肯尼亚的病的国家流行率和风险因素
Lynne Elson1,2, Christopher Kamau3, Sammy Koech4
1Kenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya. lynne.elson@gmail.com.
Infectious diseases of poverty
|September 18, 2023
概括
病是一种被忽视的热带疾病,影响到肯尼亚的儿童,患病率因地区而异. 基于学校的调查是有效的跟踪其分布和风险因素.
科学领域:
- 被忽视的热带疾病被忽视的热带疾病
- 寄生虫学的寄生虫学
- 公共卫生 公共卫生
背景情况:
- 病是一种被忽视的热带皮肤疾病,由沙 *Tunga penetrans* 引起.
- 它引起疼痛和,在流行地区的国家疾病负担的数据有限.
- 这项研究旨在通过基于学校的调查来确定肯尼亚病的流行率和危险因素.
研究的目的:
- 在肯尼亚进行首次全国代表性的病调查.
- 为了确定与学龄儿童的炎感染相关的风险因素.
- 评估学校调查的效率,以绘制疾病分布的地图.
主要方法:
- 一种分层的多阶段随机抽样方法被用来选择肯尼亚9个县的小学和学生 (8-14岁).
- 在2021年5月至2023年4月期间进行了两次调查,包括对学生进行彻底的检查和面试,以确定风险因素.
- 混合效应逻辑回归模型被用来分析独立变量和tungiasis之间的关联,学校作为随机效应.
主要成果:
- 在第一次调查中,病的总体患病率为1.35%,在第二次调查中为0.89%,在各县之间存在显著差异.
- 病的患病率与男性性别,年龄较小,上公立学校和社会经济地位较低有关.
- 一种只检查脚顶部的快速查方法将错过大量病例.
结论:
- 病在肯尼亚普遍存在,分布不均.
- 基于学校的调查是绘制病分布图和识别风险人群的有效策略.
- 需要进一步的研究和公共卫生干预措施来解决这个被忽视的热带疾病.
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