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Prevalence of active trachoma and associated factors among children aged 1 to 9?years in rural communities of Lemo district, southern Ethiopia: community based cross sectional study

机译:埃塞俄比亚南部莱莫地区农村社区1至9岁儿童活动性沙眼患病率及相关因素:基于社区的横断面研究

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Trachoma, caused by Chlamydia trachomatis is the leading infectious cause of blindness. It is transmitted via personal contact with infected ocular and nasal secretions by hands, fomites and eye- seeking flies. Active trachoma is more common among children aged 1 to 9?years. The objective of this study was determining the prevalence of active trachoma and associated factors among children aged 1 to 9?years in rural community of Lemo district. Community-based cross-sectional study was conducted from March to April, 2018 in rural community of Lemo district. Multistage sampling technique was used to select 589 study participants. Data were collected by using structured pre-tested questionnaire, physical examination and observation. Binocular loupe was used to identify active trachoma cases. The data were entered by using EPi-data version 3.1 and analyzed by SPSS. Binary logistic regression was used to assess factors associated with active trachoma. Variables with p-value ?0.05 in the multivariable analysis were used to declare significance of association. Eighty seven (15.2%) children were positive for active trachoma. Absence of solid waste disposal pit (AOR?=?2.20, 95% CI (1.12-4.37), do not use latrine as reported by respondent (AOR?=?7.53, 95% CI (2.86-19.84), do not use soap for face washing as reported by respondent (AOR =2.3, 95% CI (1.32–4.12), washing face frequency as reported by respondent (AOR?=?1.86, 95% CI (1.06–3.26), and family size greater than five (AOR?=?1.96, 95% CI (1.06–3.67) were significantly associated with active trachoma. Active trachoma among children aged 1 to 9?years is high. Do not use latrine, do not use soap for face washing, and face washing frequency in a day as reported by respondents and family size were associated with active trachoma. Access to adequate water and sanitation can be important components in working towards eliminating trachoma as a public health problem. Therefore, prompt measures must be taken by concerned bodies to increase access to adequate water and sanitation facilities.
机译:沙眼衣原体引起的沙眼是导致失明的主要传染病。它是通过与人的手,毒虫和寻蝇的人接触感染的眼和鼻分泌物而传播的。活动性沙眼在1至9岁的儿童中更为常见。这项研究的目的是确定Lemo地区农村社区1至9岁儿童的活动性沙眼患病率及相关因素。基于社区的横断面研究于2018年3月至4月在Lemo区的农村社区进行。多阶段抽样技术用于选择589名研究参与者。通过使用结构化的预先测试问卷,身体检查和观察来收集数据。双眼放大镜用于识别活动性沙眼病例。通过使用EPi-data版本3.1输入数据,并通过SPSS分析。二元逻辑回归用于评估与活动性沙眼相关的因素。多变量分析中p值<0.05的变量用于声明关联的显着性。八十七名(15.2%)儿童活动性沙眼阳性。没有固体废物处理坑(AOR?=?2.20,95%CI(1.12-4.37),不要使用被调查者报告的厕所(AOR?=?7.53,95%CI(2.86-19.84),不要使用肥皂受访者报告的洗脸频率(AOR = 2.3,95%CI(1.32–4.12),受访者报告的洗脸频率(AOR≥1.86,95%CI(1.06-3.26),家庭人数大于5) (AOR≥1.96,95%CI(1.06-3.67)与活动性沙眼显着相关。1至9岁儿童的活动性沙眼高。不要使用厕所,不要用肥皂洗脸,受访者报告的每天洗手频率和家庭规模与活动性沙眼有关,获得充足的水和卫生设施对于消除沙眼成为一种公共卫生问题可能是重要的组成部分,因此,有关机构必须迅速采取措施,增加获得足够的水和卫生设施的机会。

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