A population-based survey of the prevalence of self-reported acute gastrointestinal illness in Zhejiang Province, China

Acute gastrointestinal illness (AGI) is a prevalent public health concern worldwide. This study investigated the magnitude, distribution and burden of self-reported AGI among residents of Zhejiang Province, China. A face-to-face household survey was conducted using a multi-stage stratified random sa...

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Bibliographic Details
Published in:PloS one 2022-05, Vol.17 (5), p.e0268717-e0268717
Main Authors: Wang, Ji-Kai, He, Yue, Chen, Li-Li, Zhang, He-Xiang, Qi, Xiao-Juan, Sun, Liang, Zhang, Shuang-Feng, Chen, Jiang, Zhang, Rong-Hua
Format: Article
Language:English
Subjects:
Antibiotics
Biology and Life Sciences
Cities
Confidence intervals
Data collection
Diagnosis
Diarrhea
Distribution
Earth Sciences
Evaluation
Food consumption
Food contamination
Food contamination & poisoning
Foodborne diseases
Gastrointestinal diseases
Health care policy
Health surveillance
Households
Illnesses
Inflammatory bowel disease
Laboratories
Medicine and Health Sciences
Mortality
Population
Public health
Questionnaires
Random sampling
Sample size
Sampling methods
Self-care, Health
Social Sciences
Standardization
Statistical sampling
Surveillance systems
Surveys
Vomiting
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Summary:Acute gastrointestinal illness (AGI) is a prevalent public health concern worldwide. This study investigated the magnitude, distribution and burden of self-reported AGI among residents of Zhejiang Province, China. A face-to-face household survey was conducted using a multi-stage stratified random sampling method in 10 counties in Zhejiang Province between July 2018 and June 2019. In total, 12,021 participants were recruited. The prevalence of AGI 28 days after standardization was 1.8% (95% confidence interval (CI), 1.6-2.1), with an incidence rate of 0.24 episodes of AGI per person-year and an estimated 14 million cases of AGI in Zhejiang Province. Univariate and multivariable analyses showed a higher AGI prevalence among people who performed housework and were unemployed in summer and autumn among respondents living in western or northern cities (p < 0.05). More than 50% of AGI cases were attributed to the consumption of contaminated food. The disease burden caused by AGI in Zhejiang Province was approximately 975 million Chinses yuan (CNY). These results indicated that the disease burden of AGI in Zhejiang Province should be addressed and highlights the need for an improved active surveillance system of foodborne diseases to assess the impact of AGI on society and health.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0268717