西部两省少数民族贫困农村婴幼儿贫血与妇幼卫生服务利用的关联研究  

A study on the association between the infant anemia and the utilization of maternal and child health services in ethnic minorities gathering in poverty-stricken rural areas of two provinces in Western China

作　　者：孙畅[1] 孟莎 叶睿雪 吴玉菊[1] 王庆志 曹敏 周欢[1] Sun Chang;Meng Sha;Ye Ruixue;Wu Yuju;Wang Qingzhi;Cao Min;Zhou Huan(West China School of Public Health, Sichuan University, Chengdu 610041, China)

机构地区：[1]四川大学华西公共卫生学院健康与社会行为学系,成都610041

出　　处：《中华预防医学杂志》2019年第3期330-333,共4页Chinese Journal of Preventive Medicine

基　　金：美国中华医学会基金资助项目(CMB09-991);四川大学中央高校基本科研业务费研究专项项目(skqy201537).

摘　　要：本研究于2014年10~11月,对四川省凉山彝族自治州和甘肃省甘南藏族自治州贫困农村地区1065名24月龄及以下婴幼儿的贫血状况进行调查,分析贫血与妇幼卫生服务利用之间的关联。该地区婴幼儿贫血患病率为52.68%(561/1065);调整母亲及婴幼儿社会人口学特征后,与2~5月龄、汉族和母亲不贫血的婴幼儿相比,6~12、13~18、19~24月龄、少数民族和母亲贫血的婴幼儿贫血患病的OR(95%CI)值分别为11.65(7.09~19.14)、9.91(5.99~16.38)、5.87(3.39~10.16)、1.55(1.10~2.18)和1.52(1.14~2.04);与儿童体检次数不达标、非住院分娩且预防接种次数不达标的婴幼儿相比,体检次数达标、住院分娩且预防接种达标的婴幼儿贫血患病的OR(95%CI)值分别为0.60(0.38~0.94)、0.71(0.52~0.98)。婴幼儿贫血与妇幼卫生服务利用行为有关联。In this study, 1 065 infants and young children aged 24 months below in ethnic minorities gathering in poor rural areas in poor rural areas of Liangshan Yi Autonomous Prefecture of Sichuan Province and Gannan Tibetan Autonomous Prefecture of Gansu Province were investigated for their anemia status from October to November 2014, and the association between anemia and the utilization of maternal and child health services was analyzed. The prevalence of anemia in this area was 52.68%(561/1 065). After the adjustment of socio-demographic characteristics of mothers and infants, compared with infants aged 2-5 months, Han ethnic group, and infants whose mother was not anemic, the OR(95%CI) values of infant anemia for infants aged 6-12 months, 13-8 months, 19-24 months, ethnic minorities group, and infants whose mother was anemic were 11.65 (7.09-19.14), 9.91 (5.99-16.38), 5.87 (3.39-10.16), 1.55 (1.10-2.18) and 1.52 (1.14-2.04), respectively;Compared with infants whose child examination times not up to standard, and who were not only non-hospital delivered but also received inadequate number of inoculation, the OR (95%CI) values of infant anemia for infants whose child examination times up to standard, and who were not only hospital delivered but also received adequate number of inoculation were 0.60 (0.38-0.94) and 0.71 (0.52-0.98), respectively. The infants anemia is associated with the utilization of maternal and child health services.

关 键 词：贫血 贫困区 妇幼卫生服务利用 

分 类 号：R174[医药卫生—妇幼卫生保健]