Access to Water Source, Latrine Facilities and Other Risk Factors of Active Trachoma in Ankober, Ethiopia
Access to Water Source, Latrine Facilities and Other Risk Factors of Active Trachoma in Ankober, Ethiopia
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DOI：
10.1371/journal.pone.0006702
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发表时间：
2009-08-20
期刊：
影响因子：
3.7
通讯作者：
Williams, Michelle A.
中科院分区：
文献类型：
--
作者：
Golovaty, Ilya;Jones, Larissa;Williams, Michelle A.
目的：本研究旨在确定活动性沙眼在Ankober，Ethiopia.Methods的患病率和相关因素：一个横断面的社区为基础的研究进行了2007年7月。来自232个家庭的507名儿童（1 - 9岁）被纳入研究。所有儿童均由眼科护士使用WHO简化临床分级系统进行沙眼检查。访谈和观察被用来评估风险因素。Logistic回归程序被用来确定潜在的危险因素和活动性trachoca.Results的迹象之间的关联：总体而言，活动性沙眼的患病率被发现是53.9%（95%CI 49.6%-58.2%）。存在蝇眼（眼睛检查期间苍蝇接触眼睑边缘）（比值比（OR）= 4.03 95% CI 1.40 - 11.59），面部清洁度缺失（OR = 7.59; 95%CI 4.60 - 12.52），母亲为文盲（OR = 5.88; 95% CI 2.10 - 15.95），无法获得自来水（OR = 2.19; 95% CI 1.14 - 6.08），缺乏厕所设施（OR = 4.36; 95%CI 1.49 - 12.74）与活动性沙眼的风险增加有统计学意义。在Ankober，1 - 9岁儿童中的活动性沙眼非常普遍，并与包括获得水和厕所设施在内的一些风险因素密切相关。沙眼预防计划，包括改善获得水和卫生设施，积极的苍蝇控制，和卫生教育，建议降低沙眼的负担在安科贝尔，埃塞俄比亚。
Objective: This study aims to determine the prevalence and correlates of active trachoma in Ankober, Ethiopia.Methods: A cross-sectional community-based study was conducted during July 2007. A total of 507 children (ages 1-9 years), from 232 households were included in the study. All children were examined for trachoma by ophthalmic nurses using the WHO simplified clinical grading system. Interviews and observations were used to assess risk factors. Logistic regression procedures were used to determine associations between potential risk factors and signs of active trachoma.Results: Overall, the prevalence of active trachoma was found to be 53.9% (95% CI 49.6%-58.2%). Presence of fly-eye (fly contact with the eyelid margin during eye examination) (Odds Ratio (OR) = 4.03 95% CI 1.40-11.59), absence of facial cleanliness (OR = 7.59; 95% CI 4.60-12.52), an illiterate mother (OR = 5.88; 95% CI 2.10-15.95), lack of access to piped water (OR = 2.19; 95% CI 1.14-6.08), and lack of access to latrine facilities ( OR = 4.36; 95% CI 1.49-12.74) were statistically significantly associated with increased risk of active trachoma.Conclusion: Active trachoma among children 1-9 years of age in Ankober is highly prevalent and significantly associated with a number of risk factors including access to water and latrine facilities. Trachoma prevention programs that include improved access to water and sanitation, active fly control, and hygiene education are recommended to lower the burden of trachoma in Ankober, Ethiopia.