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目的掌握河北省农村地区≤5岁留守儿童两周患病情况,分析其影响因素,为促进留守儿童健康成长提供依据。方法 2015年9月从全国第五次卫生服务调查家庭健康询问调查数据库提取河北省农村地区所有≤5岁儿童信息(1022人),描述留守与非留守儿童两周患病率特征,采用1:2条件logistic回归分析其影响因素。结果河北省农村地区≤5岁留守儿童270人(26.42%),两周患病率为15.19%(41/270),高于非留守儿童的10.51%(X~2=4.20,P=0.040)。母亲单独外出务工(OR=1.87,P=0.034)、双亲外出务工(OR=2.74;P=0.041)、祖父母抚养(OR=1.31,P=0.043)、亲戚抚养(OR=3.96,P=0.017)、非安全卫生饮用水(OR=9.09,P=0.008)易致≤5岁农村留守儿童两周患病。家庭人口4~6人(OR=0.37,P=0.042)、7~9人(OR=0.15,P=0.027)可降低该人群两周患病。结论父母长期外出务工、隔代或亲戚抚养与不安全的饮用水源易致农村地区≤5岁留守儿童两周患病,而家庭人口较多是其保护因素。
Objective To grasp the two-week prevalence of left-behind children ≤5 years old in rural areas of Hebei Province, analyze the influencing factors and provide the basis for promoting the healthy growth of left-behind children. Methods In September 2015, the information of all children ≤5 years of age in rural areas of Hebei Province (1022 persons) was extracted from the fifth national health service investigation family health survey database to describe the two-week prevalence of left and non-left-behind children. The prevalence rate of 1: 2 conditional logistic regression analysis of its influencing factors. Results The incidence of two-week left-behind children ≤ 270 years (26.42%) was 15.19% (41/270) in rural areas of Hebei Province, which was 10.51% (X ~ 2 = 4.20, P = 0.040) . (OR = 1.87, P = 0.043), relatives raising (OR = 3.96, P = 0.017), parents working alone (OR = 1.87, P = 0.034) , Unsafe drinking water (OR = 9.09, P = 0.008) easily caused by left-behind children aged ≤ 5 years of illness two weeks. The family population of 4 to 6 (OR = 0.37, P = 0.042), 7 to 9 (OR = 0.15, P = 0.027) can reduce the two-week prevalence in this population. Conclusion Long-term migrant workers, intergenerational or relatives raising and unsafe drinking water sources are likely to cause left-behind children ≤5 years of age in rural areas in two weeks, while the larger family population is the protective factor.