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Prevalence and determinants of active trachoma among preschool-aged children in Dembia District,Northwest Ethiopia

Infectious Diseases of Poverty 2017年第1期6卷 1136-1142页

作者： Ayanaw Tsega Ferede Abel Fekadu Dadi Amare Tariku Akilew Awoke Adane Department of Optometry School of MedicineCollege of Medicine and Health SciencesUniversity of GondarGondarEthiopia Department of Epidemiology and Biostatistics Institute of Public HealthCollege of Medicine and Health SciencesUniversity of GondarGondarEthiopia Department of Human Nutrition Institute of Public HealthCollege of Medicine and Health SciencesUniversity of GondarGondarEthiopia

Background:Trachoma is an infectious eye disease caused by Chlamydia trachomatis,which is the leading infectious cause of blindness *** areas where trachoma is endemic,active trachoma is common among preschool-aged children,with varying *** study aimed to estimate the prevalence of active trachoma and associated risk factors among preschool-aged children in Dembia District,northwest ***:A community-based cross-sectional survey was conducted among preschool-aged children of northwest *** systematic random sampling was used to select 695 *** clinical optometrists subjected each child to an ocular examination and assessed the presence of active *** to face interview using pretested and structured questionnaire were conducted to collect data on possible risk *** cases were graded following a World Health Organization simplified grading *** statistical analysis was carried out using the SPSS software version *** odds ratios(aORs)with 95%confidence intervals(CIs)were used to identify factors associated with active ***:Of the 681 preschool-aged children studied,18%(95%CI:15.4%-21.1%)had a prevalence of active *** who had clean faces(absence of nasal and ocular discharges)had a lower chance of having active trachoma[aOR=0.55,95%CI:0.37-0.82].The odds of having active trachoma decreased with an increase in the distance to a water point[aOR=0.51,95%CI:0.33-0.78].Similarly,no or poor utilization of liquid waste disposal in the child’s household was associated with an increased chance of having active trachoma[aOR=3.83,95%CI:1.26-11.61].Conclusion:The prevalence of active trachoma in these preschool-aged children was found to be high and needs special interventions that focus on educating families about proper face washing,liquid waste disposal,and improving safe water supply near the households.

关键词： Active trachoma Cross-sectional study preschool-aged children northwest Ethiopia

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