【摘要】 目的探讨嘉兴市地区托幼机构儿童手足口病发病的影响因素,为采取有效防控措施提供参考。方法分层随机抽取嘉兴市347所托幼机构进行问卷调查,了解托幼机构级别、地理位置、收费和手足口病发病等相关信息;采用单因素和多因素负二项分布回归分析方法分析影响手足口病发病的因素。结果公办托幼机构、托幼机构地理位置处于县城、教室内有洗手装置、厕所类型为蹲坑、流行季节发放宣传手册、流动人口比例大于50%均与托幼机构手足口病发病率呈负相关(β值分别为-0.557,-0.315,-0.351,-1.170,-0.543,-0.373,P值均<0.05),共用毛巾和人均消毒费用>20元与手足口病发病率呈正相关(β值分别为1.150,0.814,P值均<0.05)。结论应进一步加强传染病管理工作,督促民办和农村地区托幼机构全面提高传染病防控工作规范;加大宣传教育力度,提高儿童、教师和家长的传染病防范意识,降低手足口病发病率。更多还原

【Abstract】 Objective To explore associated factors of hand-foot-mouth disease( HFMD) in kindergartens of Jiaxing city.Methods Questionnaire survey was performed to investigate the HFMD incidence, epidemiological characteristic related. Kindergartens were selected by random stratified sampling in Jiaxing. Univariate and multivariate negative binomial regression analysis was used to explore the relation of associated factors with the incidence of foot and mouth disease. Results Public kindergartens, located in county, having squat toilet in classroom, health education during the epidemic season and high proportion of floating children are associated with low HDMF incidence, average disinfection cost of more than 20 yuan and share towels are associated with high HDMF incidence. Conclusion In order to reduce the incidence of foot and mouth disease, public health fundamentals should be strengthened, including infectious disease and tools for infection control and prevention, private or rural kindergartens supervision,interventions preventing increased severity and further spread of infectious, kindergartens’ facilities promotion and public education.更多还原