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The burden of and risk factors for active trachoma in the North and South Wollo Zones of Amhara Region,Ethiopia:a crosssectional study

查看全文 作　　者：Beselam [1]Tadesse;Alemayehu [2]Worku;Abera [2]Kumie;Solomon Abebe [3]Yimer 高影响力作者 机构地区：[1]Ethiopian Institute of Water Resources(EIWR),Addis Ababa University,Addis Ababa,Ethiopia;[2]School of Public Health,College of Health Sciences,Addis Ababa University,Addis Ababa,Ethiopia;[3]Department of Microbiology,Oslo University Hospital,Oslo,Norway高影响力机构 出　　处：《Infectious Diseases of Poverty》索引2017年第6卷第1期,共12页高影响力期刊 基　　金：The Ethiopian Institute of Water Resources provided funding for this study. 摘　　要：Background:Trachoma is a disease of the eye,caused by the bacteria Chlamydia trachomatis,which can lead to blindness if left untreated.Ethiopia is one of the most trachoma-affected countries in the world.The objective of this study was to determine the prevalence of and associated risk factors for active trachoma among children in selected woredas of North and South Wollo Zones in Amhara Region,Ethiopia.Methods:This study was a community-based,cross-sectional study,which was conducted from October to December 2014 among children aged 1-8.A four-stage random cluster sampling technique was employed to select the study areas and participants.From each selected household,one child was clinically assessed for active trachoma.A structured questionnaire was used to collect sociodemographic,behavioral,and clinical data.Multivariate logistic regression analysis was used to analyze the association between predictor variables and active trachoma.Results:The overall prevalence of active trachoma among 1358 children was found to be 21.6%(95%CI:19.4-23.8%).When analyzed by the presence or absence of individual WHO simplified system signs of active trachoma,trachomatous inflammation-follicular cases constituted18%(95%CI:15.9-20.2%),while 4.7%(95%CI:3.6-5.8%)were trachomatous inflammation-intense cases.Ocular discharge(aOR=5.2;95%CI:3.3-8.2),nasal discharge(aOR=1.8;95%CI:1.2-2.7),time taken to fetch water(aOR=0.02;95%CI:0.01-0.05),frequency of hand and face washing(aOR=4.4;95%CI:1.1-17.8),and access to a latrine(aOR=0.006;95%CI:0.001-0.030)were found to be independently associated with the presence of active trachoma.Conclusions:There is a high burden of active trachoma among children in the study areas.Lack of personal hygiene and limited access to a safe water supply and latrines were associated with increased prevalence of active trachoma.In order to reduce the burden of active trachoma,facial cleanliness and environmental improvement components of the SAFE strategy should be upgraded in the study areas. 关 键 词：North Wollo South Wollo Amhara region Ethiopia TRACHOMA Prevalence SAFE strategy WASH
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