马卡萨尔5岁以下儿童肺炎风险因素分析
Evalina Sidabutar1, Ansariadi2, Wahiduddin2
1Master Program in Public Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
不完整的DPT-HB-Hib免疫接种和营养不良是马卡萨尔儿童肺炎的关键危险因素. 确保全面接种疫苗和充分营养可以显著降低五岁以下儿童的肺炎发病率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肺炎是全球五岁以下儿童和马卡萨尔市的主要死亡原因.
- 确定风险因素对于制定有针对性的预防策略至关重要.
研究的目的:
- 调查马卡萨尔市五岁以下儿童肺炎的风险因素.
主要方法:
- 一项涉及210名儿童 (70例,140例对照) 的病例控制研究.
- 收集了关于免疫状态,营养状况,出生体重,维生素A摄入量和父母社会经济因素的数据.
- 使用奇平方和逻辑回归与几率比率 (OR) 和95%信心区间 (CI) 的统计分析.
主要成果:
- 在2,3和4个月的不完整的白喉 - 百日咳 - 疹 - 乙型肝炎和乙型流感病毒 (DPT-HB-Hib) 免疫接种与肺炎有显著的关联 (AOR = 9.680,P = 0.001).
- 营养不良 (年龄的体重) 也是一个显著的危险因素 (AOR = 5.486,P < 0.005).
- 不完整的麻疹-红疹免疫接种,低出生体重,缺乏维生素A,父母教育和家庭吸烟与肺炎没有显著联系.
结论:
- 不完整的DPT-HB-Hib疫苗接种和营养不良是马卡萨尔五岁以下儿童肺炎的主要危险因素.
- 这些发现强调了完整的免疫计划和营养支持对预防肺炎的重要性.
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