湖南省贫困农村地区6~24月龄婴幼儿营养包有效服用相关因素

发布时间：2018-05-24 00:09

本文选题：贫困地区 + 婴幼儿　；参考：《卫生研究》2017年02期

【摘要】：目的了解贫困农村地区6~24月龄婴幼儿营养包有效服用情况及相关因素。方法 2015年8月在湖南省辖区内武陵山区和罗霄山区25个贫困县采用概率比例规模抽样(PPS抽样)方法抽取7481名农村6~24月龄婴幼儿作为研究对象,采用问卷调查婴幼儿的基本信息、家庭基本情况以及营养包服用情况等;采用多因素非条件Logistic回归模型分析6~24月龄婴幼儿营养包有效服用相关因素。结果营养包发放率为90.4%(6762/7481);营养包有效服用率为69.2%(4677/6762),营养包有效服用的婴幼儿占总调查人数的62.5%(4677/7481)。多因素Logistic回归分析结果显示,相对于6~11月龄,12~17月龄和18~24月龄是婴幼儿营养包有效服用的保护因素(OR=0.839,95%CI 0.735~0.959;OR=0.854,95%CI 0.748~0.974);相对于汉族,苗族、土家族、侗族以及其他少数民族是婴幼儿营养包有效服用的保护因素(OR=1.243,95%CI 1.070~1.443;OR=2.352,95%CI 2.008~2.755;OR=1.801,95%CI 1.453~2.233;OR=1.675,95%CI 1.192~2.355);相对于父亲小学及以下学历,父亲高中以及大学及以上学历是婴幼儿营养包有效服用的保护因素(OR=0.774,95%CI 0.618~0.970;OR=0.570,95%CI 0.428~0.760);相对于父亲职业为农民,父亲职业为工人/干部是婴幼儿营养包有效服用的危险因素(OR=1.279,95%CI 1.104~1.482);相对于看护人为父母,看护人为祖父母是婴幼儿营养包有效服用的保护因素(OR=0.651,95%CI 0.581~0.729);相对于营养包服用无不适反应,营养包服用有不适反应是婴幼儿营养包有效服用的危险因素(OR=2.759,95%CI 2.346~3.245)。结论贫困农村地区婴幼儿营养包有效服用率较低;低月龄、少数民族、父亲低学历、父亲职业为工人/干部、看护人为父母以及营养包服用不适反应是婴幼儿营养包有效服用的危险因素。
[Abstract]:Objective to investigate the effective use of nutritional package for children aged 6 ~ 24 months in poor rural areas and its related factors. Methods in August 2015, 7481 infants aged 6 to 24 months in rural areas were selected from 25 poor counties in Wuling Mountain and Luoxiao Mountain districts in Hunan Province by probability proportional scale sampling (PPS). The basic information of infants, families and nutrition package were investigated by questionnaire, and the related factors were analyzed by multivariate non-conditional Logistic regression model. Results the distribution rate of nutrition package was 90.4% 6762 / 7481g, and the effective use rate of nutrition bag was 69.2%, 4677% 6762U, 62.575% 4677% 7481g / 7481g. The results of multivariate Logistic regression analysis showed that 1217 months of age and 18 ~ 24 months of age were the protective factors for effective use of nutrition package for infants and young children, compared with those of Han, Miao and Tujia nationalities, and those of CI 0.739 ~ 95 CI 0.735 ~ 0.959 ~ (95) ~ 0.854 ~ 95CI 0.748 ~ (0.974), compared with Han nationality, Miao nationality, Tujia nationality, Han nationality, Miao nationality, Tujia nationality, and Han nationality, Hmong nationality and Tujia nationality, respectively. Dong and other ethnic minorities are the protective factors for effective use of infant nutrition packages, including CI 1.070, 1.443, ORT 2.352and 95CI 2.0082.755, and 1.80195 CI 1.4532.233CI 1.67595595; compared with their father's primary school education and below, Father's senior high school, college degree and above are the protective factors for effective use of infant nutrition package, CI 0.618, 0.970, OR 0.570, 95 CI 0.428, 0.760; compared to father's occupation, he is a farmer, a farmer and a farmer. Father occupation worker / cadre is the risk factor of effective use of infant nutrition package. The risk factor of effective use of nutrition package for infants and young children is OR 1.279 / 95 CI 1.104 / 1.482; compared with the parents of caregivers, the protective factor that grandparents are effective in taking nutrition package is 0.65195CI 0.5810.5810.799.There is no malaise reaction compared with nutrition package administration. The risk factor of the effective use of nutrition package for infants and young children was that there was an uncomfortable reaction in nutrition package. The risk factor was 2.759% CI 2.346 and 3.245%. Conclusion the effective use rate of infant nutrition package is low in poor rural areas, low age, minority nationality, low education of father, father occupation is worker / cadre. The risk factors of effective use of infant nutrition package are the discomfort response of parents and nutrition package.
【作者单位】：中南大学湘雅公共卫生学院儿少卫生与妇幼保健学系;湖南省妇幼保健院;
【基金】：2014年贫困地区儿童营养改善项目(No.2014-1076)
【分类号】：R153.2

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