WATER-SUPPLY, SANITATION AND HOUSING IN RELATION TO THE RISK OF INFANT-MORTALITY FROM DIARRHEA
WATER-SUPPLY, SANITATION AND HOUSING IN RELATION TO THE RISK OF INFANT-MORTALITY FROM DIARRHEA
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DOI：
10.1093/ije/17.3.651
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发表时间：
1988-09-01
影响因子：
7.7
通讯作者：
BARROS, FC
中科院分区：
文献类型：
--
作者：
VICTORA, CG;SMITH, PG;BARROS, FC
在巴西南部的波尔图、阿莱格雷和佩尔松的大都市地区进行的一项以人口为基础的病例对照研究中，将婴儿期死于腹泻的儿童与社区对照组在几个社会和环境变量方面进行了比较。与腹泻死亡风险增加显著相关的因素包括没有自来水、没有抽水马桶、居住在简陋的房屋中以及家庭过度拥挤。当对混杂变量和环境变量之间的相互混杂效应进行调整时，唯一保持统计学显著性的关联是与自来水供应的关联。与住房差的关联几乎是显著的（p = 0.052）。与那些用管道将水输送到家中的人相比，那些不易获得自来水的人因腹泻而死亡的可能性高出4.8倍（95%置信区间为1.7至13.8），而那些用管道将水输送到他们的地块而不是他们的房子的风险高出1.5倍（95%置信区间为0.8至3.0）。
In a population-based case-control study in the metropolitan areas of Porto Alegre and Pelotas in southern Brazil children dying in infancy from diarrhoea were compared to neighbourhood controls in terms of several social and environmental variables. Factors found to be significantly associated with an increase risk of death from diarrhoea included the non-availability of piped water, the absence of a flush toilet, residence in a poorly built house and household overcrowding. When adjustment was made for confounding variables and the mutual confounding effect of the environmental variables on each other, the only association that remained statistically significant was that with the availability of piped water. The association with poor housing was almost significant (p = 0.052). Compared to those with water piped to their house, those without easy access to piped water were found to be 4.8 times more likely to suffer infant death from diarrhoea (95% confidence interval 1.7 to 13.8) and those with water piped to their plot but not to their house had a 1.5 times greater risk (95% confidence interval 0.8 to 3.0).