中国5岁以下儿童营养不良的社会决定因素研究

发布时间：2018-01-12 19:14

本文关键词：中国5岁以下儿童营养不良的社会决定因素研究　出处：《北京大学学报(医学版)》2016年03期 　论文类型：期刊论文

【摘要】：目的:了解中国5岁以下儿童营养不良与社会决定因素的关联程度,为制定进一步改善儿童营养不良的社会政策提供依据。方法:从中国居民健康和营养调查(China Health and Nutrition Survey,CHNS)1991-2011年的纵向数据中提取2 434名5岁以下儿童,使用世界卫生组织igrowup软件计算儿童营养不良率,使用多因素非条件Logistic回归分析营养不良与社会决定因素的关联。结果:20年间儿童整体低体重率和生长迟缓率分别下降了64.8%和67.8%,儿童低体重和生长迟缓得到显著改善。消瘦率一直维持在较低水平,女童营养不良率的降低幅度大于男童。非社会经济因素中,母亲身高低、儿童蛋白质摄入不足是营养不良的危险因素。社会决定因素中,居住在西部和中部、居住地城市化水平低、家庭收入低、母亲教育水平低是儿童营养不良的危险因素。结论:为进一步改善儿童营养不良和缓解儿童健康不公平,需要重视儿童营养不良背后的社会决定因素,完善并实施改善儿童营养相关的社会政策,包括关注孕产妇和儿童的膳食营养、提高家庭生活水平和母亲教育水平、平衡地区间发展差距和资源分配等。
[Abstract]:Objective: To investigate the China correlation degree of malnutrition in children under 5 years old and social determinants, and provide a basis to further improve the malnutrition of children's social policy. Methods: from Chinese health and Nutrition Survey (China Health and Nutrition Survey, CHNS 1991-2011) longitudinal data extraction in 2434 children under the age of 5, calculated the rate of malnutrition among children using the WHO igrowup software, using the multi factor non conditional Logistic regression analysis of association of malnutrition and social determinants. Results: 20 years of a child's overall low weight rate of 64.8% and 67.8% respectively and the decline rate of growth retardation in children, low birth weight and growth retardation has been significantly improved. The rate of weight loss has been maintained at a relatively low level girls, the malnutrition rate was lower than that of boys. Non social and economic factors, low maternal height, inadequate intake of protein in children's nutrition Adverse risk factors. Social determinants, living in the western and central city residence, low level, low family income, mother's education level is low risk factors of childhood malnutrition. Conclusion: in order to improve children's health and alleviate the adverse unfair need to pay attention to children's nutrition, malnutrition in children behind the social determinants improve and implement policies to improve children's nutrition related social concern, including maternal and child nutrition, improve the level of family life and mother's education level, balance the development gap between regions and resource distribution.

【作者单位】：北京大学公共卫生学院卫生政策与管理系;
【基金】：中英全球卫生支持项目(GHSP-CS-OP1-02)资助~~
【分类号】：R153.2
【正文快照】： 5岁以下儿童正处在体格和智力发育的关键时期,这一时期内发生营养不良不仅损害儿童期的生长发育及健康,也将对儿童成年后的健康状况造成不可逆转的影响。根据联合国儿童基金会制定的儿童营养不良成因的概念框架,儿童期营养不良除受到生物学因素(膳食摄入不足和儿童期疾病)的直

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