THE EPIDEMIOLOGY OF TRACHOMA IN SOUTHERN MALAWI
THE EPIDEMIOLOGY OF TRACHOMA IN SOUTHERN MALAWI
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DOI：
10.4269/ajtmh.1988.38.393
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发表时间：
1988-03-01
影响因子：
3.3
通讯作者：
TAYLOR, HR
中科院分区：
文献类型：
--
作者：
TIELSCH, JM;WEST, KP;TAYLOR, HR
1983年在马拉维的下希雷河谷进行了一项以人口为基础的眼病患病率调查。总共有5 436名6岁以下儿童和1 664名6岁以上儿童。6年来，我们进行了检查。炎性沙眼的患病率在1-2岁年龄组达到48.7%的高峰，并随着年龄的增长迅速下降，在≥ 1岁年龄组中为< 5% by age 15. The prevalence of cicatricial trachoma was low in young children and climbed gradually with age to >40%。50年幼儿炎症性疾病的危险因素包括家庭社会经济地位低，在家庭的主要水源步行距离长，家庭大院没有厕所，以及兄弟姐妹中存在沙眼。拥挤行为指数与炎症性疾病无关。当调整其他危险因素后，儿童中洗脸和炎性沙眼的明显负相关性并不成立。
A population-based prevalence survey of ocular disease was conducted in the Lower Shire River Valley of Malawi in 1983. A total of 5,436 children < 6 years of age and 1,664 persone .gtoreq. 6 years were examined. The prevalence of inflammatory trachoma peaked in the 1-2-year-old age group at 48.7% and declined rapidly with age to < 5% by age 15. The prevalence of cicatricial trachoma was low in young children and climbed gradually with age to > 40% among those .gtoreq. 50 years. Risk factors for inflammatory disease in young children included low socioeconomic status of the family, long walking distance in the household''s primary source of water, absence of a latrine in the family compound, and presence of trachoma among siblings. Indices of crowding practices were not associated with inflammatory disease. An apparent inverse association of facewashing and inflammatory trachoma in children did not hold up when adjusted for other risk factors.