Diarrhoea and garbage disposal in Salvador, Brazil

Diarrhoea and garbage disposal in Salvador, Brazil
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DOI:
10.1016/j.trstmh.2004.02.008
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发表时间:
2005-01-01
影响因子:
2.2
通讯作者:
Dourado, I
Dourado, I
中科院分区:
医学4区
文献类型:
--
作者:
Rego, RF;Moraes, LRS;Dourado, I

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在巴西东北部萨尔瓦多的外围居民区卡纳普拉瓦调查了婴儿腹泻与环境中垃圾的存在之间的联系。对居住在靠近城市垃圾场的卡纳普拉瓦的184名不到两岁的儿童进行了横断面研究。选定的研究变量包括粪便处理方法、地板类型、母亲的教育程度、户主失业情况、供水的规律性、厕所的存在、家中垃圾的储存、年龄、性别、哺乳时间和每个房间的人数。腹泻患病率估计为21.2%。暴露于环境中的垃圾是引起腹泻的最重要因素(调整后的优势比[AOR]=3.98,95%可信区间1.56~10.13)。母亲的文化程度(AOR=2.79,95%CI为1.09~7.13)、母乳喂养(AOR=2.30,95%CI为1.05~5.04)、户主失业(AOR=2.09,95%CI为0.93~4.69)是其他重要影响因素。这些发现表明了在公共领域和跨部门采取解决方案的必要性。减少腹泻的政策。(C)2004年皇家热带医学和卫生学会。爱思唯尔有限公司出版。版权所有。
The association of infantile diarrhoea with the presence of garbage in the environment was investigated in Canabrava, a peripheral neighbourhood of Salvador, northeast of Brazil. A cross-sectional study was conducted with all the 184 children aged less than two years residing in Canabrava, which is Located close to the city garbage dump. Variables selected for study included the method used for the disposal of excrement, type of floor, mother's education, unemployment of the head of the family, regularity of the water supply, presence of toilet, storage of garbage inside the house, age, gender, duration of breastfeeding, and the number of people per room. The estimated prevalence of diarrhoea was 21.2%. Exposure to garbage in the environment was found to be the most important factor associated with diarrhoea (adjusted odds ratio [AOR] = 3.98, 95% Cl 1.56-10.13). Other important variables were the mother's education (AOR = 2.79, 95% Cl 1.09-7.13), maternal breastfeeding (AOR = 2.30, 95% CI 1.05-5.04), and unemployment of the head of the family (AOR = 2.09, 95% CI 0.93-4.69). These findings indicate the necessity of adopting solutions in the public domain and of intersectorial. policies for the reduction of diarrhoea. (C) 2004 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. ALL rights reserved.