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埃塞俄比亚西南部拉雷地区农村居民中1-9岁儿童活动性沙眼患病率及其相关因素

Active trachoma prevalence and its associated factors among children aged 1-9 years in rural residents of Lare District, Southwest Ethiopia.

作者信息

Belsti Yitayeh, Fekadu Sofonias Addis, Assem Abel Sinshaw

机构信息

Department of Physiology, College of Medicine and Health Sciences, University of Gondar, Gondar 196, Ethiopia.

Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar 196, Ethiopia.

出版信息

Int J Ophthalmol. 2021 Nov 18;14(11):1756-1764. doi: 10.18240/ijo.2021.11.16. eCollection 2021.

Abstract

AIM

To determine the prevalence of active trachoma and its associated factors among children in Lare District, Southwest Ethiopia, 2019.

METHODS

A community-based cross-sectional study was conducted. A total of 620 participants were recruited using a multi-stage sampling technique. A structured questionnaire, torch, and magnifying loupes were used for data collection. The data was entered into epidemiological information and exported to statistical package for social science version 20 for analysis. The bi-variable and multivariable Logistic regression analysis model was fitted to identify factors associated with active trachoma. Odds ratio with a 95%CI was used to show the direction and strength of association between independent and outcome variables.

RESULTS

A total of 610 children participated in this study with a response rate of 98.39%. The prevalence of active trachoma was 132 (21.60%; 95%CI: 18.40-24.70). Family size being 6-9 (AOR=2.34; 95%CI: 1.14-5.02), presence of more than two preschool children in a house (AOR=2.04; 95%CI: 1.12-3.70), open field waste disposal system (AOR=2.62; 95%CI: 1.00-6.80) and type of latrine being uncovered (AOR=4.12; 95%CI: 2.00-8.51) were positively associated with active trachoma. On the other side, water consumption being 40-60 liters per day was a protective factor for active trachoma.

CONCLUSION

The prevalence of active trachoma is high among children aged 1-9y in Lare District. Uncovered latrine, open field waste disposal system, family sizes of 6-9, and the presence of more than two preschool children in a house are associated with the occurrence of active trachoma. On the other side, water consumption of 40-60 liters is a protective factor.

摘要

目的

确定2019年埃塞俄比亚西南部拉雷地区儿童活动性沙眼的患病率及其相关因素。

方法

开展了一项基于社区的横断面研究。采用多阶段抽样技术共招募了620名参与者。使用结构化问卷、手电筒和放大镜收集数据。数据录入流行病学信息,并导出到社会科学统计软件包第20版进行分析。采用双变量和多变量逻辑回归分析模型来确定与活动性沙眼相关的因素。使用95%置信区间的比值比来显示自变量和结果变量之间关联的方向和强度。

结果

共有610名儿童参与了本研究,应答率为98.39%。活动性沙眼的患病率为132例(21.60%;95%置信区间:18.40 - 24.70)。家庭规模为6 - 9人(调整后比值比=2.34;95%置信区间:1.14 - 5.02)、家中有两个以上学龄前儿童(调整后比值比=2.04;95%置信区间:范围1.12 - 3.70)、露天垃圾处理系统(调整后比值比=2.62;95%置信区间:1.00 - 6.80)以及厕所类型为无盖(调整后比值比=4.12;95%置信区间:2.00 - 8.51)与活动性沙眼呈正相关。另一方面,每日用水量为40 - 60升是活动性沙眼的一个保护因素。

结论

拉雷地区1 - 9岁儿童中活动性沙眼的患病率较高。无盖厕所、露天垃圾处理系统、家庭规模为6 - 9人以及家中有两个以上学龄前儿童与活动性沙眼的发生有关。另一方面,每日用水量40 - 60升是一个保护因素。

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