2015年湖南贫困农村6～24月龄婴幼儿营养包服用不适反应及影响因素  

Status of discomfort response and major impact factors among children aged 6-24 months in poor rural areas of Hunan Province in 2015

作　　者：郭晶 方俊群[2] 刘加海 Guo Jing;Fang Junqun;Liu Jiahai(Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078,China;Department of Health Care,Hunan Maternal andChild Health Care Hospital,Changsha 410008,China)

机构地区：[1]中南大学湘雅公共卫生学院社会医学与卫生事业管理系,长沙410078 [2]湖南省妇幼保健院保健部,长沙410008

出　　处：《卫生研究》2019年第3期408-412,共5页Journal of Hygiene Research

基　　金：2014年贫困地区儿童营养改善项目(No.2014-1076)

摘　　要：目的了解湖南省贫困农村地区6～24月龄婴幼儿营养包服用不适反应现状及相关因素。方法于2015年采用概率比例规模抽样和系统抽样相结合的方法,抽取湖南省25个贫困县7481名6～24月龄农村婴幼儿,自行设计问卷调查婴幼儿的基本信息、营养包喂养方式及产生的不适反应等;采用单因素分析6～24月龄婴幼儿营养包服用不适反应的相关因素。结果婴幼儿营养包发放率为90.9%(6799/7481),有效服用率为69.2%(4707/6799),有54.3%(3695/6799)的婴幼儿没有坚持每天吃营养包;服用营养包之后报告的不适反应率为10.6%(719/6799),占总调查人数的9.6%(719/7481)。不同月龄组的婴幼儿营养包服用不适反应率的差异有统计学意义(χ~2=9.330,P=0.009),随月龄增加,营养包服用不适反应率呈下降趋势(χ~2=9.080,P=0.003)。不同月龄组、民族、厂家、是否为早产儿、发烧以及腹泻的婴幼儿营养包服用不适反应率差异有统计学意义(P<0.05)。婴幼儿服用营养包产生不适反应后,35.9%的看护人对婴幼儿完全停止喂养营养包,只有16.0%的看护人坚持对婴幼儿喂养营养包。24.7%(1677/6799)的看护人知晓营养包的主要知识,6.5%(444/6799)的看护人完全不了解营养包有关知识;85.4%的看护人通过乡村医生获得过营养包相关知识,通过电视、广播获得营养包相关知识的人低于10%。结论湖南省贫困农村地区婴幼儿营养包服用不适反应率较高,不同月龄组、民族、厂家、是否为早产儿、发烧以及腹泻是婴幼儿营养包服用不适反应的影响因素,看护人营养包知识知晓率较低。OBJECTIVE To understand the status and related factors of the discomfort reaction of 6-24 month old infants in poor rural areas of Hunan Province.METHODS In 2015,7481 rural infants aged from 6 to 24 month old in rural areas were collected from 25 poor counties in Hunan Province by probability proportional sampling(PPS)and systematic sampling method.A questionnaire was designed to survey the basic information of infants,feeding mode of nutrition package and the discomfort reaction,etc.And the multivariate non-conditional logistic regression model was used to analyze the status and related factors of discomfort reactions in infants aged 6-24 months.RESULTSThe infant nutrition package offering rate was 90.9%(6799/7481),and the effective taking rate was 69.2%(4707/6799).And 54.3%(3695/6799)infants did not insist on eating nutrition pack everyday.The discomfort rate was 10.6%(719/6799),accounting for 9.6%(719/7481)of the total number in the survey.The difference of response to infant nutrition packs in different age groups was statistically significant(χ^2=9.330,P=0.009).With the increase of age,the discomfort reaction rate of nutritional packs showed a decreasing trend.There was a statistically significant difference(P<0.05)in the discomfort response rate with the different age groups,nationalities,manufacturers,preterm infants and fever or diarrhea among infants.35.9%of caregivers stopped feeding nutritious packages to infants after the discomfort reaction,while only 16.0%of caregivers insisted on feeding nutritious packages for infants.24.7%(1677/6799)of the main caregivers knew knowledge of nutrition package,6.5%(444/6799)of the caregivers had no knowledge of nutrition package.85.4%of caregivers had obtained nutrition package knowledge by rural doctors.Less than 10%had access to nutrition packs via television or radio.CONCLUSION In poor rural areas of Hunan Province,discomfort reaction rate of infant nutrition package taking is high.Different ages,nationalities,manufacturers,whether in preterm infants,have a feve

关 键 词：贫困地区 婴幼儿 营养包 不适反应 

分 类 号：R153.2[医药卫生—营养与食品卫生学]