农村地区0～3岁儿童生长发育的公平性研究  

Study on growth equity of children aged 0 to 3 years old in rural of China

作　　者：张翠红[1] 魏乾伟[1] 张敬旭[1] 罗树生[1] 赵春霞 郭素芳 王晓莉[1] 

机构地区：[1]北京大学公共卫生学院妇女与儿童青少年卫生学系,北京100191 [2]联合国儿童基金会中国办事处,北京100600

出　　处：《中国儿童保健杂志》2016年第10期1016-1018,1023,共4页Chinese Journal of Child Health Care

基　　金：联合国儿童基金会"Health and Nutrition"项目(0315-China/YH702)

摘　　要：目的 了解农村地区0～3岁儿童生长发育的公平性,探索社会经济因素对儿童生长发育公平性的贡献。方法 收集贵州、山西农村地区的2 120名儿童及其家庭的基本信息;采用WHO 2006年的标准评价儿童的生长发育状况;采用集中曲线和集中指数评价儿童生长发育的公平性,并对集中指数进行分解以分析社会经济因素对儿童生长发育公平性的贡献。结果 调查儿童生长迟缓、低体重、消瘦的集中指数分别为-0.106 2、-0.177 4和-0.074 7,生长迟缓的不公平主要来源于居住地、家庭经济水平、看护人文化程度的差异。结论 加大扶贫力度,并为贫困家庭的儿童提供奶粉、营养包,保障0～6岁儿童健康管理的执行力度和执行质量,进一步推进教育公平等应能在改善儿童整体健康的同时减小儿童的健康差异。Objective To evaluate the equity of growth of children aged 0 to 3 years old in rural of China,and to ex- plore the effects of socioeconomic factors on the equity of children＇s growth. Methods Information of 2 120 infants and their families in rural Guizhou and Shanxi provinces were collected. The WHO growth standard was used to assess children＇s growth. The concentration curve and concentration index were used to assess the equity of childreffs growth. Decomposition analysis was used to assess the contribution of socioeconomic factors on the equity of children＇s growth. Results The con- centration index of stunting,underweight and wasting was --0. 1062,--0. 1774 and --0. 0747 ,respectively. Most of inequity of stunting came from inequity of region, family economic status and caregiver＇s education. Conclusions Government should strengthen efforts in poverty alleviation and provide milk, yingyangbao for the poor children. Government should guarantee the strength and quality of implementation of health management for children under six years old,and should pro- mote the equity of education further. These suggestions above should be able to improve the overall health of children as well as narrow the health difference of children.

关 键 词：生长发育 公平性研究 集中指数 婴幼儿 

分 类 号：R179[医药卫生—妇幼卫生保健]