广州市5岁以下儿童洗手习惯与腹泻关系的病例对照研究  

Relationship between hand-washing behaviors and diarrhea disease among children under 5 years old: A case-control study

作　　者：魏跃红[1] 杨智聪[1] 康燕[1] 王玉林[1] 谢华萍[1] 罗雷[1] 

机构地区：[1]广东省广州市疾病预防控制中心,510080

出　　处：《中国学校卫生》2011年第7期795-797,共3页Chinese Journal of School Health

基　　金：广州市医药卫生科技项(2008yb118);广东省卫生厅医学科学基金(A2009566)

摘　　要：目的了解5岁以下儿童洗手等卫生习惯与患腹泻的关系,为预防儿童腹泻提供依据。方法采用配对病例对照研究,收集2008年7月至2009年7月490例5岁以下腹泻儿童和490例健康对照儿童,对洗手(饭前、便后、吃零食前等)及剪手指甲等因素进行单因素、调整混杂因素(食用海/水产品、剩饭菜放置方式和家庭饮用水类型)的条件Logistic回归分析,计算其OR值及95%置信区间(CI)。结果与从不洗手相比,每次饭前、便后及吃零食前洗手是儿童腹泻的保护性因素,其调整后的OR值分别为0.41(95%CI=0.19～0.86),0.41(95%CI=0.21～0.81)和0.48(95%CI=0.25～0.93)。剪手指甲周期6～15 d和3～5 d的2个等级调整前OR值分别为0.24(95%CI=0.11～0.52)和0.21(95%CI=0.09～0.48),调整后为0.25(95%CI=0.10～0.66)0,.23(95%CI=0.09～0.62)。结论良好的洗手习惯是预防儿童腹泻的有效手段之一。Objective To explore the relationship between hand-washing behaviors and diarrhea in children under 5 years in Guangzhou city.Methods A 1∶ 1 matched case-control study was conducted among 490 cases with diarrhea disease and 490 normal subjects from July 2008 to July 2009.The factors hand-washing before meals（snacks） and after toilet and manicure were analyzed by means of simple and multiple conditional logistic regression analysis.Odds ratios（OR） and its 95% confidence intervals（CI） were estimated by the model.Confounding factors such as consumption of sea products,placement of leftovers and the drinking water type were adjusted.Results The results showed that hand-washing before meals（snacks） and after toilet each time were protective factors to diarrhea disease,adjusted OR values were 0.41（95%CI=0.19-0.86）,0.41（0.21 to 0.81） and 0.48（0.25 to 0.93）,while manicure intervals of 6-15 days and 3-5 days before adjustment OR values were 0.24（0.11-0.52） and 0.21（0.09-0.48）,adjusted to 0.25（95%CI=0.10-0.66）,0.23（0.09-0.62）.Conclusion It is effective means of washing hands behaviors to prevent children diarrhea.

关 键 词：洗手 腹泻 习惯 病例对照研究 儿童 

分 类 号：R442.2[医药卫生—诊断学] R181.2[医药卫生—临床医学]