學齡前兒童蟯蟲感染因素的探討

A Study of Multiple Factors Related to Enterobius Infection among Pre-Schoolchildren

白秀華(Hsiu-Hua Pai) ； 陳瑩霖(Eng-Rin Chen)

《The Kaohsiung Journal of Medical Sciences》 4卷4期 (1988/04) Pp. 217-230

https://doi.org/10.6452/KJMS.198804.0217

摘要

為瞭解學齡前兒童蟯蟲感染之因素，以結構型問卷多步驟隨機抽樣訪視702名學齡前兒童的家長，問卷的內容包括：兒童個人資料、兒童父母親教育程度、職業、住屋情形、臥室分配情形、手部衛生習慣、洗澡習慣等，並以連續兩天玻璃膠紙肛圍擦拭法〈two-consecutive-day adhesive cellophane paper perianal swabs〉檢查兒童的蟯蟲感染情形，兒童蟯蟲感染與各單變項的相關，以卡方檢定〈x2-test〉分析，而多變項的分析則以判定分析〈discriminant analysis〉及逐步複迴歸〈stepwise multiple regression〉進行分析。
結果在單變項分析中與兒童蟯蟲感染有統計學上顯著相關的有：母親教育程度、家中地面質地、有否與家人同臥室，有否與家人同睡一張床，及同睡一張床的人數；無顯著相關的有：性別、年齡、籍貫、父親教育程度，父、母親職業，住屋型式、面積、間隔總數、家中人口數、床單、被單的清洗間隔期，吮吸手指和食前便後洗手習慣，由自己洗澡或家人幫忙洗澡，洗澡的方式、次數等。
而多變項分析結果，對兒同蟯蟲感染之影響由大到小依次為：是否獨睡一張床，家中地面質地，是否獨睡一房，及母親教育程度，而其影響之解釋力具有統計學上顯著差異者為是否獨睡一張床，家中地面質地和母親教育程度。

並列摘要

In order to study the factors related to Enterobius infection among per-schoolchildren, a structural questionnaire with multi-stages and a random sampling was designed to interview parents of 702 pre-schoolchildren. The questionnaire included personal information of the children: their educational background and parents’ occupation; the status of their housing; their handwashing habits, and their frequency and habits of bathing, etc. In addition, the children’s pinworm infections were examined using two-consecutive-day adhesive cellophance paper perianal swabs. Variables causing the pinworm infection among infected and noninfected children were analyzed by x2-test and multi-variable tests including discriminant analysis and stepwise multiple regression.
The results concerning enterobiasis and its factors of infection are summarized as follows: (a) significant factors: the educational back-ground of mothers, the natures of the floors, the sharing or not sharing a same bedroom or a same bed with the family members, the numbers of the family members sharing a same bed. (b) nonsignificant factors: sex, age, domicile of origin; the educational background of the fathers; the parents’ occupation; the style and size of housing; the number of family members; frequency of cleaning clothes; habit of sucking fingers; washing hands before eating or after using the toilet, and bathing by themselves or helped by a family member; the frequency and method of bathing.
The results of the multivariable analysis reveal that the most important risk factors for infection of Enterobius among children are sharing a same bed, the natures of the floors, sharing a same bedroom and the low education background of mothers, respectively.

並列關鍵字

enterobius infection ； enterobiasis risk factors