在印度西北部农村地区的学童中:使用三种不同的方法估计患病率
Sulena Sulena1, Gagandeep Singh2, Preeti Padda3
1Division of Neurology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, 151203, India. sulenasingh@yahoo.co.in.
Indian journal of pediatrics
|September 13, 2024
概括
儿童的患病率因查方法而异. 基于社区的调查是最有效的,强调需要改进公共卫生计划,以便早期发现并支持有的学龄儿童.
科学领域:
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童患病率估计对于资源分配和干预计划至关重要.
- 现有的查方法在效率和捕获所有病例的能力方面可能有所不同.
- 基于学校的查计划为儿童早期发现提供了潜在的途径.
研究的目的:
- 用多种查方法估计和比较儿童的流行率.
- 评估学校查活动在识别病例方面的效率.
- 为了比较Rashtriya Bal Swasthya Karyakram (RBSK) 框架与传统的调查方法.
主要方法:
- 来自儿童健康登记册 (RBSK),学校调查和印度地区社区调查的发病流行数据的比较.
- 使用了1级 (注册表审查),2级 (基于问卷的学校调查) 和3级 (门对门社区调查) 的选方法.
- 参与了大约1万名学校儿童和1万名儿童的社区调查.
主要成果:
- 儿童的患病率估计在各方法之间有显著差异,从36/100,000 (年龄调整,登记册) 到746/100,000 (年龄调整,社区调查).
- 社区调查发现,在放学者中,病例数量很大 (20%).
- 社区调查还重新发现了一些先前通过学校或基于登记册的方法发现的病例.
结论:
- 公共卫生计划需要加强对学龄儿童的查能力.
- 在资源有限的环境中,患有的儿童的学业学率很高.
- 全面的查策略对于准确的流行率估计和有效的干预至关重要.
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