环境因素对幼儿急性呼吸道感染发病率的影响

Widya Shafira, Uswatun Khasanah, Pahmi Budiman Saputra Basyir
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摘要

背景:急性呼吸道感染(ARI)是西非主要的公共卫生问题之一。确定控制这一问题的因素对于减轻疾病负担至关重要。本研究旨在分析环境因素对Cirebon区Gempol社区卫生中心辖区内幼儿急性呼吸道感染发病率的影响。研究对象和方法:这是一项在印度尼西亚西爪哇Cirebon区Gempol社区卫生中心进行的横断面研究。采用问卷调查和基于Lemeshow公式的直接测量法对97名被试进行调查。考虑的独立变量包括空气污染、暴露于香烟烟雾、受试者家中的空气通风、房屋内的湿度和居住者密度。数据分析采用卡方检验和Logistic回归检验。结果:多因素结果显示空气种群(OR= 4.72;95% CI= 1.65 ~ 13.46;P = 0.004);室内湿度(OR= 8.95;95% CI= 3.06 ~ 26.13;P = 0.001);室内湿度(OR= 3.38;95% CI= 1.15 ~ 9.87;P = 0.026)随患儿急性呼吸道感染发生率增高,差异有统计学意义。结论:室内湿度是吉波勒社区卫生中心辖区内ARI发病的最重要影响因素。关键词:急性呼吸道感染,幼儿,环境因素。
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Effect of Environmental Factors on the Acute Respiratory Infection Incidence Among Toddlers
Background: Acute Respiratory Infection (ARI) is one of main public health problems found in Cirebon. Defining the factors governing this problem is crucial to reduce the burden of the disease. This study aims to analyze the effect of environmental factors on the incidence of ARI in toddlers in the territory of Gempol Community Health Center of Cirebon district. Subjects and Method: This was a cross sectional study conducted at Gempol Community Health Center, Cirebon district, West Java, Indonesia. A total of 97 subjects were surveyed using questionnaire and direct measurement based on the Lemeshow formula. Independent variables taken into account were air pollution, exposure to cigarette smoke, air ventilation at subjects’ house, humidity inside the house, and occupant density. Data were analyzed by Chi-Square test and Logistic Regression test. Results: Multivariate results showed that air population (OR= 4.72; 95% CI= 1.65 to 13.46; p = 0.004); humidity in the house (OR= 8.95; 95% CI= 3.06 to 26.13; p = 0.001); humidity in the house (OR= 3.38; 95% CI= 1.15 to 9.87; p = 0.026) increased with the the acute respiratory infection incidence among toddlers, and there were statistically significant. Conclusion: House humidity is the most significant factor governing the incidence of ARI in the territory of Gempol Community Health Center of Cirebon District. Keywords: acute respiratory infection, toddler, environmental factors.
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