Liang H, Ding L L, He H Q, Lyu H K, Shao Z J, Yu J X, Fu J
Department of Immunization Program, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
National Institute for Communicable Disease Control and Prevention Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Oct 6;55(10):1214-1219. doi: 10.3760/cma.j.cn112150-20210630-00625.
To investigate the prevalence of cough and its influencing factors in community children under 5 years old. From October to December 2019, we selected 3 102 community children under the age of 5 from 50 natural villages/residential communities in 14 towns/streets of Yiwu, Zhejiang Province, using multi-stage random sampling method. A face-to-face and on-site questionnaire survey was conducted among child caregivers to collect demographic data and information about children's cough in the last 1 month. Multiple logistic regression model was used to analyze children's cough and the influencing factors of different cough states. Multivariate logistic regression model analysis results showed that compared with 0-1 year old, dispersed, caregivers with education level below high school, families with 1 child under 5 years old, Cough risk was higher in 1-2, 2-3, 3-4 years old, nurseries, caregivers with education level of high school or above, and families with more than 2 children under 5 years old. 95% values were 1.52(1.19-1.92), 1.65(1.29-2.10), 1.86(1.36-2.54), 2.59(1.99-3.38), 1.48(1.26-1.74) and 1.35(1.13-1.62), respectively. Further analysis of the influencing factors of different states of cough, multivariate logistic regression model analysis results showed that preschool status, the number of children under 5 years old in the family and the education level of caregivers were the influencing factors of acute, prolonged and chronic cough. Age was only an influencing factor of acute and persistent cough. The disease burden of cough in children under 5 years old community was heavy, and the cough was related to children's age, education level of caregivers, number of children under 5 years old in the family and childcare status.
调查5岁以下社区儿童咳嗽的患病率及其影响因素。2019年10月至12月，采用多阶段随机抽样方法，从浙江省义乌市14个镇/街道的50个自然村落/居民社区中选取3102名5岁以下社区儿童。对儿童照料者进行面对面现场问卷调查，收集人口学资料及儿童过去1个月内咳嗽的相关信息。采用多因素logistic回归模型分析儿童咳嗽及不同咳嗽状态的影响因素。多因素logistic回归模型分析结果显示，与01岁相比，12岁、23岁、34岁、入托、照料者学历高中及以上、家庭5岁以下儿童数>2名的儿童咳嗽风险较高，95%置信区间分别为1.52(1.191.92)、1.65(1.292.10)、1.86(1.362.54)、2.59(1.993.38)、1.48(1.261.74)和1.35(1.131.62)。进一步分析不同咳嗽状态的影响因素，多因素logistic回归模型分析结果显示，入托情况、家庭5岁以下儿童数及照料者学历是急性、迁延性及慢性咳嗽的影响因素，年龄仅是急性及持续性咳嗽的影响因素。5岁以下社区儿童咳嗽疾病负担较重，咳嗽与儿童年龄、照料者学历、家庭5岁以下儿童数及入托情况有关。
