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印度德里高发地区登革热的社会生态预测因素。

Socio-ecological predictors of dengue in high incidence area of Delhi, India.

机构信息

University School of Medicine & Paramedical Health Sciences, Guru Gobind Singh Indraprastha University, New Delhi, 110075, India.

ICMR-National Institute of Medical Statistics, Indian Council of Medical Research, Ansari Nagar, New Delhi, 110 029, India.

出版信息

Sci Rep. 2024 Jul 23;14(1):17005. doi: 10.1038/s41598-024-67909-7.

DOI:10.1038/s41598-024-67909-7
PMID:39043792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11266699/
Abstract

Despite the amplified vector-control measures, sporadic-epidemic outbreaks of dengue incidence occurred in Delhi, intermittently. This study aimed to identify the major individual, household, and community level predictors of dengue cases in the hot-spots of Delhi. Primary survey data was collected from the selected sample of 347 households, at the South- West district of Delhi. This survey has interviewed the head of the household to collect the information of dengue incidences within last one year and household information related to socio-economic, demographic, environmental factors, such as housing pattern, density, water storage containers, drainage and garbage collection site and method, mosquito protection measures and awareness. Among 347 households, 54 households had reported dengue cases, and 69 individuals had reported dengue cases in last one year. Garbage and water collection site and methods, drainage and household type, household monthly income, indoor bamboo plants, construction site (within 500 m), presence of tertiary care hospital, were the significant predictors of dengue incidences in Delhi. In conclusion, strategic control measures and intense social interventions such as household and community awareness, promotion of healthy practices should be promoted to control the dengue incidences.

摘要

尽管加大了病媒控制力度,但德里仍间歇性地出现登革热零星疫情爆发。本研究旨在确定德里热点地区登革热病例的主要个人、家庭和社区水平预测因素。从德里西南区的选定样本中收集了 347 户家庭的初步调查数据。该调查采访了户主,以收集过去一年中登革热病例的信息以及与社会经济、人口统计学、环境因素相关的家庭信息,例如住房模式、密度、储水容器、排水和垃圾收集地点和方法、蚊虫防护措施和意识。在 347 户家庭中,有 54 户报告了登革热病例,69 人在过去一年中报告了登革热病例。垃圾和水的收集地点和方法、排水和家庭类型、家庭月收入、室内竹植物、建筑工地(500 米以内)、三级保健医院的存在,是德里登革热发病率的重要预测因素。总之,应采取战略控制措施和强化社会干预措施,如家庭和社区意识、促进健康实践,以控制登革热发病率。