摘要
目的分析农村地区≤5岁留守儿童生长发育影响因素,为促进留守儿童健康成长提供依据。方法2016年从全国第五次卫生服务调查家庭健康询问调查河北省数据库提取≤5岁农村儿童信息,分析留守儿童(270人)与非留守儿童(752人)身高、体重发育情况;以库中留守儿童中发育异常者为病例组,正常者为对照组,采用病例对照研究分析留守儿童身高、体重发育影响因素。结果河北省农村地区≤5岁留守儿童生长发育迟缓构成比为78.15%,高于非留守儿童的18.88%(X^2=374.90,P=0.000);营养不良构成比(53.33%)高于后者(9.07%)(x^2=262.01,P<0.01)。多因素有序多分类logistic回归分析显示,母亲外出务工(OR=26.05,P=0.006)、体重异常(OR=3.85,P<0.01)是留守儿童身长发育的危险因素;留守儿童家庭年人均纯收入较高可以促进儿童体重的增长(OR=0.46,P=0.004),儿童身长异常是体重正常增长的危险因素(OR=2.60,P<0.01)。结论农村地区≤5岁留守儿童中,母亲外出务工尤其不利于其身长发育,家庭经济状况较好有利于其体重增长,婴幼儿身高与体重质量互相影响。
Objective To explore influence factors of height and weight in rural left-behind children （LBC） aged ≤ 5 years.Methods Information on all rural children aged ≤ 5 years were extracted from the Database of 5th National Health Services Survey （2013） in Hebei province to describe the status quo of height and the weight of the children.Then the LBC with abnormal and normal height or weight were assigned into a case and a control group and the influence factors for height and weight were compared between the two groups.Results Compared to non-left-behind children （non-LBC）,the LBC showed significantly higher ratios of growth retardation （78.15% vs.18.88%,χ2=374.90; P〈0.01） and malnutrition （53.33% vs.9.07%,χ2=262.01; P〈0.01）.Multivariate analyses revealed that the maternal migration for working （odds ratio[OR]=26.05,P=0.006） and the abnormal weight （OR=3.85,P〈0.01） were the risk factors of abnormal growth of LBC and higher per capita net income in a family may contribute to the normal weight of LBC （OR=0.46,P=0.004）; the abnormal height was a risk factor against normal weight increase in LBC （OR=2.60,P〈0.01）.Conclusion Maternal migration for working is an important risk factor against normal growth while better familial economic status is a promoting factor for weight increase among rural LBC less than 5 years old in Hebei province.There is an interactive relationship between height and weight among infants and small children in rural areas of Hebei province.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第9期1310-1314,共5页
Chinese Journal of Public Health
基金
河北省医学科学研究重点课题(ZL20140157)
关键词
农村地区
≤5岁儿童
留守儿童
身长
体重
rural area
children aged ＆le
5 years old
left-behind children
height
weight
