贵州、云南和山西省贫困农村儿童营养包食用依从性及影响因素

发布时间：2018-06-16 21:25

本文选题：贫困农村 + 儿童　；参考：《卫生研究》2017年02期

【摘要】：目的调查贵州、云南和山西省贫困农村的儿童营养包食用情况,并分析影响营养包食用的因素。方法于2014年12月选取贵州省、云南省和山西省为调查点,采用整群分层随机抽样方法,每个省份抽取2个县、每个县抽取2个乡,共447名儿童看护人进行问卷调查,内容包括儿童营养包食用的依从性、看护人对营养包的认知、获取营养包知识的途径,单因素分析影响营养包食用依从性的因素采用χ~2分析、多因素分析采用Logistic回归。随机选取43名依从性不好的看护人按照访谈提纲进行个人访谈,采用主题框架法深入分析影响因素,包括儿童因素、看护人因素和村医因素。结果 81.0%的儿童营养包食用依从性好。知道营养包能够预防营养不良及贫血的看护人占83.0%和66.0%,80.8%的看护人获取营养包知识的途径为面对面咨询村医。与6月龄母乳喂养的儿童相比,混合喂养(OR=26.698,95%CI4.411~161.614)、人工喂养(OR=4.709,95%CI 1.089~20.369)是儿童有效食用营养包的保护因素;儿童爱吃营养包(OR=4.396,95CI 1.859~10.395)及看护人知道营养包能够预防营养不良(OR=4.421,95%CI 1.335~14.638)是儿童有效食用营养包的保护因素。结论儿童、看护人是影响儿童有效食用营养包的关键。
[Abstract]:Objective to investigate the nutritional package consumption of children in poor rural areas of Guizhou, Yunnan and Shanxi, and to analyze the factors affecting the consumption of nutritional package. Methods in December 2014, Guizhou Province, Yunnan Province and Shanxi Province were selected as investigation points. A cluster stratified random sampling method was used. 2 counties and 2 townships were selected from each province. A total of 447 child caregivers were investigated. The contents included the compliance of children's nutrition package, the cognition of the nurse to the nutrition package, the way to acquire the knowledge of the nutrition package, the 蠂 ~ 2 analysis and the Logistic regression analysis were used to analyze the factors influencing the nutrition bag's eating compliance. A total of 43 caretakers with poor compliance were randomly selected to conduct personal interviews according to the outline of the interview. The thematic framework method was used to analyze the influencing factors including children, caregivers and village doctors. Results 81.0% of the children had good compliance. The nurses who knew that nutrition package could prevent malnutrition and anemia accounted for 83.0% and 66.0% respectively. The way of obtaining knowledge of nutrition package was face to face consultation with village doctor. Compared with the children of 6 months old breast-fed, mixed feeding was the protective factor of children's effective food nutrition package. The CI4.41111161.614 and artificial feeding were 4.709 ~ 95CI 1.089 ~ (20. 369). Children who love to eat nutrition package (4.39695 CI 1.859c10.395) and caregivers know that nutrition package can prevent malnutrition 4.42195 CI 1.33514.638) are the protective factors of children's effective edible nutrition package. Conclusion Children and caregivers are the key factors affecting children's effective food nutrition package.
【作者单位】：中国疾病预防控制中心妇幼保健中心;
【分类号】：R153.2

【相似文献】