合肥市1873名学龄前儿童饮食行为问题及影响因素  

Eating problems and associated factor among 1 873 preschool children in Hefei

作　　者：王燕 郭锋 殷刚柱 胡传来[2] 蔡横 刘国琴 姚厚琼 WANG Yan;GUO Feng;YIN Gangzhu;HU Chuanlai;CAI Heng;LIU Guoqin;YAO Houqiong(Hefei Maternal and Child Health Care Institution, Hefei(230001), China)

机构地区：[1]安徽省合肥市妇幼保健计划生育服务中心,230001 [2]安徽医科大学 [3]合肥市肥东县妇幼保健计划生育服务中心 [4]合肥市庐阳区妇幼保健计划生育服务中心

出　　处：《中国学校卫生》2019年第5期683-686,691,共5页Chinese Journal of School Health

基　　金：合肥市卫计委应用医学研究重点项目(hwk2017zd014)

摘　　要：目的探讨合肥地区学龄前儿童饮食行为问题发生情况及其影响因素,为降低儿童饮食行为问题的发生及加强妇幼保健机构儿童营养门诊建设提供参考。方法采用随机整群抽样方法,抽取合肥市城市及农村地区学龄前幼儿1 873名,采用自编问卷调查儿童的社会人口学资料、儿童饮食行为问题以及儿童抚养人的喂养行为问题。结果 72.77%的儿童有饮食行为问题。家庭环境因素及家长的喂养行为对儿童饮食行为问题的发生有影响;多因素Logistic回归分析显示,父亲文化程度、家庭经济月收入水平、家庭成员饮食行为问题情况、共同生活儿童数及是否为独生子女是影响儿童饮食行为问题的主要影响因素(P值均<0.05)。结论合肥地区学龄前儿童饮食行为问题检出率较高,家庭人口学特征、家长喂养行为及家庭环境影响儿童饮食行为。应加强儿童营养门诊建设,提高家长喂养水平,建立有效的以家庭为单位的儿童饮食行为问题干预机制。Objective To explore the prevalence of eating problems of preschool children in Hefei and its influencing factors, and to provide references for reducing the occurrence of dietary behavior problems of local children and strengthening the construction of children nutrition clinic in maternal and children health care institutions. Methods A total of 1 873 children aged 3-6 years in urban and rural areas of Hefei were selected by random cluster sampling. Demographic and eating behavior of the child, as well as caregiver’s feeding behavior were investigated. Results The study found that 72.77% of children had eating problems. The feeding behavior of feeders and the family environment factors had an impact on children’s eating behavior problems, and the main influencing factors of children’s eating behavior included father’s education level, family economic monthly income level, family members’ eating behavior problems, number of children living together and whether they are the only-child in the family(P<0.05). Conclusion The prevalence of eating problems of children aged 3-6 years in Hefei is higher. Family demographic, caregiver feeding behavior, as well as the environment of the family affect children’s eating behavior. Child nutrition clinics, promotion of caregivers’ feeding practices could be effective interventions aiming to address eating problems among preschool children.

关 键 词：饮食习惯 回归分析 健康教育 儿童 学龄前 

分 类 号：R179[医药卫生—妇幼卫生保健] R153.2[医药卫生—公共卫生与预防医学]