The Relationship Between In-Home Water Service and the Risk of Respiratory Tract, Skin, and Gastrointestinal Tract Infections Among Rural Alaska Natives
The Relationship Between In-Home Water Service and the Risk of Respiratory Tract, Skin, and Gastrointestinal Tract Infections Among Rural Alaska Natives
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DOI：
10.2105/ajph.2007.115618
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发表时间：
2008-11-01
影响因子：
12.7
通讯作者：
Smith, Jeff
中科院分区：
文献类型：
--
作者：
Hennessy, Thomas W.;Ritter, Troy;Smith, Jeff
目标。我们调查了阿拉斯加农村地区家庭自来水和废水服务的存在与呼吸道、皮肤和胃肠道感染住院率之间的关系。方法。我们按地区确定了 2000 年至 2004 年间阿拉斯加原住民因特定传染病住院的家庭供水服务和住院情况。在 1 个地区内，通过村级供水服务对所有年龄段的婴儿呼吸道住院和皮肤感染进行了比较。结果。家庭供水服务比例较低的地区，肺炎和流感（比率[RR]=2.5）、皮肤或软组织感染（RR=1.9）和呼吸道合胞病毒（5岁以下儿童中RR=3.4）的住院率显着高于服务水平较高的地区。在 1 个地区内，服务率低于 10% 的村庄的婴儿因肺炎 (RR=1.3) 和呼吸道合胞病毒 (RR=1.2) 住院的比率高于服务率超过 80% 的村庄的婴儿。低服务村的门诊金黄色葡萄球菌感染率（RR=5.1，所有年龄段）和皮肤感染住院率（RR=2.7，所有年龄段）均高于高服务村。结论。较高的呼吸道和皮肤感染率与缺乏家庭供水服务有关。这种差距应通过改善卫生基础设施来解决。 （美国公共卫生杂志。2008；98：2072-2078。doi：10.2105/AJPH.2007.115618）
Objectives. We investigated the relationship between the presence of in-home piped water and wastewater services and hospitalization rates for respiratory tract, skin, and gastrointestinal tract infections in rural Alaska.Methods. We determined in-home water service and hospitalizations for selected infectious diseases among Alaska Natives by region during 2000 to 2004. Within 1 region, infant respiratory hospitalizations and skin infections for all ages were compared by village-level water services.Results. Regions with a lower proportion of home water service had significantly higher hospitalization rates for pneumonia and influenza (rate ratio [RR]=2.5), skin or soft tissue infection (RR 1.9), and respiratory syncytial virus (RR=3.4 among those younger than 5 years) than did higher-service regions. Within 1 region, infants from villages with less than 10% of homes served had higher hospitalization rates for pneumonia (RR=1.3) and respiratory syncytial virus (RR=1.2) than did infants from villages with more than 80% served. Outpatient Staphylococcus aureus infections (RR=5.1, all ages) and skin infection hospitalizations (RR=2.7, all ages)were higher in low-service than in high-service villages.Conclusions. Higher respiratory and skin infection rates were associated with a lack of in-home water service. This disparity should be addressed through sanitation infrastructure improvements. (Am J Public Health. 2008;98:2072-2078. doi:10.2105/AJPH.2007.115618)