Correlation of environmental hygiene and diarrhea among residents in the rural areas of Shaanxi Province,2019-2021
Objective To analyze the monitoring results of rural environmental hygiene in Shaanxi Province from 2019 to 2021,to explore the environmental factors influencing diarrhea among rural residents so as to provide a basis for preventing diarrhea and improving the current situation of rural environmental hygiene.Methods A stratified sampling method was used to annually select 3,000 rural households from 30 districts and counties in Shaanxi Province from 2019 to 2021.The incidence of diarrhea and the status of environmental hygiene were investigated,and binary unconditional logistic regression was employed to analyze the influencing factors.Results The proportions of households using sanitary toilets in Shaanxi Province from 2019 to 2021 were 48.20％(1,446 households),53.20％(1,596 households)and 59.07％(1,772 households)respectively.The proportions of households using centralized drinking water supply were 81.17％(2,435 households),86.20％(2,586 households)and 88.27％(2,648 households)respectively.The proportions of households without cockroaches found in the kitchen were 95.17％(2,855 households),96.47％(2,894 households)and 98.20％(2,946 households)respectively.These all showed an upward trend(x2=71.189,x2=59.997,x2=42.125,all P＜0.001).Logistic regression analysis revealed that the risk of diarrhea was higher in family members from households using pesticides(OR=1.352,95％CI:1.074-1.702)and having mouse traces(OR=1.432,95％CI:1.055-1.943)or flies in the kitchen(OR=1.442,95％CI:1.124-1.851)than in those from households without using pesticides and having no mouse traces or flies in the kitchen.Conclusion The overall monitoring results of rural environmental hygiene in Shaanxi Province from 2019 to 2021 were gradually improving.It is recommended that relevant departments should strengthen vector control in the rural areas and guide rural residents to develop good living habits so as to reduce the incidence of diarrhea among rural residents and further improve rural environmental hygiene.
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