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五岁以下儿童的水设施类型和急性呼吸道感染:来自医院病例控制研究的见解
Jhanu Bakchi1, Subarna Ghosh1, Azaz Bin Sharif2
1Department of Public Health Nutrition School of Science Primeasia University Dhaka Bangladesh.
Health science reports
|December 31, 2025
概括
获得管道饮用水可显著降低孟加拉国五岁以下儿童急性呼吸道感染 (ARI) 的风险. 改善水资源基础设施和促进安全实践对于公共卫生至关重要.
科学领域:
- 环境健康 环境健康
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 儿童急性呼吸道感染 (ARI) 在孟加拉国构成了重大健康负担.
- 不同饮用水源对儿童ARI风险的影响尚未得到充分证实.
- 这项研究解决了围绕饮用水源分类为ARI风险预测在五岁以下儿童的争议.
研究的目的:
- 评估两个主要饮用水源 (管道与管道井/钻孔) 对儿童ARI状态的影响.
- 确定改善水源与5岁以下儿童ARI风险之间的关联.
- 确定其他导致儿童期ARI的风险因素.
主要方法:
- 一项基于医院的病例控制研究于2023年1月至4月在孟加拉国达卡进行.
- 包括216名5岁以下的患有ARI的儿童 (病例) 和216名没有ARI的儿童 (对照).
- 使用双变量和多变量物流回归分析来评估水源和ARI之间的关系,控制其他因素.
主要成果:
- 改善 (管道) 水源的家庭有51%的儿童ARI风险较低 (AOR:0.5).
- 关键的ARI风险因素包括早产,延迟母乳养和暴露在室内吸烟中.
- 与婴儿相比,年龄较大的儿童患ARI的风险较低.
结论:
- 管道饮用水源与孟加拉国五岁以下儿童ARI风险降低有关.
- 在使用管道水的家庭中,水净化实践可能会增强对ARI的保护.
- 投资供水基础设施和行为干预措施,在没有改善的水源的地区可以减轻ARI负担.
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