探索印度农村地区五岁以下儿童洪水和腹之间的关联
Jayanti Saha1, Dilwar Hussain2, Dhiman Debsarma2
1Centre of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India.
Disaster medicine and public health preparedness
|October 24, 2024
概括
重复的洪水显著增加了印度农村五岁以下儿童腹的风险. 针对洪水易发地区的弱势母亲提供有针对性的健康建议至关重要.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 儿科 儿科 儿科
背景情况:
- 洪水对公众健康构成重大威胁,尤其是对弱势群体.
- 儿童腹仍然是印度农村的主要健康问题,由环境因素加剧.
- 了解洪水对儿童健康的具体影响对于有效干预至关重要.
研究的目的:
- 调查印度农村地区五岁以下儿童受洪水影响和腹发病率之间的关联.
- 量化与洪水事件相关的儿童腹风险增加.
主要方法:
- 一项采用国家家庭健康调查-5 (NFHS-5) 的全国代表性数据进行的横截面研究.
- 使用中央水务委员会报告 (2018-2020年) 将地区分为受洪水影响或不受洪水影响的地区.
- 应用了双变量和多变量逻辑回归模型来分析洪水和儿童腹之间的关联.
主要成果:
- 经历了连续三次洪水 (2019-21年) 的儿童患腹的患病率更高.
- 2018-19年至2020-21年期间三次暴露在洪水中,与一次或两次暴露相比,腹的可能性增加了34%.
- 受洪水影响的儿童患腹的风险显著增加.
结论:
- 社区卫生工作者应优先为贫困财富五分位数中的母亲,年轻的母亲和洪水易患地区多个幼儿的母亲提供咨询服务.
- 干预措施应侧重于在易受经常性洪水影响的地区的母婴健康教育.
- 解决洪水等环境灾害对儿童健康的影响需要有针对性的公共卫生战略.
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