Growth and development and its related factors among rural children aged 6-24 months in Guangxi Zhuang Autonomous Region
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摘要: 目的 了解广西壮族自治区农村地区6~24月龄婴幼儿的生长发育现状及其影响因素,为改善当地儿童生长发育水平提供参考依据。方法采用分层整群随机抽样方法,抽取广西横县、宾阳县和灵山县8个乡的1 198名6~24月龄婴幼儿家长进行问卷调查,并由经过统一培训的人员测量婴幼儿的身长、体重。结果 广西壮族自治区农村地区6~24月龄婴幼儿体重和身长均低于中国9市标准人群,且随年龄增加,儿童身长、体重差距逐渐增大;广西农村地区6~24月龄婴幼儿营养不良发生率为21.9%(262/1 198),其中低体重和生长迟缓的发生率分别为16.2%(194/1 198)和13.5%(162/1 198);不同月龄婴幼儿比较,生长迟缓和营养不良发生率差异均有统计学意义(P=0.000);多因素Logistic回归分析结果表明,≥12月龄、孩次为第2个及以后和不饮用开水是婴幼儿发生营养不良的危险因素,正常产是婴幼儿发生营养不良的保护因素。结论 广西农村地区婴幼儿低体重和生长迟缓发生率较高;月龄较大、早产儿和孩次靠后的婴幼儿是发生营养不良的高危人群。Abstract: Objective To investigate the growth and development and its related factors among the rural children aged 6-24 months in Guangxi Zhuang Autonomous Region and to provide reference for the improvement of the children's health. Methods A questionaire survey was conducted among the parents of 1 198 children aged 6-24 months selected randomly with stratified cluster sampling form eight towns in two counties of Guangxi.The height and weight of the children were measured by nuiformly trained personnel and were evaluated based on the study of nine cities in China,2005. Results The prevalence of malnutrition was 21.9% among the children and was lower than the average level of the nine cities. The prevalences of underweight and stunting were 16.2% and 13.5%,and increased with the age among the children.There were significant differences in malnutrition and stunting among the young children of different month of age.The results of multivariate logistic regression indicated that aged 12 months or more,second or late parity,and drinking unboiled water were the risk factors and normal delivery was a protective factor for malnutrition among the children. Conclusion The prevalences of low weight and stunting are relative high and preterm infants and children of second or late parity are at a high risk of malnutrition among the children in rural areas of Guangxi.
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Key words:
- growth and development /
- influential factor /
- infant and young children /
- 6-24 months old
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