病例控制研究中水质与霍乱的关联:系统性审查和元分析
Thuy Tien Nguyen1,2, Chaelin Kim3, Gerard Goucher3
1Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, LMU Munich, Munich, Germany.
BMC infectious diseases
|September 27, 2025
概括
在低收入和中等收入国家,霍乱疫情的风险越来越大. 这一审查证实,消费不安全的水增加了霍乱的几率,而水的处理,如沸或化,提供了显著的保护.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 传染病流行病学 传染病流行病学
背景情况:
- 霍乱对低收入和中等收入国家 (LMIC) 构成重大威胁.
- 预计气候变化将加剧霍乱爆发的风险.
- 水质是霍乱传播的关键因素.
研究的目的:
- 系统地审查和元分析有关与水有关的暴露和霍乱风险的最新证据.
- 专注于饮用水作为传播途径.
- 以2016年至2022年期间发表的文献更新之前的评论.
主要方法:
- 在Embase,Web of Science和PubMed的系统文献搜索.
- 包括2016年至2022年发表的研究.
- 在非随机研究中偏差风险 - 暴露 (ROBINS-E) 进行质量评估.
- 使用世卫组织/联合国儿童基金会 (WHO/UNICEF) JMP服务阶梯对与水有关的暴露的分类.
- 随机效应的元分析,以聚合几率比率.
主要成果:
- 饮用袋装水,未经改善的水,地表水和未经处理的水与更高的霍乱风险有关.
- 沸和化等水处理方法显示有保护作用.
- 基本饮用水服务也显示出对霍乱的保护性关联.
结论:
- 与水有关的暴露显著影响着霍乱的传播.
- 沸和化等水处理方法是有效的保护措施.
- 虽然JMP框架是有用的,但水基础设施中的特定环境因素对解释很重要.
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