INTRODUCTION:Only 79% of individuals living in rural Honduras use improved water sources. Inadequate drinking water quality is related to diarrheal illness, which in Honduras contributes to 18.6 episodes of diarrhea per child year in children under five years of age. The purpose of this study was to examine and compare access to drinking water and sanitation, as well as self-reported diarrheal disease incidence among three proximal communities in the Department of Yoro area of Honduras. METHODS:An 11-item language-specific, interviewer-administered, anonymous questionnaire was administered to 263 randomly selected adults attending a June 2011 medical brigade held in the communities of Coyoles, La Hicaca, and Lomitas. Chi-square with Fisher exact tests were utilized to compare water access, sanitation, and self-reported diarrheal incidence among these communities. RESULTS:Coyoles and La Hicaca used private faucets as their primary water sources. Coyoles had the greatest use of bottled water. Lomitas used rivers as their primary water source, and did not use bottled water. Mostly, females were responsible for acquiring water. Usage of multiple water sanitation methods was most common in Coyoles, while no sanitation method was most common in Lomitas. In Lomitas and La Hicaca, water filters were mostly provided via donation by non-governmental organizations. Lomitas had the highest reported incidence of diarrhea among self and other household members. CONCLUSIONS:Critical differences in water access, sanitation, and self-reported diarrheal incidence among three geographically distinct, yet proximal, communities highlights the need for targeted interventions even in geographically proximal rural areas.

译文

简介:洪都拉斯农村地区只有79%的人使用改良的水源。饮用水水质不足与腹泻病有关,在洪都拉斯,五岁以下儿童每儿童年腹泻病发病率达18.6次。这项研究的目的是检查和比较洪都拉斯Yoro地区三个近端社区中饮用水和卫生设施的获取情况以及自我报告的腹泻病发病率。
方法:对263名随机选择的成年人参加了2011年6月在Coyoles,La Hicaca和Lomitas社区举行的医疗大队,随机抽取了11项语言,由访调员管理,匿名调查表。卡菲尔检验和费舍尔精确检验用于比较这些社区之间的取水,卫生和自我报告的腹泻发生率。
结果:Coyoles和La Hicaca使用私人水龙头作为主要水源。瓶装水最多使用的是郊狼。洛米塔斯以河流为主要水源,没有使用瓶装水。大多数情况下,女性负责获取水。在Coyoles中,多种水卫生方法的使用是最常见的,而在Lomitas中,没有水卫生方法是最常见的。在Lomitas和La Hicaca,滤水器大多是由非政府组织通过捐赠提供的。在自己和其他家庭成员中,Lomitas的腹泻发生率最高。
结论:三个地理上不同但近端的社区之间在取水,卫生设施和自我报告的腹泻发生率方面存在重大差异,即使在地理上较近的农村地区,也需要采取有针对性的干预措施。

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