摘要
目的探讨安徽省巢湖农村地区3周岁儿童生长发育状况及其影响因素。方法采用整群随机抽样方法,以巢湖农村地区3周岁年龄组儿童作为调查对象。调查内容包括:儿童出生／喂养／患病情况、母亲孕期情况、家庭情况及主要照顾者的儿童喂养知识,同时测量儿童的身高、体重及皮脂厚度,并应用年龄别身高、年龄别体重、身高别体重等指标对其进行生长发育状况评价。结果共调查儿童418人,按年龄别身高评价生长发育迟缓儿童为4．3％、正常者为95．7％;按年龄别体重评价低体重儿童发生率为1．9％、超重儿童发生率为0．7％、正常体重者为97．4％;按身高别体重评价消瘦儿童发生率为0．5％、肥胖儿童发生率为14．9％,正常者为84．6％。对影响生长发育指标的因素进行多分类logistic回归分析,结果性别为男、出生体重较重、父亲身体较高、饭前经常洗手的儿童,其生长发育指标Z评分高;而出生胎次靠后、家庭年收入高、母亲文化程度为文盲、母亲孕期服用保胎药、接触X线、家中分娩儿、主要照顾者为母亲、4个月内喂养方式为母乳和人工混合喂养、添加辅食时间<3个月、经常吃营养补品、零食和挑食的儿童,其生长发育指标Z评分低。结论该地区3岁组儿童总体发育情况良好,但孕产期保健和儿童期保健仍有待加强。
Objective To explore the health status and related influencing factors for 3-year-old children in rural area of Anhui province. Methods Clustered random sampling method was used to investigate the general situation of the children and their families as well as to measure height, weight and some other indexes of the children. Health status and its influencing factors were then evaluated. Results A total number of 418 children were investigated and incidence rates of growth retardation, underweight, overweight, emaciation and obesity appeared to be 4.3 % , 1.9 % , 0.7 % , 0.5 % and 14.9 % respectively. Z value of development index was high among children with the following situations：heavy birth weight, father was tall,being boys,and having habits as washing hands before meals. However, Z value was low among kids with following characteristics： being the youngest among all the siblings, family income was high,mothers were illiterate as well as taking tocolytic agent and exposure to X-rays during pregnancy, delivered at home, major care taker was mother, mixed feeding in the early 4-month-old, age of supplementary food was less than 3 months, being picky on foods and taking snacks frequently etc. Conclusion Health status of the 3-year-old children in rural area of Anhui province was fine in general, however, more attention needs to be paid to pregnant women and child health care takers in the rural areas.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2006年第10期849-852,共4页
Chinese Journal of Epidemiology
关键词
农村
儿童发育
影响因素
Rural
Child development
Influencing factors
