Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease

Epidemics of hand, foot and mouth disease (HFMD) among children have caused concern in China since 2007. We have conducted a retrospective study to investigate risk factors associated with HFMD. In this non-matching case-control study, 99 HFMD patients and 126 control from Guangdong Province were en...

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Main Authors: Zhang, Dingmei, Li, Zhiyuan, Zhang, Wangjian, Guo, Pi, Ma, Zhanzhong, Chen, Qian, Du, Shaokun, Peng, Jing, Deng, Yu, Hao, Yuantao
Format: Online
Language:English
Published: MDPI 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924067/
id pubmed-4924067
recordtype oai_dc
spelling pubmed-49240672016-07-05 Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease Zhang, Dingmei Li, Zhiyuan Zhang, Wangjian Guo, Pi Ma, Zhanzhong Chen, Qian Du, Shaokun Peng, Jing Deng, Yu Hao, Yuantao Article Epidemics of hand, foot and mouth disease (HFMD) among children have caused concern in China since 2007. We have conducted a retrospective study to investigate risk factors associated with HFMD. In this non-matching case-control study, 99 HFMD patients and 126 control from Guangdong Province were enlisted as participants. Data comprising demographic, socio-economic, clinical and behavior factors were collected from children’s parents through face-to-face interviews by trained interviewers using a standardized questionnaire. Results of the primary logistic regression analyses revealed that age, history of cold food consumption, hand-washing routines, and airing out bedding were significantly associated with HFMD cases. Results of further multivariate analysis indicated that older age (OR = 0.44, 95% CI: 0.34–0.56) and hand-washing before meals (OR = 0.3, 95% CI: 0.13–0.70) are protective factors, whereas airing out bedding more than thrice a month (OR = 4.55, 95% CI: 1.19–17.37) was associated with increased risk for HFMD. Therefore, hand-washing should be recommended to prevent HFMD, and the potential threat of airing out bedding should be carefully considered. However, further studies are needed to examine other possible risk factors. MDPI 2016-06-18 2016-06 /pmc/articles/PMC4924067/ /pubmed/27322307 http://dx.doi.org/10.3390/ijerph13060610 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Zhang, Dingmei
Li, Zhiyuan
Zhang, Wangjian
Guo, Pi
Ma, Zhanzhong
Chen, Qian
Du, Shaokun
Peng, Jing
Deng, Yu
Hao, Yuantao
spellingShingle Zhang, Dingmei
Li, Zhiyuan
Zhang, Wangjian
Guo, Pi
Ma, Zhanzhong
Chen, Qian
Du, Shaokun
Peng, Jing
Deng, Yu
Hao, Yuantao
Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
author_facet Zhang, Dingmei
Li, Zhiyuan
Zhang, Wangjian
Guo, Pi
Ma, Zhanzhong
Chen, Qian
Du, Shaokun
Peng, Jing
Deng, Yu
Hao, Yuantao
author_sort Zhang, Dingmei
title Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
title_short Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
title_full Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
title_fullStr Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
title_full_unstemmed Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease
title_sort hand-washing: the main strategy for avoiding hand, foot and mouth disease
description Epidemics of hand, foot and mouth disease (HFMD) among children have caused concern in China since 2007. We have conducted a retrospective study to investigate risk factors associated with HFMD. In this non-matching case-control study, 99 HFMD patients and 126 control from Guangdong Province were enlisted as participants. Data comprising demographic, socio-economic, clinical and behavior factors were collected from children’s parents through face-to-face interviews by trained interviewers using a standardized questionnaire. Results of the primary logistic regression analyses revealed that age, history of cold food consumption, hand-washing routines, and airing out bedding were significantly associated with HFMD cases. Results of further multivariate analysis indicated that older age (OR = 0.44, 95% CI: 0.34–0.56) and hand-washing before meals (OR = 0.3, 95% CI: 0.13–0.70) are protective factors, whereas airing out bedding more than thrice a month (OR = 4.55, 95% CI: 1.19–17.37) was associated with increased risk for HFMD. Therefore, hand-washing should be recommended to prevent HFMD, and the potential threat of airing out bedding should be carefully considered. However, further studies are needed to examine other possible risk factors.
publisher MDPI
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924067/
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