上海市0～6岁非沪籍儿童卫生保健情况分析  

Health status of non-registered children aged 0-6 years in Shanghai

作　　者：周婷婷 张晶 彭咏梅 魏梅 ZHOU Ting-ting;ZHANG Jing;PENG Yong-mei;WEI Mei(Department of Child Health Care,Shanghai Center for Women & Children's Health,Shanghai 200062,China)

机构地区：[1]上海市妇幼保健中心儿童保健科

出　　处：《上海预防医学》2019年第5期369-372,共4页Shanghai Journal of Preventive Medicine

基　　金：上海市卫生计生委科研项目(20154Y0171);上海市卫生计生委重点学科(15GWZK0401)

摘　　要：【目的】通过调查2009年与2017年0~6岁儿童保健相关情况,了解非沪籍儿童卫生保健情况的变化趋势。【方法】分别于2009年和2017年,采用分阶段、随机整群抽样的方法,在同一抽样社区中对0~6岁沪籍与非沪籍儿童的建卡、体格生长、饮食等情况进行回顾性调查。【结果】2017年非沪籍儿童建卡率低于沪籍儿童,但较2009年显著升高。2009年非沪籍儿童体重、身高小于P3比例显著高于沪籍儿童,而体重大于P97比例、肥胖发生率低于沪籍儿童,2017年两者差异无统计学意义。与2009年相较,2017年沪籍与非沪籍儿童身高小于P3比例、肥胖发生率较高,体重大于P97比例较低。沪籍儿童2017年贫血发生率显著低于2009年,2次调查中非沪籍儿童偏食、挑食比率均较沪籍儿童高。【结论】8年间非沪籍儿童体格生长及健康问题发生显著变化,偏食、挑食问题持续存在,儿童保健的健康宣教与指导工作仍需进一步加强。[Objective]To investigate the changes of health status of non-registered children aged 0-6 years in Shanghai in 2009 and 2017.[Methods]A stratified randomized cluster sampling method was used to investigate the health status of household registered and non-registered children aged 0-6 years old in the same community health service centers.Inquiry card and questionnaire were used for collection and retrospective investigation of data on their health card establishment,physical growth and diets.[Results]The rate of health card establishment among non-registered children was lower than that among registered ones.The weight and height proportion of less than P3 was higher in non-registered children than in registered ones in 2009 while there was no difference found between the two groups in 2017.The weight proportion of more than P97 and the incidence of obesity were lower in non-registered children than in registered ones in 2009 while there was no difference found in 2017.As compared with 2009,the height proportion of less than P3 and the incidence of obesity in non-registered and registered children were higher in 2017 while the weight proportion of more than P97 was lower.The incidence of anemia in registered children was lower in 2017 than in 2009.The proportion of diet problems was higher in non-registered children than in registered ones in 2017 and 2009.[Conclusion]The physical growth and health problems in non-registered children have remarkably changed during the eight years,and their partial and picky food problems still exist.More attention should be paid to child health care education and guidance.

关 键 词：非沪籍 儿童保健 生长 营养 

分 类 号：R179[医药卫生—妇幼卫生保健]