Child Health Care Hospital of Hunan Province, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Sep 28;42(9):1072-1079. doi: 10.11817/j.issn.1672-7347.2017.09.013.

Abstract

To investigate the status and influential factors associated with 2-week prevalence of fever and diarrhea among infants and young children at the age of 6-23 months in poor rural areas.
 Methods: A total of 8 735 rural infants and young children aged 6-23 months in 30 poor counties of Wuling Mountains and Luoxiao Mountains in Hunan Province were selected in August 2015, and the questionnaires were used to collect information on the prevalence of fever and diarrhea, person and families, and feeding status. The data for prevalence of fever and diarrhea in infants and young children were calculated, and multi-non-conditional logistic regression model were used to analyze the influential factors.
 Results: The 2-week prevalence of fever and diarrhea in infants and young children was 20.8% and 12.2% respectively. The ages (OR=0.66, 95%CI 0.58 to 0.75), Dong ethnicity(OR=1.42, 95%CI 1.17 to 1.74) and low body weight (OR=1.31, 95%CI 1.11 to 1.54) were influential factors for fever among infants and young children in poor rural areas; female (OR=0.86, 95%CI 0.76 to 0.98), 12-17 months (OR=0.80, 95%CI 0.69 to 0.93), 18-23 months (OR=0.51, 95%CI 0.43 to 0.60), other ethnic minorities (OR=1.70, 95%CI 1.13 to 2.56), non-complementary feeding (OR=1.65, 95%CI 1.05 to 2.59) and low body weight (OR=1.39, 95%CI 1.14 to 1.70) were the influential factors of diarrhea among infants and young children.
 Conclusion: The 2-week prevalence of fever and diarrhea among infants and young children aged 6-23 months in poor rural areas were quite serious. Low age, Dong ethnicity, and low birth weight are high risk factors for fever. Male, no addition of complementary feeding, and low birth weight are high risk factors for diarrhea.

摘要

调查贫困农村地区6 - 23个月婴幼儿两周发热与腹泻患病率及其影响因素。方法:2015年8月,选取湖南省武陵山和罗霄山30个贫困县的8735名6 - 23个月农村婴幼儿,采用问卷调查收集发热与腹泻患病率、个人及家庭、喂养状况等信息。计算婴幼儿发热与腹泻患病率数据,并采用多因素非条件logistic回归模型分析影响因素。结果:婴幼儿两周发热患病率为20.8%,腹泻患病率为12.2%。年龄(OR = 0.66,95%CI 0.58至0.75)、侗族(OR = 1.42,95%CI 1.17至1.

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