论文部分内容阅读
目的探讨嘉兴市地区托幼机构儿童手足口病发病的影响因素,为采取有效防控措施提供参考。方法分层随机抽取嘉兴市347所托幼机构进行问卷调查,了解托幼机构级别、地理位置、收费和手足口病发病等相关信息;采用单因素和多因素负二项分布回归分析方法分析影响手足口病发病的因素。结果公办托幼机构、托幼机构地理位置处于县城、教室内有洗手装置、厕所类型为蹲坑、流行季节发放宣传手册、流动人口比例大于50%均与托幼机构手足口病发病率呈负相关(β值分别为-0.557,-0.315,-0.351,-1.170,-0.543,-0.373,P值均<0.05),共用毛巾和人均消毒费用>20元与手足口病发病率呈正相关(β值分别为1.150,0.814,P值均<0.05)。结论应进一步加强传染病管理工作,督促民办和农村地区托幼机构全面提高传染病防控工作规范;加大宣传教育力度,提高儿童、教师和家长的传染病防范意识,降低手足口病发病率。
Objective To explore the influencing factors of children hand-foot-mouth disease in kindergartens and nurseries in Jiaxing City, and to provide reference for effective prevention and control measures. Methods A total of 347 institutions in Jiaxing City were stratified and randomly selected to conduct questionnaire surveys to find out the related factors such as grade, geographical location, toll collection and incidence of hand-foot-mouth disease in kindergartens. The influence of single factor and negative binomial distribution regression was analyzed Hand, foot and mouth disease incidence factors. Results Public nurseries and nurseries were located in the county seat. There was a hand-washing device in the classroom. The type of toilets was squatting. Publicity brochures were issued during the popular season. The proportion of floating population> 50% was negatively correlated with the incidence of hand-foot-mouth disease (Β values were -0.557, -0.315, -0.351, -1.170, -0.543, -0.373, P <0.05 respectively), common towels and per capita disinfection expenses> 20 yuan were positively correlated with the incidence of HFMD Values were 1.150,0.814, P values were <0.05). Conclusion It is necessary to further strengthen the management of infectious diseases and urge the institutions in private and rural areas to comprehensively raise the standard of prevention and control of communicable diseases. The publicity and education efforts should be stepped up to raise the awareness of children, teachers and parents about the prevention of infectious diseases and reduce the incidence of hand-foot-mouth disease .