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农村母亲的风险行为习惯作为儿童腹泻的决定因素

Risk behavioural practices of rural mothers as determinants of childhood diarrhoea.

作者信息

Ghosh S, Sengupta P G, Mondal S K, Banu M K, Gupta D N, Sircar B K

机构信息

National Institute of Cholera and Enteric Diseases, Beliaghata, Calcutta.

出版信息

J Commun Dis. 1997 Mar;29(1):7-14.

PMID:9282523
Abstract

Maternal behaviours related to certain child care practices which possibly have a contributory role in causation of diarrhoea in children were studied. Comparison was made between behaviours of mothers in 108 families having diarrhoeal children (Case families) with mothers of 72 families having age and neighbourhood matched non diarrhoeal children (control families) using a logistic regression model. Five risk behaviours were identified and these are bottle feeding (OR-2.87; CI-1.30 to 6.34), non-use of soap for cleaning feeding container (OR-2.61; CI-1.30 to 5.23), water storage in wide-mouthed container (OR-2.75; CI-1.27 to 5.96), use of pond water for the same (OR-2.36; CI-1.15 to 4.84) and indiscriminate disposal of children's stool (OR-1.99; CI-0.97 to 4.08). Around 83 per cent of diarrhoeal families could be predicted using these five variables only. The first three of these five risk behaviours were responsible for occurrence of significantly higher incidence (3 or more episodes) of diarrhoea in the case families. All these risk behaviours are amenable to change if suitable intervention is initiated. The result of this study would be helpful in reducing diarrhoea associated morbidity to a substantial level.

摘要

对与某些儿童护理做法相关的母亲行为进行了研究,这些行为可能在儿童腹泻病因中起促成作用。使用逻辑回归模型,对108个有腹泻儿童家庭(病例家庭)的母亲行为与72个年龄和邻里匹配的无腹泻儿童家庭(对照家庭)的母亲行为进行了比较。确定了五种风险行为,分别是奶瓶喂养(比值比-2.87;可信区间-1.30至6.34)、清洁喂养容器时不使用肥皂(比值比-2.61;可信区间-1.30至5.23)、用广口容器储存水(比值比-2.75;可信区间-1.27至5.96)、用池塘水储存水(比值比-2.36;可信区间-1.15至4.84)以及随意处理儿童粪便(比值比-1.99;可信区间-0.97至4.08)。仅使用这五个变量就能预测约83%的腹泻家庭。这五种风险行为中的前三种导致病例家庭中腹泻发病率显著更高(3次或更多次发作)。如果启动适当干预措施,所有这些风险行为都是可以改变的。这项研究的结果将有助于将腹泻相关发病率大幅降低。

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