2009～2010年云南省广南县0～5岁儿童营养不良状况及其影响因素  

Status of malnutrition and its influencing factors in children under 5 years old in Guangnan District of Yunnan Province in 2009-2010

作　　者：赵江[1] 陈升文 万蓉[1] 路涛 王竹 郑克勤[1] 

机构地区：[1]云南省疾病预防控制中心,昆明650022 [2]广南县疾病预防控制中心

出　　处：《卫生研究》2013年第1期67-71,共5页Journal of Hygiene Research

摘　　要：目的分析2009～2010年云南贫困农村地区0～5岁儿童营养不良状况及其影响因素。方法采用随机整群分层抽样的方法,抽取云南省广南县贫困县农村地区1002名0～5岁儿童,通过询问调查、血红蛋白检测和膳食调查进行问卷调查,并测量身高、体重,采用Z评分法进行营养状况评价,计算营养不良率。采用非条件Logistic回归多因素分析。结果 2009～2010年云南贫困农村地区5岁以下儿童低体重率为18.8%,生长迟缓率为34.3%,消瘦率为3.1%。排除了其他变量的影响后显示,2岁以下儿童未喂过母乳的比喂过母乳的儿童容易发生营养不良;2岁以下儿童过去7天添加辅食蔬菜和水果天数较多的比少的不容易发生营养不良;2岁以下儿童与同龄孩子比较情况好的比差的和差不多的不容易发生营养不良。结论云南贫困农村地区5岁以下儿童营养不良状况不容忽视。儿童营养不良的影响因素主要有2岁以下儿童的喂养方式、2岁以下婴幼儿辅食添加、2岁以下儿童与同龄孩子比较情况等。Objective To analyze the status of malnutrition and its influencing factors in children under 5 years old in Guangnan District of Yunnan Province in 2009 - 2010. Methods By the random cluster sampling and stratified sampling methods, 1002 children within 5 years old in rural areas were selected from poverty-stricken counties in Yunnan Province. The questionnaire survey including questionnaire, antbnpometrie measurement and dietary survey such as height and weight were used respectively for the survey. Z score was used for evaluating the nutritional status. The prevalence of malnutrition was calculated by statistics software. Multiple factors analysis was finished by non condition Logistic regression in software. Results During 2009 -2010, of all children under the age of 5 years old, the underweight rate is 18.8% , stunted growth rate is 34.3% and emaciation rate is 3.1% in impoverished rural area of Yunnan Province. Removing other variables, the result indicated ： （ 1 ） Comparing with these children under 2 years old who are provided with breastfeeding, the children under 2 years old who arenot given breastfeeding are more possible to get malnutrition. （2） The children under 2 years old who were added more vegetable and fruit supplement are less possible to get malnutrition than those children who were added less vegetable and fruit supplement during the past 7 days. （3）The children under 2 years old with good conditions are less possible to get malnutrition than the children with normal conditions or bad conditions. Conclusion Malnutrition in children under 5 years old in pour rural areas of Yunnan province should not be ignored. The main influencing factors of children malnutrition include feeding ways, increasing supplementary food, and the conditions compared with other children under 2 years old.

关 键 词：营养不良 贫困农村地区 影响因素 儿童 

分 类 号：R153.2[医药卫生—营养与食品卫生学]