背景:慢性和高度传染性,沙眼是一种以复发性细菌感染为特征的疾病,其特征是眼部支原体沙眼菌株。它通过手指传播,苍蝇,和fomites,尤其是在人满为患的情况下。如果未经治疗,这种疾病可能导致失明。沙眼是一种古老的疾病,以前在世界许多地区都是一个重大的公共卫生问题,包括欧洲和北美的部分地区。全世界至少有4亿例活动性沙眼,其中800万人导致失明。沙眼是一个严重的公共卫生问题,在埃塞俄比亚非常普遍。因此,这项研究的目的是确定Aw-bareworeda1-9岁农村儿童活动性沙眼的决定因素,埃塞俄比亚索马里地区。
方法:一项基于社区的横断面研究,涉及1-9岁的儿童,他们生活在Awbareworeda索马里地区的六个选定的农村Kebeles,并使用有序逻辑回归模型进行。该研究共包括377名儿童。我们的样本青少年是通过两阶段整群抽样程序选出的。然后还通过简单随机抽样选择了我们的样本kebeles。主要环境,个人,和影响活动性沙眼结局的人口统计学因素采用部分比例几率建模和描述性统计学方法进行建模.
结果:研究表明,活动性沙眼的患病率为47.7%。母亲中等教育水平的协变量OR=1.357;95%CI(1.051,1.75),P值=0.0192,儿童家庭室内烹饪场所OR=0.789:95%CI(0.687,0.927),P值=0.0031,儿童留在家中OR=2.203:95CI(1.526,3.473),P值=0.0057,富裕收入家庭OR=1.335:95CI(1.166,1.528),P值=0.0001,每天取水量OR=2.129,95CI(1.780,2.547),P-Vaue=0.0001对活动性沙眼有显著影响。PPOM代表最佳拟合,因为它具有最小的AIC和BIC。它也更吝啬。
结论:母亲的教育水平,孩子们大部分时间都在室内做饭的地方,采访中的苍蝇密度,家庭的收入,孩子的年龄,到水源的距离,每天取水量,和共享一个房间的人数都被发现是儿童活动性沙眼状态的重要预测因素。因此,增加母亲教育,获得干净的水,和社会经济地位都是预防沙眼的关键措施。预防沙眼还包括减少房间内的儿童数量,并加强与个人清洁有关的活动,例如给孩子们彻底洗脸,以清除眼睛中的碎屑和分泌物。
BACKGROUND: Chronic and highly contagious, trachoma is a condition characterized by recurrent bacterial infection with ocular strains of Mycoplasma trachoma. It spreads through fingers, flies, and fomites, especially in situations where there is overcrowding. If untreated, the illness may result in blindness. Trachoma is an ancient disease and has previously been a significant public health problem in many areas of the world, including parts of Europe and North America. There are at least 400 million cases of active trachoma in the world, 8 million of which have resulted in blindness. Trachoma is a serious public health issue that is very common in Ethiopia. Therefore, the objective of this study is to identify the determinants of active trachoma among rural children aged 1-9 years old in Aw-bare woreda, Somali region of Ethiopia.
METHODS: A cross-sectional community-based study involving children aged 1-9 who lived in six selected rural kebeles in the Awbare woreda Somali region and carried out using an ordinal logistic regression model. The study comprised 377 children in total. Our sample youngsters were chosen through a two-stage cluster sampling procedure. Then also chose our sample kebeles by simple random sampling. The main environmental, personal, and demographic factors that influenced the outcomes of active trachoma status were modeled using partial proportional odds modeling and descriptive statistics.
RESULTS: The study showed that the prevalence of active trachoma was found to be 47.7%. The covariate secondary level of education of mother OR = 1.357; 95% CI (1.051, 1.75), P-value = 0.0192, Inside house cooking place of children family OR = 0.789:95% CI (0.687, 0.927), P-value = 0.0031, children stay at home OR = 2.203:95%CI (1.526, 3.473), P-value = 0.0057,rich income family OR = 1.335:95%CI(1.166,1.528),P-value = 0.0001,Amount of water fetched per day OR = 2.129,95%CI(1.780,2.547),P-Vaue = 0.0001 were significant effect on active trachoma. PPOM represents the best fit as it has the smallest AIC and BIC. It is also more parsimonious.
CONCLUSIONS: The mother\'s educational level, the location where the children spent the majority of their time indoors cooking, the fly density during the interview, the family\'s income, the child\'s age in years, the distance to the water source, the quantity of water fetched daily, and the number of people sharing a room have all been found to be significant predictors of the child\'s active trachoma status. Thus, increasing maternal education, access to clean water, and socioeconomic position are all crucial measures in preventing trachoma. Preventing trachoma also involves reducing the number of kids in a room and enhancing activities linked to personal cleanliness, such as giving kids a thorough facial wash to remove debris and discharge from their eyes.