摘要
目的 了解潍坊市病毒性腹泻病的影响因素,为进一步提高病毒性腹泻病防控工作质量,制定卫生策略提供依据。方法 用χ^(2)趋势检验方法对全市2018-2022年潍坊市病毒性腹泻病的阳性率变化趋势进行分析,用logistics回归分析方法对其影响因素进行统计学分析。结果 2018-2022年全市共报告其他感染性腹泻病39 707例,采集监测病例样本2 157例,检出阳性872份,阳性率40.4%(872/2 157)。年龄(χ^(2)=98.719,P<0.001)、就诊间隔天数(χ^(2)=13.712,P<0.001)、饮用水源(χ^(2)=48.611,P<0.001)、洗手习惯(χ^(2)=19.512,P<0.001)、临床症状发热(χ^(2)=21.103,P<0.001)、腹痛(χ^(2)=43.617,P<0.001)、呕吐(χ^(2)=9.478,P<0.001)不同情况的病毒性腹泻病监测病例肠道病毒阳性检出率差异均有统计学意义,饭前便后洗手、发热、呕吐为病毒检出率危险性影响因素。饮用水源、年龄、腹痛为病毒检出率保护性影响因素。结论 潍坊市病毒性腹泻检出阳性率与全国病毒性腹泻的总体检测阳性率相差不大。
Objective To understand the influencing factors of viral gastroenteritis in Weifang City and provide a basis for improving the quality of prevention and control measures and formulating health strategies.Methods Descriptive analysis was used to statistically analyze the trend of positive rate changes and influencing factors of viral gastroenteritis in Weifang City from 2018to 2022.Results From 2018to 2022,a total of 39707cases of other infectious gastroenteritis was reported in the city.A total of 2157case samples was collected for monitoring,with 872of them testing positive,yielding a positivity rate of 40.4%(872/2157).There were statistically significant differences(P<0.05)in the positive detection rates of viral gastroenteritis among different age groups(χ^(2)=98.719,P<0.001),interval days of hospital visits(χ^(2)=13.712,P<0.001),drinking water sources(χ^(2)=48.611,P<0.001),handwashing habits(χ^(2)=19.512,P<0.001),and clinical symptoms fever(χ^(2)=21.103,P<0.001,abdominal pain(χ^(2)=43.617,P<0.001),vomiting(χ^(2)=9.478,P<0.001).Handwashing before meals and after defecation,fever,and vomiting was identified as risk factors for viral detection rate.Drinking water source,age,and abdominal pain was identified as protective factors for viral detection rate.Conclusions There was little difference between the positive rate of viral diarrhea in Weifang and the overall positive rate of viral pathogens in the country.It was necessary to continue strengthening health education on viral gastroenteritis and promoting good hygiene habits.Awareness and understanding of viral gastroenteritis should be increased.
作者
孙琳
尹振华
李舰
申亚琦
范俊杰
周健
SUN Lin;YIN Zhenhua;LI Jian;SHEN Yaqi;FAN Junjie;ZHOU Jian(Weifang Center for Disease Control and Prevention Department of Endemic and Parasitic Diseases Prevention and Control,Weifang,Shandong261061,China)
出处
《社区医学杂志》
2025年第4期119-124,共6页
Journal Of Community Medicine
基金
2022年潍坊市科学技术发展计划(2022YX11)
关键词
病毒性腹泻病
检出率
变化趋势
影响因素
viral diarrhea
detection rate
trend of change
influencing factors
