苏州市≤5岁儿童流感样疾病流行特征与卫生服务利用情况调查  

Epidemiological characteristics and health service utilization of influenza-like illness among children at ages of 5 years and younger in Suzhou City

作　　者：钱晨 林婉靖 伊丽萍 任少龙 陆颖枫 张钧[2] 栾琳[2] 郑本锋[2] 赵根明[1] 张涛[1] QIAN Chen;LIN Wan-jing;YI Li-ping;REN Shao-long;LU Ying-feng;ZHANG Jun;LUAN Lin;ZHENG Ben-feng;ZHAO Gen-ming;ZHANG Tao(Department of Epidemiology,School of Public Health,Fudan University,Key Laboratory of Public Health Safety,Ministry of Education,Shanghai 200032,China;不详)

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200032 [2]苏州市疾病预防控制中心

出　　处：《江苏预防医学》2024年第3期310-313,共4页Jiangsu Journal of Preventive Medicine

基　　金：默沙东研究者发起项目(MISP61457)。

摘　　要：目的了解苏州市≤5岁儿童流感样疾病(influenza-like illness,ILI)流行特征及卫生服务利用现状,并分析卫生服务利用的影响因素,为准确估计流感疾病负担和合理配置卫生资源提供依据。方法2022年10月对苏州市≤5岁社区儿童1个月内ILI患病和就医情况进行问卷调查。描述不同特征儿童ILI月患病率、ILI就医率、就医ILI住院率,并以多因素logistic回归法分析卫生服务利用的影响因素。结果共收集有效问卷9527份,以1~<2岁组(占22.76%)、男性(占57.90%)、主城区户籍(占65.88%)为主。1个月内报告ILI病例562例,ILI月患病率为5.90%,ILI就医率61.92%,就医ILI住院率31.32%。ILI月患病率随年龄增加而升高(χ趋势2=20.45,P<0.01);不同年龄组、不同户籍儿童的ILI就医率、就医住院率差异均有统计学意义(χ^(2)=12.06~35.14,P值均<0.05)。多因素logistic回归分析显示,与0~<0.5岁组相比,1~<2岁组[OR(95%CI):2.42(1.01~6.02)]和3~<4岁组[OR(95%CI):2.47(1.01~5.95)]ILI患儿就医率更高;与主城区户籍儿童相比,非主城区[OR(95%CI):2.38(1.53~3.76)]和流动儿童[OR(95%CI):5.58(2.78~12.51)]ILI就医率更高;与发热仅伴1种症状的儿童相比,发热伴2种症状的ILI就医率更高[OR(95%CI):1.69(1.12~2.57)]。结论苏州市≤5岁儿童ILI疾病负担较重,其卫生服务利用受年龄、户籍、症状轻重因素影响;基层卫生服务利用率有待提高。Objective To investigate the epidemiological characteristics and current status of health service utilization of influenza-like illness(ILI)among children at ages of 5 years and younger in Suzhou City and to identify the factors affecting health service utilization,so as to provide the evidence for accurate assessment of disease burden of influenza and rational allocation of health resources.Methods A questionnaire survey was performed for development of ILI within one month and healthcare seeking behaviors among community children at ages of 5 years and younger in Suzhou City on Oct 2022.The monthly prevalence of ILI,percentage of healthcare seeking for ILI and hospitalization rate of ILI seeking healthcare services were analyzed among children,and factors affecting health service utilization of ILI were identified using a multivariate logistic regression model.Results A total of 9527 valid questionnaires were collected,which were mainly collected from children at ages of 1 to 2 years(22.76%),male children(57.90%)and children with household registration in main urban areas(65.88%).There were 562 children with ILI within one month,and the monthly prevalence of ILI,percentage of healthcare seeking for ILI and hospitalization rate of ILI seeking healthcare services were 5.90%,61.92%and 31.32%,respectively.The monthly prevalence of ILI increased with age(χ_(trend)~2=20.45,P<0.01),and there were age-and household registration-specific percentage of healthcare seeking for ILI and hospitalization rate of ILI seeking healthcare services among children(χ^(2)values=12.06 to 35.14,all P values<0.05).Multivariate logistic regression analysis showed a higher percentage of healthcare seeking behaviors among children with ILI at ages of 1 to 2 years[odds ratio(OR)=2.42,95%confidential interval(CI):(1.01,6.02)]and 3 to 4 years[OR=2.47,95%CI:(1.01,5.95)]than at ages of 0 to 0.5 years,a higher percentage of healthcare seeking behaviors among ILI children with household registration outside of main urban areas[OR=2.38,95%CI:(1.5

关 键 词：流感样疾病 卫生服务利用 儿童 

分 类 号：R511.7[医药卫生—内科学]