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内蒙古自治区农村环境卫生对人群胃肠道症状影响

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目的 了解内蒙古自治区农村居民生活环境卫生和卫生行为习惯现状,探讨胃肠道症状发生的影响因素,为进一步改善农村地区环境卫生提供科学依据和数据支持.方法 于2021年7-9月开展调查,采用多阶段随机抽样从全内蒙古自治区范围内选择660个行政村作为监测点,每个监测点选择5户有代表性的农村居民家庭进行入户调查,使用SPSS 26.0软件对所获数据进行x2检验和logistic回归分析.结果 共收集3 220份有效资料,其中2 065户家庭采用集中供水的模式,占64.13%,3 119户家庭饮用水类型选择喝开水,占96.86%;1 250户家庭使用卫生厕所,占38.82%;251户家庭厨房中发现鼠迹,占7.80%;1 428户家庭发现苍蝇,占44.35%;50户家庭发现蟑迹,占1.55%.多因素回归分析显示,家中采用集中供水和使用卫生厕所是发生胃肠道症状的保护因素(OR=0.384,95%CI:0.246~0.601;OR=0.391,95%CI:0.228~0.672),厨房中有蟑迹是其危险因素(OR=4.635,95%CI:1.760~12.205).结论 内蒙古自治区农村地区环境卫生问题和不良生活习惯仍广泛存在.应当进行环境卫生知识宣传教育,继续推动改厕工作,加强对病原生物的消杀工作,农户养成良好卫生习惯,保持厨房卫生.
Impact of rural environmental hygiene on gastrointestinal symptoms of population in Inner Mongolia Autonomous Region
Objective To investigate the current status of rural residents'living environmental hygiene and hygienic behavior habits in Inner Mongolia,to explore the factors affecting gastrointestinal symptoms,and to provide a scientific basis and data support for further improving environmental hygiene in rural areas.Methods A survey was conducted from July to September,2021.A multi-stage random sampling method was used to select 660 administrative villages from the whole Inner Mongolia Autonomous Region to serve as the monitoring sites,and 5 representative rural households were chosen from each monitoring site for a household survey.SPSS26.0 software was employed to conduct chi-square test and logistic regression analysis for the data obtained.Results Totally 3,220 pieces of valid data were collected,2,065 households adopted centralized water supply(64.13%),3,119 households chose boiled water(96.86%),and 1,250 households used sanitary toilets(38.82%).Rat traces,flies and cockroach traces were found in 251(7.80%)households'kitchens,1,428(44.35%)households and 50(1.55%)households.Multivariate regression analysis displayed that the use of centralized water supply and sanitary toilet utilization were protective factors for the occurrence of gastrointestinal symptoms(OR=0.384,95%CI:0.246-0.601;OR=0.391,95%CI:0.228-0.672),while cockroach stains in the kitchen were the risk factor(OR=4.635,95%CI:1.760-12.205).Conclusion Environmental hygiene problems and poor living habits still widely exist in the rural areas of Inner Mongolia Autonomous Region.It is necessary to conduct publicity and education on environmental hygiene knowledge,continuously promote the work of toilet improvement,and strengthen the work regarding elimination of pathogenic organisms.Farmers should develop good hygiene habits and maintain kitchen hygiene.

rural areaenvironmental healthgastrointestinal symptominfluencing factorhygiene habitthe Inner Mongolia Autonomous Region

张雯宇、贾芯芮、高昇、殷明辉、李欢、岳宣志、武多多、李婧、范耀春

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内蒙古医科大学,内蒙古 呼和浩特 010059

内蒙古自治区综合疾病预防控制中心,内蒙古 呼和浩特 010080

内蒙古科技大学包头医学院,内蒙古 包头 014040

农村 环境卫生 胃肠道症状 影响因素 卫生习惯 内蒙古自治区

2022年度内蒙古自治区卫生健康科技计划项目

202201156

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(1)
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