基于身高变化的中国7～12岁儿童健康公平性研究

发布时间：2018-08-24 16:10

【摘要】：目的分析1985—2010年基于身高变化我国儿童健康公平状况及变化情况,为相关政策的制定提供依据。方法利用1985—2010年中国学生体质与健康调研报告中的7~12岁儿童身高资料和国家统计数据库的GDP资料,分析儿童身高与人均GDP的相关性,比较城乡及东中西部儿童身高的差异,利用集中指数定量研究儿童健康公平性及变化情况。结果 1985—2010年人均GDP与城乡7~12岁儿童身高之间存在正相关,除12岁年龄组外,相关系数r值均0.8(P值均0.05)。1985—2010年间,城乡儿童身高差值男生从4.13 cm减少至3.24 cm,女生从4.57 cm减少至3.07 cm;东部和中部地区的平均身高差值男生从1.62 cm增大至2.27 cm,女生从1.78 cm增大至2.61 cm,东、西部差值男生从3.01 cm增大至4.41 cm,女生从2.92 cm增大至4.57 cm。各省身高的集中指数均为正值,25年间男生集中指数由0.006增长至0.007,女生由0.006增长至0.008。从1985到2005年,除1991年最低外,集中指数的绝对值逐年增大,而2010年略有降低。结论经济水平与儿童身高存在正相关,1985—2010年儿童身高的城乡差异缩小,东中西部差异有所扩大。自1985—2005年儿童健康不公平程度有所增加,2010年略有下降。
[Abstract]:Objective to analyze the status and changes of children's health equity based on height change in China from 1985 to 2010, and to provide evidence for the formulation of relevant policies. Methods the data of height of children aged 12 years old from 1985 to 2010 and GDP data of national statistical database were used to analyze the correlation between height and GDP per capita, and to compare the differences of height between urban and rural areas as well as between east and west China. The health equity and changes of children were quantitatively studied by centralized index. Results there was a positive correlation between GDP per capita and the height of 712 year old children in urban and rural areas from 1985 to 2010. The correlation coefficient (r = 0. 8) was 0. 8 (P = 0. 05) between 1985 and 2010, except for the age group of 12 years. The height difference between urban and rural children decreased from 4.13 cm to 3.24 cm, from 4.57 cm to 3.07 cm; from 1.62 cm to 2.27 cm, cm from 1.78 cm to 2.61 cm, east. Western margin increases from 3.01 cm to 4.41 cm, girls from 2.92 cm to 4.57 cm. The concentration index of height in all provinces was increased from 0.006 to 0. 007 for boys and 0.006 to 0. 008 for girls in 25 years. From 1985 to 2005, the absolute value of the concentration index increased year by year, except for the lowest in 1991, and decreased slightly in 2010. Conclusion there is a positive correlation between the economic level and the height of children. The difference between urban and rural areas of children's height decreased from 1985 to 2010, and the difference between east, west and west was enlarged. The level of child health inequality has increased since 1985-2005 and declined slightly in 2010.
【作者单位】：苏州大学医学部公共卫生学院;
【分类号】：R179

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