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目的:了解温州市5岁以下儿童支原体肺炎的情况和相关影响因素。方法:选取温州市5岁以下儿童支原体肺炎高发的某县区,对符合条件的5岁以下儿童看护人进行问卷调查,对支原体肺炎发病影响因素进行单因素和多因素Logistic回归分析。结果:共收集到2 800份5岁以下儿童看护人有效问卷,该市某县区5岁以下儿童过去1年内肺炎支原体感染的健康体检率和体检次数达标率分别为46.4%和27.2%。单因素和多因素分析结果显示看护人低教育程度、低家庭经济收入与儿童低水平的健康体检率和体检次数达标率相关,建立儿童健康档案的儿童避免支原体肺炎感染和体检次数达标的可能性分别是没有建立健康档案儿童的13.0倍和4.3倍。结论:该市某县区5岁以下儿童肺炎支原体感染的健康体检率和体检次数达标率均较低。儿童看护人的低教育程度、低家庭经济收入以及没有建立儿童健康档案等均可能是影响儿童支原体肺炎患病状况的重要因素。
Objective: To understand the prevalence of Mycoplasma pneumonia in children under 5 years of age in Wenzhou and related factors. Methods: A county with high incidence of mycoplasma pneumonia in children under 5 years of age was selected in Wenzhou. A questionnaire survey was conducted on eligible children under 5 years of age. Single factor and multivariate logistic regression analysis were performed on the influencing factors of mycoplasma pneumonia. Results: A total of 2 800 valid questionnaires were collected for caregivers of children under 5 years of age. The prevalence rates of physical examination and physical examination of Mycoplasma pneumoniae in children under 5 years of age in one county of the county were 46.4% and 27.2% respectively in the past year. Univariate and multivariate analyzes showed that caregivers have a low education level, a low family income, a low level of physical examination rate and a compliance rate of physical examination, and the possibility of establishing children’s health records to avoid mycoplasma pneumonia infection and the number of physical examination Respectively, 13.0 times and 4.3 times that of children without health records. Conclusions: The rate of physical examination and the number of physical examination reached the standard of mycoplasma pneumoniae infection in children under 5 years of age in one county of the county. The low educational level of children’s caregivers, low family incomes, and the lack of a child health record may all be important factors affecting the prevalence of mycoplasmal pneumonia in children.