Abstract：Objective To analyze the factors influencing the epidemic of hand-foot-mouth disease (HFMD) in rural children in Handan City so as to provide scientific evidence for formulating targeted prevention and control measures. Methods We selected 2 counties with high incidence of HFMD in Handan City to conduct a case-control study. A stratified sampling method was used to identify 300 HFMD cases. Based on 12 matching principle, 600 children without HFMD were selected as the control group. The data were collected by a self-designed questionnaire. The database was built with EpiData3.1, and univariate and multivariate conditional logistic regression analyses were performed with SPSS17.0 statistical software. Results The main risk factors for HFMD were at-will dumping domestic garbage (OR=2.145), having case contact history(OR=12.546), shorter-term breastfeed(OR=4.189), underground well-water as household drinking water(OR=1.955), low annual average family income (OR1=2.789,OR2=1.779)and frequently going to a fair with children(OR=4.758). The main protective factors were self-care of defecation and urination (OR=0.577), washing hands after playing (OR=0.491), and caregivers’ washing hands after returning home (OR=0.482). Conclusions To reduce the risk of children suffering from HFMD, we should improve the environment and drinking water condition in rural areas, cultivate good personal hygiene habits, advocate breastfeed, extend breastfeed time appropriately and avoid contacting with HFMD patients.
刘莹莹, 于秋丽, 刘宏灵, 赵文娜, 魏亚梅, 邓建, 齐顺祥, 李琦. 邯郸市农村地区儿童手足口病发病影响因素病例对照研究[J]. 实用预防医学, 2016, 23(12): 1424-1427.
LIU Ying-ying, YU Qiu-li, LIU Hong-ling, ZHAO Wen-na, WEI Ya-mei, DENG Jian, QI Shun-xiang, LI Qi. Influencing factors of incidence of hand-foot-mouth disease among children in rural area of Handan City , a case-control study. , 2016, 23(12): 1424-1427.
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2016, Vol. 23 
