苏州市5岁以下社区儿童腹泻发病及就诊情况调查  

Investigation on the incidence and health-seeking behavior of diarrhea among children aged under 5 years in Suzhou

作　　者：沈思 代子瑞 陈立凌[2] 邵雪君[3] 张钧[2] 张涛 薛建[3] 赵根明 SHEN Si;DAI Zi-rui;CHEN Li-ling;SHAO Xue-jun;ZHANG Jun;ZHANG Tao;XUE Jian;ZHAO Gen-ming(Department of Epidemiology,School of Public Health,Fudan University,Key Laboratory of Public Health Safety,Ministry of Education,Shanghai Institute of Infectious Disease and Biosecurity,Shanghai 200032,China;Department of Prevention and Control,Suzhou Center for Disease Control and Prevention,Suzhou 215004,China;Department of Clinical Laboratory,Suzhou University Affiliated Children's Hospital,Suzhou 215003,China)

机构地区：[1]复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海市重大传染病和生物安全研究院,上海200032 [2]苏州市疾病预防控制中心传染病预防控制科,苏州215004 [3]苏州大学附属儿童医院检验科,苏州215003

出　　处：《中华疾病控制杂志》2023年第2期191-194,223,共5页Chinese Journal of Disease Control & Prevention

基　　金：上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科(GWV-10.1-XK16);默沙东研究者发起项目(MISP59169)。

摘　　要：目的了解苏州市5岁以下社区儿童腹泻病的发生及就诊情况,为相关卫生政策的制定提供参考。方法采用重复横断面调查的设计和分层随机抽样的方法,了解儿童过去1月内的腹泻病发生及就诊情况。结果苏州市5岁以下儿童过去1月内腹泻病发生率为3.39%,平均每人每年腹泻0.41次;腹泻后的就诊率为72.50%。其中6月龄~1岁组儿童腹泻发生率最高为5.97%(χ^(2)=126.52,P<0.001)。不同季节儿童腹泻的就诊率差异无统计学意义,就诊行为模式相对固定,未就诊首要原因是家长认为病情不重,未就诊腹泻儿童首选自行服药治疗。结论苏州市5岁以下社区儿童腹泻疾病负担值得重视,特别是低年龄婴幼儿;应加强对儿童家长相关宣教,进一步完善医疗卫生建设,加强儿童腹泻病监测。Objective This paper aims to investigate the incidence and health-seeking behavior of diarrhea among children under 5 years old in Suzhou City,and to inform the development of relevant health policies.Methods A repeated cross-sectional survey design and a stratified random sampling method was conducted to investigate the occurrence and health-seeking practices of childhood diarrhea in the past 1 month.Results The occurrence rate of diarrhea among children under 5 years old in Suzhou last month was 3.39%,with an average of 0.41 episodes of diarrhea per child per year.The consultation rate was 72.50%.The peak rate of diarrhea was 5.97%among children aged 6-12 months(χ^(2)=126.52,P<0.001).The different consultation rates of childhood diarrhea in different seasons were not statistically significant,and the health-seeking pattern was relatively fixed.The primary reason for children not seeking medical care was that parents did not think the disease was serious,and they preferred self-treatment through self-medication.Conclusions Attention should be paid to diarrhea among children under 5 years old in Suzhou City,especially among younger infants.Relevant education of parents should be strengthened,medical and health care should be further improved,and surveillance of childhood diarrhea should be enhanced.

关 键 词：儿童腹泻 腹泻病 社区调查 就诊行为 

分 类 号：R183[医药卫生—流行病学]