北京市6～23月龄流动儿童辅食喂养状况分析  

Complementary feeding status of migrant children aged 6-23 months in Beijing

作　　者：冯超[1] 许梦雪 李堃 丁美琦 王博 吴思蒲 张霆[1] 朱宗涵[1] 关宏岩[1] FENG Chao;XU Meng-xue;LI Kun;DING Mei-qi;WANG Bo;WU Si-pu;ZHANG Ting;ZHU Zong-han;GUAN Hong-yan(Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所,北京100020

出　　处：《中国妇幼健康研究》2018年第7期825-828,共4页Chinese Journal of Woman and Child Health Research

基　　金：国家高新技术研究发展计划(863计划)资助项目(2014AA022303);北京市卫生系统高层次人才培养项目基金资助项目(2015-3-88)

摘　　要：目的调查了解北京市流动人口聚集区6~23月龄流动儿童的辅食喂养状况及其影响因素。方法于2016年11月至2017年4月,使用多阶段整群抽样的方法对北京市流动人口聚集区6~23月龄流动儿童的主要看护人进行问卷调查,并采用世界卫生组织《婴幼儿喂养评估指标》中的指标分析评价辅食喂养状况。结果调查6~23月龄流动儿童有效例数305名,其中膳食种类合格率为84.6%(258/305),膳食频率合格率为64.9%(198/305),可接受膳食合格率为58.4%(178/305),昨日富铁或强化铁食物添加率为55.7%(170/305)。通过卡方检验分析发现,6~11月龄、12~17月龄、18~23月龄组之间的膳食种类、频率、可接受膳食合格率和昨日富铁或强化铁食物添加率差异均有统计学意义(χ~2值分别为10.725、10.189、7.093和37.098,均P<0.05);在6~17月龄流动儿童中,持续母乳喂养儿童与断乳儿童之间膳食种类合格率和昨日富铁或强化铁食物添加率差异均有统计学意义(χ~2值分别为21.200和25.844,均P<0.05)。结论北京市流动人口聚集区小年龄段和持续母乳喂养流动儿童出现辅食喂养不合格的风险较高,提示应加强对小年龄段和持续母乳喂养流动儿童的辅食喂养指导。Objective To evaluate the complementary feeding status and its influence factors in migrant children at age of 6-23 months in Beijing migrant population gathering area.Methods Guardians of migrant children aged 6-23 months were investigated with questionnaires by multi-stage cluster random sampling in Beijing migrant population gathering area.The indicators listed in the WHO document Indicators for Assessing Infant and Young Children Feeding Practice were used to evaluate complementary feeding status.Results A total of 305 migrant children aged 6-23 months were investigated.The qualified rates of dietary kinds,of dietary frequency,of acceptable dietary,and the consumption of iron-rich or iron fortified foods in the previous day were 84.6%（258/305）,64.9%（198/305）,58.4%（178/305）and 55.7%（170/305）,respectively.The differeces in qualified rates of dietary kinds,dietary frequency,acceptable dietary,and the consumption of iron-rich or iron fortified foods in the previous day in infant aged 6-11 months,12-17 months,18-23 months were significant（χ^2 value was 10.725,10.189,7.093 and 37.098,respectively,all P〈0.05）.The qualified rates of dietary kinds and the consumption of iron-rich or iron-fortified foods between 6-17 months continued breastfed infants and weaning infants were different,which were also significant（χ^2 value was 21.2 and 25.844,respectively,both P〈0.05）.Conclusion Low monthly and continued breastfed migrant children in Beijing migrants concentrated communities are easier to have complementary feeding problems,which indicates that the complementary feeding education programs and intervention policies should be adopted to improve low monthly and continued breastfed migrant children.

关 键 词：流动人口 流动儿童 婴幼儿喂养 辅食喂养 

分 类 号：R153.2[医药卫生—营养与食品卫生学]