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| 1 | 学龄前儿童睡眠状况与情绪和行为问题的关联性研究显示文摘目的 分析学龄前儿童睡眠质量及夜间睡眠时间与情绪和行为问题的关联及其影响因素。方法 资料源自2015年3-6月中国长江中下游4个城市部分3~6岁学龄前儿童问卷调查。采用自编的"学龄前儿童发育问卷"调查学龄前儿童夜间睡眠时间和质量,通过长处与困难量表(SDQ)了解学龄前儿童情绪和行为问题发生情况,有效问卷共8 900份。采用多分类logistic回归模型分析夜间睡眠时间及睡眠质量与情绪和行为问题之间的关联。结果 学龄前儿童情绪症状、品行问题、多动、同伴交往、SDQ困难总分、亲社会行为异常率分别为9.0%、13.9%、18.9%、25.5%、13.6%和16.2%,除情绪症状异常率女童高于男童,其余各项异常率男童全部高于女童。睡眠质量好、较好和较差/很差分别为3.9%、52.9%和43.2%。多因素logistic回归模型分析显示,控制性别、年龄、分娩方式、出生体重、出生身长和父母文化程度等混杂因素后,与夜间睡眠较短的儿童相比,夜间睡眠较长的儿童发生情绪症状、品行问题、多动、同伴交往、SDQ困难总分、亲社会行为异常的风险较低,OR值(95%CI)分别为0.86(0.77~0.95)、0.85(0.78~0.93)、0.85(0.79~0.92)、0.87(0.81~0.93)、0.83(0.76~0.91)和0.82(0.76~0.89);与睡眠质量好的儿童相比,睡眠质量较差/很差的儿童发生情绪症状、品行问题、多动、同伴交往、SDQ困难总分、亲社会行为异常的风险升高,OR值(95%CI)分别为3.26(2.40~4.42)、2.86(2.16~3.78)、2.60(2.00~3.38)、1.96(1.52~2.54)、4.02(3.06~5.27)和2.56(1.96~3.35)。结论 夜间睡眠时间短和睡眠质量差对学龄前儿童情绪和行为问题产生负面影响。 | 陈云晓 Erigene Rutayisire 伍晓艳 黄锟 于伟平 陈尚徽 叶和义 张安慧 陶芳标 | 2017 | 中华流行病学杂志2017，38，9： | 25 |
| 2 | 四城市剖宫产与学龄期儿童哮喘发病相关性研究显示文摘目的分析剖宫产与学龄前儿童哮喘的关联,总结剖宫产与儿童哮喘的相关性,指导临床及孕产妇对剖宫产的认识。方法选取安庆、芜湖、铜陵、扬州4个城市共8 900名3~6岁儿童作为研究对象。通过对儿童带养者问卷调查的形式收集儿童出生方式、哮喘患病情况、人口学资料和体格测量资料等。哮喘病例由县级以上医院确诊,孕妇分娩方式分为阴道分娩、医学指征剖宫产和选择剖宫产。运用多分类Logistic回归分析剖宫产与学龄前儿童哮喘的关联。结果8 900名学龄前儿童中,剖宫产率为67.3%,哮喘患病率为7.0%,哮喘儿童中28.5%出生于自然分娩,71.5%出生于剖宫产。在控制地区、性别、早产、母亲怀孕年龄、父母文化程度、母乳喂养和儿童BMI后,医学指征剖宫产与学龄前儿童哮喘相关联(OR=1.25,95%CI:1.03~1.52,P<0.05),而选择性剖宫产与学龄前儿童哮喘的关联无统计学意义(OR=1.19,95%CI:0.94~1.51,P>0.05)。结论剖宫产和学龄前儿童哮喘有关联,并且医学指征剖宫产会增加儿童哮喘发生的风险。 | 陈云晓 Erigene Rutayisire 伍晓艳 黄锟 于伟平 陈尚徽 叶和义 张安慧 陶芳标 | 2017 | 中国儿童保健杂志2017，25，1： | 3 |
| 3 | Social and physical factors influencing malaria incidence among farmers in Bugesera District, Rwanda显示文摘Background:In Rwanda,farmers experience health problems due to the consistency increase in mosquitoes which bring about malaria incidence.We researched to realize if there is malaria occurrence among farmers and to assess the factors associated with malaria occurrence among farmers.Methods:In 2019,data collected was done through a descriptive cross-sectional study design among farmers,health center workers and community health workers in rural.A sample of 384 respondents was used to respond the structured questionnaires.We used an interview guide to key informant respondents to support other information related to malaria occurrence.Results:Within 3 months before data collection,342(89.1%)of respondents have had malaria.Multivariate analysis shows that males were highly infected(AoR=19.60;95%CI:9.049–42.452).Those with no formal education(AoR=11.10;95%CI:3.128–39.433)demonstrated high incidence.Farmers aged 15 to 25 years(AoR=13.44;95%CI:5.257–34.358)were highly infected compared to those aged 37 to 47 years.Concerning the household size,4–6 members(AoR=5.97;95%CI:1.919–18.574)showed higher incidence than those above eight members.Public servants(AoR=7.00;95%CI:2.669–18.394)were highly infected compared with traders.Farmers with a monthly income of 0–50,000 rwf(AoR=6.65;95%CI:2.079–21.324)were significantly associated with malaria occurrence.Conclusion:Higher prevalence of malaria was observed among farmers in Bugesera District.Three hundred and forty-two respondents(89.1%)have had malaria within 3 months before data collection.The use of mosquito nets was highlighted by 119(31%)of respondents.Encouraging farming direction can help to reduce malaria as indicated by 81(21.1%)of respondents while using insecticide-spray was helpful as indicated by 172(44.8%)of respondents. | Mfashwanayo Cyriaque Nicholas Ngomi Mochama Monica Rutayisire Erigene | 2020 | Life Research2020，3，3： | 0 |
| 4 | Risk behaviours associated with HIV and AIDS among couples in Rwamiko Sector, Gicumbi District, Rwanda显示文摘Background:Risk behaviours have been linked to the spread of the Human Immunodeficiency Virus(HIV)epidemic in both urban and rural areas.Despite the progress made in the fight against HIV,it remains a public health concern worldwide.Risk behaviours such as not using condoms,having multiple sexual partners,and engaging in early sexual activity increase the risk of HIV infection.Therefore,it is important to assess these risk behaviours and understand the relationship between different factors and HIV,specifically among couples,in order to better understand the dynamics of the epidemic.The main objective of this study was to assess risk behaviours for HIV and AIDS among couples in Rwamiko sector,Gicumbi District,and suggest appropriate interventions for this group.Methods:This cross-sectional survey aimed to assess associated HIV and AIDS risk behaviours among couples in Rwamiko Sector,Gicumbi District,in order to determine the dynamics of the epidemic in this group and suggest appropriate interventions.Data was collected using a self-administered questionnaire and a multistage cluster random sampling technique.The collected data was then computed,analyzed,and presented in the form of tables and figures.Descriptive statistics were used to analyze all variables.Multivariate logistic regression was used to calculate odds ratios and 95%confidence intervals(CI)to investigate the relationship between the assessed factors,such as independent and dependent variables.The association between the studied factors was described using odds ratios with 95%CIs.Results:The majority of respondents were in the age group of 30-39 years.All respondents were married,and approximately 45%had completed primary education.The majority of respondents were unemployed.Respondents reported receiving HIV information from multiple sources,including radio,TV,films,school,church,health workers,parents,and friends.The findings of this study showed that some participants had knowledge about HIV transmission and prevention,while others did not.The proportion of respondents with a high level of HIV and AIDS knowledge was 30.61%(n=60),while moderate knowledge accounted for 53.57%(n=105).Furthermore,the proportion of respondents with a low level of knowledge on HIV and AIDS was 15.81%(n=31).The attitude towards HIV and AIDS was positive for 58.16%(n=114)of respondents,while 41.83%(n=82)had a negative attitude.None of the respondents reported using injection drugs.Significant associations were found between age(P-value=0.002,odds ratio(OR)=3.4,95%CI=1.59-7.67),gender(p=0.001,OR=2.6,95%CI=1.44-4.68),and alcohol consumption.There was also an association between age(P=0.001,OR=5.13,95%CI=2.04-12.91)and having multiple sexual partners.Conclusion:The majority of couples in Rwamiko Sector,Gicumbi District have a moderate level of knowledge and a positive attitude towards HIV and AIDS.However,the proportions of respondents with a low level of knowledge and a negative attitude should not be overlooked.The results of this study suggest the need to improve communication messages related to HIV,its transmission risks,and safer sexual behavior,particularly among couples in Rwamiko Sector,Gicumbi District. | Jean Marie Vianney Tuyisenge Erigene Rutayisire | 2023 | Life Research2023，6，3： | 0 |
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