流动儿童手足口病发病危险因素调查

Survey on risk factors of hand-foot-mouth disease among migrant children

目的探讨流动儿童手足口病发病的相关危险因素,为手足口病的预防与控制提供依据。方法在国家疾病监测信息直报管理系统中随机选择2013年1月-2014年6月报告的300例手足口病流动患儿作为病例组,并以1∶1配对方式选择300例非手足口病健康流动儿童作为对照组,分别对家长进行问卷调查,采用多因素Logistic回归分析筛选手足口病发病的危险因素。结果对流动儿童手足口病危险因素单因素分析发现,儿童带养类型、手足口病患者接触史、有吮咬手指的习惯、无使用肥皂/洗手液洗手的习惯、居住地有人粪堆积现象、居住地有生活垃圾堆积现象和儿童生病频率与流动儿童手足口病的发生有关(P<0.05)。多因素Logistic回归分析显示,散居儿童(OR=1.196)、手足口病患者接触史(OR=2.130)、有吮咬手指的习惯(OR=1.252)和居住地有人粪堆积现象(OR=1.986)是流动儿童手足口病发病的危险因素。结论散居、手足口病患者接触史、有吮咬手指的习惯和居住地有人粪堆积现象是流动儿童手足口病发病的主要危险因素,减少和控制危险因素是预防流动儿童手足口病发病的重要环节。

Objective To investigate the risk factors of hand-foot-mouth disease among migrant children, and to provide a basis for hand-foot-mouth disease prevention and control. Methods Randomly selected 300 cases of hand- foot-mouth disease in migrant children during January 2011 to June 2012 from Management Reporting System of the National Disease Surveillance Information as observation group, and paired with 1∶1 to select 300 cases of non HFMD healthy children as control group, separately carried on the questionnaire survey to the parents, using multivariate Logistic regression to analyze the risk factors to the incidence of hand-foot-mouth disease. Results Univariate analysis shows that children with the type of taking care, contact history of hand-foot-mouth disease, sucking fingers habit, without the use of soap/hand sanitizer habits, reside human dung accumulation phenomenon, residence life garbage accumulation phenomenon and the ill frequency of children correlate hand-foot-mouth disease（P〈0.05）. Multivariate Logistic regression shows that scattered children（OR=1.196）, hand-foot-mouth disease contact history（ OR =2.130）, habit of sucking fingers（OR =1.252）, reside human dung accumulation（OR=1.986） are the risk factors in migrant children with hand-foot-mouth disease incidence.Conclusion Diaspora, contact history of hand-foot-mouth disease, sucking fingers habits, reside human dung accumulation are the main risk factors of migrant children with hand-foot-mouth disease, To reduce and control of the risk factors is important.