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Prevalence of Risk Factors and Severity of Active Trachoma in Southern Sudan: An Ordinal Analysis.

机译:苏丹南部活动性沙眼的危险因素和严重程度的流行:序数分析。

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摘要

We aimed to investigate prevalence of potential risk factors, and associations between risk factors and active trachoma in southern Sudan. Surveys were undertaken in ten sites and children aged 1-9 years examined for trachoma. Risk factors were assessed through interviews and observations. Using ordinal logistic regression, associations between severity of active trachoma and risk factors were explored. Trachomatous inflammation-intense (TI) was considered more severe than trachomatous inflammation-follicular (TF). A total of 7,418 children were included in the analysis. Risk factors and prevalences were unclean face, 52.3%; face washed less than twice daily, 50.8%; water collection > 30 minutes, 38.1%; absence of latrines, 95.4%; garbage disposal within 20 m, 74.4%; cattle ownership, 69.2%; and flies, 83.3%. After adjusting for age and sex, unclean face, less frequent face washing, cattle ownership, and increasing fly density were found to be independently associated with severity of active trachoma. Our study suggests that facial hygiene and environmental sanitation are priority trachoma-control interventions in southern Sudan.
机译:我们旨在调查苏丹南部潜在危险因素的患病率以及危险因素与活动性沙眼之间的关联。在十个地点进行了调查,并对1-9岁的儿童进行了沙眼检查。通过访谈和观察评估风险因素。使用序数逻辑回归,探讨了活动性沙眼严重程度与危险因素之间的关联。沙眼性炎症强烈(TI)被认为比沙眼性炎症小卵泡(TF)更严重。分析中总共包括7,418名儿童。危险因素和患病率是不洁的面孔,占52.3%;每天洗脸少于两次,占50.8%;集水> 30分钟,38.1%;缺乏厕所,占95.4%; 20 m以内的垃圾处理,占74.4%;牛的所有权为69.2%;和果蝇,占83.3%。在调整了年龄和性别之后,发现不洁的脸,不经常洗脸,养牛和增加果蝇密度与活动性沙眼的严重程度独立相关。我们的研究表明,在苏丹南部,面部卫生和环境卫生是控制沙眼的优先干预措施。

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