摘要
目的调查深圳市龙华区托幼儿童流感样病例发病情况及分析其影响因素,为制定流感防控策略提供理论依据。方法采用多阶段抽样方法抽取研究对象,在辖区的6个街道随机抽取11所幼儿园,再随机抽取大中小各一个班级进行问卷调查,调查2019年1—6月曾发生流感样症状的病例,并与未发生流感样症状的非病例开展病例对照研究,采用单因素及多因素分析的方法分析其影响因素。结果纳入统计的1193名托幼儿童在2019年1月1日—6月30日发生过流感样病例症状的病例有591例(49.54%,591/1193),其中就诊人数536例(90.69%,536/591),住院人数20例(3.38%,20/591)。开展流感咽拭子胶体金检测114例(19.29%,114/591),阳性检出率(25.44%,29/114)。本年度接种流感疫苗191人,疫苗接种率16.01%(191/1193),既往曾接种流感疫苗662人,疫苗接种率55.49%(662/1193)。多因素分析结果显示:年级(大班)(OR=0.398,95%CI:0.292~0.541)和儿童打喷嚏会捂住口鼻(OR=0.620,95%CI:0.474~0.810)是儿童是否患流感样症状的保护因素。结论龙华区托幼儿童流感病原检测率及疫苗接种率较低,提高流感病原检测,提倡疫苗接种及强调儿童打喷嚏礼仪的健康宣教,有利于保护儿童健康。
Objective To investigate the incidence and influence factors of influenza-like illness among children in Longhua District of Shenzhen and analyzing the influencing factors to provide a theoretical basis for the formulation influenza prevention and control.Methods A multi-stage sampling method was used to select the study population.11 kindergartens were randomly selected from 6 streets in the district,and randomly selected one class from junior,middle and senior class of 11 kindergartens respectively.A case-control study was conducted to investigate cases that had experienced influenza-like symptoms during January-June 2019 and to conduct a case-control study with non-cases that did not experience influenza-like symptoms,using univariate and multifactorial analysis to analyse the factors influencing them.Results A total of 1193 children participated in the count,591 cases(49.54%,591/1193)of flu-like cases symptoms from 1 January to 30 June,2019,of which 536 cases(90.69%,536/591)were seen and 20(3.38%,20/591)were hospitalized.114 cases(19.29%)were tested for influenza pharynx swab colloidal gold,with a positive rate of antibody detection was 25.44%(29/114).191 people were vaccinated during the year,and the vaccination rate of 16.01%(191/1193),and 662 previous influenza vaccination,a rate of 55.49%(662/1193).The result of multivariate analysis showed that grade(senior kindergarten)(OR=0.398,95%CI:0.292-0.541)and the fact that children would cover their mouth and nose when sneezing(OR=0.620,95%CI:0.474-0.810)were the independent factors for whether children had flu-like symptoms of children.Conclusion The detection and vaccination rate of influenza in children in Longhua District is low.Improving the detection of influenza pathogens,promoting vaccination and emphasizing health educaiton on children′s seenzing etiquette will help protect children′s health.
作者
陈其娴
古子豪
周世权
彭伟军
张蔚
方捷
CHEN Qi-xian;GU Zi-hao;ZHU Shi-quan;PENG Wei-jun;ZHANG Yu;FANG Jie(Department of Epidemiology and Infectious Disease Control,Center for Disease Control and Prevention of Longhua District,Shenzhen,Guangdong518109,China)
出处
《医学动物防制》
2022年第6期574-578,共5页
Journal of Medical Pest Control
基金
深圳市龙华区科技创新资金项目(2017071)
深圳市龙华区医学重点学科建设经费资助(深龙华卫健[2020]65号)。
关键词
流感样病例
病例对照
托幼儿童
影响因素
接种率
调查
多因素分析
检出率
Influenza-like illness
Case control
Kindergarten children
Influencing factors
Vaccination rates
Investigate
Multivariate analysis
Detection rate
