Department of Medical Statistics and Epidemiology, Guilin Medical University, Guilin, 541004, Guangxi, China.
Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.
J Racial Ethn Health Disparities. 2021 Aug;8(4):1054-1066. doi: 10.1007/s40615-020-00862-z. Epub 2020 Sep 18.
Controlling hygienic risk exposures (HREs) is important for reducing acute respiratory infection or parasitic infection; however, studies across vulnerable ethnicities are limited. This study aimed to identify the prevalence and associated factors of HREs and perception on HRE policies among ethnic groups in Guangxi, China.
A community-based cross-sectional study was conducted in rural areas of Guangxi, China, among Han majority and Zhuang, Yao, Miao, Dong, Mulao, and Maonan minorities. The prevalence of HREs and perceptions concerning the HRE policies were presented using descriptive statistics. Associated factors were analyzed using a logistic regression model, and adjusted prevalence ratios and 95% confidence interval were calculated.
High prevalence of HREs on hand and soil hygiene were found in all ethnicities. Miao minority had the highest prevalence of HREs, particularly in poor hand washing (74.1%), infrequent nail clipping (90.4%), and outdoor soil contact (92.7%), compared with the others. Prevalence of HREs in some ethnic minority groups were significantly different from those in Han majority after adjusted with other significant factors. Village leaders were more aware of existing national and community regulations related to HREs than household heads. Village leaders and household heads of almost all ethnic groups perceived high policy's compliance in their village or household on avoiding fertilizing with farmyard manure.
HREs were prevalent in all ethnic groups, especially in Miao minority. Ethnicity, one of social determinants, was significantly associated with HREs. Raising awareness at both the village and household levels on HREs is needed for all ethnic groups.
控制卫生风险暴露（HREs）对于减少急性呼吸道感染或寄生虫感染很重要；然而，脆弱族群的相关研究有限。本研究旨在确定中国广西各族群的 HRE 流行率及其相关因素，以及对 HRE 政策的认知。
在中国广西农村地区进行了一项基于社区的横断面研究，包括汉族和壮族、瑶族、苗族、侗族、仫佬族、毛南族少数民族。使用描述性统计方法呈现 HRE 流行率和对 HRE 政策的认知。使用逻辑回归模型分析相关因素，并计算调整后的患病率比和 95%置信区间。
所有族群的手部和土壤卫生 HRE 发生率均较高。与其他族群相比，苗族的 HRE 发生率最高，特别是在洗手不频繁（74.1%）、指甲修剪不频繁（90.4%）和室外土壤接触（92.7%）方面。在调整其他重要因素后，一些少数民族群体的 HRE 发生率与汉族有显著差异。与家庭负责人相比，村长更了解与 HRE 相关的现行国家和社区法规。几乎所有族群的村长和家庭负责人都认为，在他们的村庄或家庭中，避免使用农家肥施肥的政策合规性很高。
所有族群都存在 HRE，尤其是苗族。社会决定因素之一的族群与 HRE 显著相关。需要在村庄和家庭层面提高所有族群对 HRE 的认识。
