[Influential factors associated with 2-week prevalence of fever and diarrhea among infants and young children at the age of 6-23 months in poor rural areas]

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Sep 28;42(9):1072-1079. doi: 10.11817/j.issn.1672-7347.2017.09.013.
[Article in Chinese]

Abstract

To investigate the status and influential factors associated with 2-week prevalence of fever and diarrhea among infants and young children at the age of 6-23 months in poor rural areas. Methods: A total of 8 735 rural infants and young children aged 6-23 months in 30 poor counties of Wuling Mountains and Luoxiao Mountains in Hunan Province were selected in August 2015, and the questionnaires were used to collect information on the prevalence of fever and diarrhea, person and families, and feeding status. The data for prevalence of fever and diarrhea in infants and young children were calculated, and multi-non-conditional logistic regression model were used to analyze the influential factors. Results: The 2-week prevalence of fever and diarrhea in infants and young children was 20.8% and 12.2% respectively. The ages (OR=0.66, 95%CI 0.58 to 0.75), Dong ethnicity(OR=1.42, 95%CI 1.17 to 1.74) and low body weight (OR=1.31, 95%CI 1.11 to 1.54) were influential factors for fever among infants and young children in poor rural areas; female (OR=0.86, 95%CI 0.76 to 0.98), 12-17 months (OR=0.80, 95%CI 0.69 to 0.93), 18-23 months (OR=0.51, 95%CI 0.43 to 0.60), other ethnic minorities (OR=1.70, 95%CI 1.13 to 2.56), non-complementary feeding (OR=1.65, 95%CI 1.05 to 2.59) and low body weight (OR=1.39, 95%CI 1.14 to 1.70) were the influential factors of diarrhea among infants and young children. Conclusion: The 2-week prevalence of fever and diarrhea among infants and young children aged 6-23 months in poor rural areas were quite serious. Low age, Dong ethnicity, and low birth weight are high risk factors for fever. Male, no addition of complementary feeding, and low birth weight are high risk factors for diarrhea.

目的:了解贫困农村地区6~23月龄婴幼儿发热和腹泻2周患病现状及其影响因素。方法:2015年8月在湖南省辖区内武陵山区和罗霄山区30个贫困县采用乡级概率规模抽样方法,随机抽取8 735名农村6~23月龄婴幼儿作为研究对象,采用问卷调查婴幼儿过去2周发热和腹泻患病情况、个人及出生基本情况、家庭及喂养情况,计算婴幼儿发热和腹泻2周患病率,采用多因素非条件logistic回归模型分析婴幼儿发热和腹泻2周患病的影响因素。 结果:6~23月龄婴幼儿的发热和腹泻2周患病率分别为20.8%和12.2%。多因素非条件logistic回归分析结果显示:18~23月龄(OR=0.66,95% CI:0.58~0.75)、侗族(OR=1.42,95% CI:1.17~1.74)和低体重(OR=1.31,95% CI:1.11~1.54)是贫困农村地区6~23月龄婴幼儿发热2周患病的影响因素;性别为女(OR=0.86,95% CI:0.76~0.98)、12~17月龄(OR=0.80,95% CI:0.69~0.93)、18~23月龄(OR=0.51,95% CI:0.43~0.60)、其他少数民族(OR=1.70,95% CI:1.13~2.56)、未添加辅食(OR=1.65,95% CI:1.05~2.59)和低体重(OR=1.39,95% CI:1.14~1.70)是贫困农村地区6~23月龄婴幼儿腹泻2周患病的影响因素。结论:贫困农村地区6~23月龄婴幼儿发热和腹泻2周患病率仍处于较高水平,低月龄、侗族、低体重是贫困农村地区婴幼儿发热2周患病的危险因素,男性、低月龄、未添加辅食、低体重是贫困农村地区婴幼儿腹泻2周患病的危险因素。.

MeSH terms

  • Diarrhea / complications*
  • Diarrhea / epidemiology*
  • Female
  • Fever / complications*
  • Fever / epidemiology*
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena
  • Infant, Newborn
  • Male
  • Prevalence
  • Risk Factors
  • Rural Population
  • Socioeconomic Factors