高原地区家长喂养认知行为对儿童贫血的影响  

Effects of parental feeding practices on children’s anemia in plateau area

作　　者：黄蕾[1] 岳莉[1] 何莉[1] 李佳樾[1] 南楠[1] 卫春萍 宋雯雯 陈奕铭[1] HUANG Lei;YUE Li;HE Li;LI Jiayue;NAN Nan;WEI Chunping;SONG Wenwen;CHEN Yiming(Children's Health Care Department,Gansu Provincial Maternity and Childcare Hospital,Lanzhou(130050),China;不详)

机构地区：[1]甘肃省妇幼保健院儿童保健科,兰州730050 [2]甘南州妇幼保健院

出　　处：《中国学校卫生》2021年第1期116-119,共4页Chinese Journal of School Health

基　　金：甘肃省卫生行业科研计划项目(GSWSKY2018-14)。

摘　　要：目的探讨高原少数民族地区儿童喂养人的喂养认知及行为对0~6岁儿童贫血发生的影响,为制定降低儿童贫血患病率干预措施提供依据。方法采用分层随机整群抽样方法,抽取甘南藏族自治州4个县共1 726名0~6岁儿童进行血红蛋白测定和喂养认知行为等相关调查。结果 0~6岁儿童贫血患病率为50.3%。低月龄、藏族、农村、父母学历及家庭收入低者贫血患病率较高(χ^(2)值分别为156.95,899.51,148.17,8.18,16.36,11.03,P值均<0.05)。家长喂养知识知晓率为10.0%~53.7%。喂饭时分散孩子注意力、强迫进食的报告率分别为51.4%及36.1%。二分类Logistic回归结果显示,家长错误的喂养认知及强迫进食行为与儿童贫血发生正相关(P值均<0.05)。结论家长健康素养和喂养行为的改善是降低0~6岁儿童贫血发生的重要干预措施。Objective To investigate the effects of parental feeding practices on anemia in children aged 0-6 years in the minority area of the plateau, and to provide evidence for anemia intervention. Methods A total of 1 726 children aged 0-6 years in 4 counties of Gannan Tibetan Autonomous Prefecture were selected by stratified random cluster sampling to measure hemoglobin level. Parental feeding practices were evaluated. Results The anemia prevalence rate among children aged 0-6 years was 50.3%. The prevalence of anemia was higher in those with younger age, Tibetan ethnic, rural residence, low parents’ education level and family income(χ^(2)=156.95,899.51,148.17,8.18,16.36,11.03,P<0.05). Parentl awareness rates on feeding knowledge were 10.0%-53.7%. The report rates of distraction and force-feeding were 51.4% and 36.1%, respectively. Logistic regression analysis showed that parents’ incorrect feeding knowledge and compulsive feeding behaviors were positively associated with anemia in children(P<0.05). Conclusion Improvement of parents’ health literacy and feeding behavior is an important intervention to reduce anemia in children aged 0-6 years.

关 键 词：健康知识 态度 实践 贫血 患病率 回归分析 儿童 

分 类 号：R153.2[医药卫生—营养与食品卫生学] R151[医药卫生—公共卫生与预防医学]