北京市5岁以下儿童轻、重型腹泻相关因素分析  

Analysis on related factors of mild and severe diarrhea among children under 5 years of age in Beijing City

作　　者：郭丹丹 李洪军[2] 刘潇潇[3] 梁研[4] 高志勇[5] 王全意[5] 贾蕾[5] 

机构地区：[1]北京市预防医学研究中心营养与食品卫生所,北京100013 [2]北京市通州区疾病预防控制中心流行病科,北京101100 [3]北京市西城区疾病预防控制中心流行病科,北京100011 [4]北京市朝阳区疾病预防控制中心传染病地方病控制所,北京100021 [5]北京市疾病预防控制中心传染病地方病控制所,北京100013

出　　处：《中华疾病控制杂志》2015年第8期787-790,共4页Chinese Journal of Disease Control & Prevention

基　　金：北京市自然科学基金(7132045)

摘　　要：目的 了解北京市〈5岁儿童轻、重型腹泻患病构成情况及相关影响因素,为进一步采取防控措施提供数据支持。方法 2012年5月-2013年7月,对北京市城区、近郊区和远县的3个儿童专科医院1142名腹泻儿童进行患病情况调查,并采用广义估计方程探讨儿童轻、重型腹泻的相关因素。结果 本次调查涉及的腹泻儿童中,轻型987名（86.4%）,重型155名（13.6%）;农业户籍（OR=2.70,P〈0.001）、外地户口（OR=1.90,P=0.044）、轮状病毒感染（OR=4.12,P〈0.001）、杯状病毒感染（OR=1.97,P=0.010）、非发病当天就诊（OR=2.61,P=0.002）、在9-12月的高发月份发病（OR=1.86,P=0.002）均为重型腹泻的危险因素,而年龄、性别和住址区域均不构成影响。结论 预防重型腹泻病的发生,重点在于改善生活环境和卫生习惯、减少肠道传染病传播、患病后及时就诊等。Objective To understand the composition and related factors of mild and severe diarrhea among children under 5 years in Beijing,in order to provide data support for disease prevention and control. Methods From May2012 to July 2013,we performed a survey among 1 142 children with diarrhea from three pediatric hospitals located in urban,peri-urban and distant counties in Beijing. Generalized estimating equations were used to explore the influencing factors of mild and severe diarrhea. Results A total of 987 children（ 86. 4%） were involved in mild diarrhea and the other155 children（ 13. 6%） had severe diarrhea. Agricultural household（ OR = 2. 70,P〈0. 001）,nonlocal registered permanent residence（ OR = 1. 90,P = 0. 044）,rotavirus infection（ OR = 4. 12,P〈0. 001）,calicivirus infection（ OR = 1. 97,P = 0. 010）,medical treatment after diarrhea onset（ OR = 2. 61,P = 0. 002） and illness in high-occurrence month which lasts from September to December（ OR = 1. 86,P = 0. 002） were the risk factors for severe diarrhea. Age,gender and address areas were not the risk factors. Conclusions Improving living environment as well as hygiene habit,reducing the spread of intestinal infectious diseases,and encouraging timely medical consulting are needed in severe diarrhea prevention.

关 键 词：儿童 腹泻 因素分析 统计学 

分 类 号：R181.32[医药卫生—流行病学]