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贵州黔南地区7~15岁儿童抽动障碍患病现状及危险因素分析 被引量:16

Prevalence and influence factors of tic disorders among 7 – 15 years old children in Qiannan region of Guizhou province
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摘要 目的了解贵州省黔南地区7~15岁儿童抽动障碍(TD)患病现状及其危险因素,为采取相应的干预措施提供参考依据。方法于2016年8月—2017年7月采用多阶段分层、随机、整群抽样方法在贵州省黔南地区抽取99 488名7~15岁儿童进行问卷调查、体格检查和抽动严重程度检查。结果贵州省黔南地区99 488名7~15岁常住儿童中,患TD者1 279例,患病率为1.29%,标化患病率为1.25%;多因素非条件logistic回归分析结果显示,有家族史、早产、出生时有不利因素、挑食且爱喝功能饮料、睡眠障碍、学习成绩差、无业余爱好、自理能力弱、家庭关系紧张、打骂体罚、与父母关系紧张、居住环境喧闹是贵州省黔南地区7~15岁儿童TD患病的危险因素。结论贵州省黔南地区7~15岁儿童TD患病率较高,应针对该地区7~15岁儿童TD患病的危险因素进行干预。 Objective To examine the prevalence and risk factors of tic disorders (TD) among 7 - 15 years old children living in southern area of Guizhou province and to provide references for taking corresponding interventions. Methods A total of 99 488 children (7 - 15 years old) were randomly selected using stratified multi-stage sampling from Qiarman prefecture of Guizhou province and surveyed with a face-to-face interview, physical examination, and tic severity test between August 2016 and July 2017. SAS 9.1 was used in data analyses. Results Totally 1 279 TD cases were diagnosed; the prevalence rate of TD was 1.29% and the standardized rate was 1.25% among the children surveyed. Multivariate logistic regression analysis revealed that with a family history of TD, premature birth, with adverse factors at birth, food preferences and preference for functional drinks, insomnia, poor academic performance, without any hobby, poor self-care ability, strained relationships in the family, maltreatment and physical punishment, strained relationship with parents, and noisy living environment were risk factors of TD among the children. Conclusion More attentions should be paid to the high prevalence rate of TD among 7 - 15 years old children living in southern area of Guizhou province, and interventions on risk factors of TD should be implemented among the children.
作者 余益萍 田永波 卢玉龙 黎丛飞 罗毅 邱永红 李正福 向寿培 YU Yi-ping, TIAN Yong-bo, LU Yu-long, et al(Pediatrics, Traditional Chinese Medicine Hospital of Qiannan Prefecture, Duyun, Guizhou Province 558000, Chin)
出处 《中国公共卫生》 CAS CSCD 北大核心 2018年第3期346-349,共4页 Chinese Journal of Public Health
基金 贵州省黔南州科技基金[黔南科合字(2016)028号]
关键词 抽动障碍(TD) 危险因素 儿童 黔南地区 tic disorder risk factor children Qiannan region
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