合肥市农村地区5岁以下儿童手足口病危险因素调查

Survey on risk factors for hand foot and mouth disease of rural children under five years old in Hefei

目的了解农村地区5岁以下儿童手足口病的主要危险因素。方法采用电话访谈形式,对83名手足口病患儿和83名对照儿童的家长进行儿童一般情况、家庭环境及生活习惯的问卷调查。结果 83名病例中,EV71和CoxA16的阳性率分别为40.3%和37.7%。多因素Logistic回归模型显示,散居儿童、监护人教育程度低、发病前出现过皮疹、有手足口病接触史、没有饭前便后洗手习惯、居住环境有人粪堆积6个因素是农村地区5岁以下儿童患手足口病的主要危险因素。结论居住环境差和生活习惯不良是农村地区5岁以下儿童手足口病的主要危险因素。

Objective To identify the primary risk factors of hand foot and mouth disease of children under five years old in Hefei rural area.Methods Information about the general characteristics,family environment and life style of 83 cases and 83 controls was obtained through telephone interview.Results The positive rate of EV71 and CoxA16 in 83 children with hand foot and mouth disease was 40.3% and 37.7%,respectively multiple Logistic regression model showed that scattered inhabiting children, lower education of guardian,skin eruption,history of contact with patients,no habit of washing hands before meals or after using the restroom,faces piling up around house environment were the main risk factors of hand foot and mouth disease of rural children under five years old.Conclusions Poor living environment and bad living habits were main risk factors for hand foot and mouth disease of rural children under five years old.