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目的了解流动和户籍婴幼儿之间两周内腹泻患病率差异,探讨喂养行为与腹泻的关系,为制定改善婴幼儿腹泻措施提供数据支持。方法采用两阶段抽样的方法,于2015年7月对佛山市南海区1 408名6~23月龄婴幼儿的看护人进行问卷调查,其中流动婴幼儿945名,户籍婴幼儿463名。结果 6~23月龄流动婴幼儿两周内腹泻患病率为14.6%,户籍婴幼儿为10.2%。6~11月龄婴儿腹泻患病率最高,流动和户籍婴儿分别为18.5%、15.3%。多因素分析结果显示,6~23月龄流动婴幼儿两周内腹泻患病率较户籍婴幼儿高(OR=1.57,95%CI=1.03,2.38),6~11月龄婴儿两周内腹泻患病率比18~23月龄婴幼儿高(OR=2.27,95%CI=1.42,3.63),辅食添加种类不合格的婴幼儿两周内腹泻患病率比辅食添加种类合格的婴幼儿高(OR=1.73,95%CI=1.11,2.69)。结论调查地区婴幼儿两周内腹泻患病率较高,应加大力度进行婴幼儿科学喂养的指导,提高婴幼儿看护人的健康保健意识和喂养水平,从而改善婴幼儿的健康状况。
Objective To understand the prevalence rate of diarrhea within two weeks between migrant and registered infants and young children and to explore the relationship between feeding behavior and diarrhea and provide data support for the improvement of infant diarrhea measures. Methods A two-stage sampling method was used to survey 1 408 caregivers aged 6-23 months old in Nanhai District of Foshan City in July 2015. There were 945 infants and 463 infants. Results The prevalence of diarrhea in infants and young children aged 6 ~ 23 months was 14.6% in two weeks and 10.2% in infants and young children. The prevalence rate of diarrhea in infants aged 6-11 months was the highest, with 18.5% and 15.3% of infants and migrant children respectively. Multivariate analysis showed that the prevalence of diarrhea in migrant infants aged 6 ~ 23 months was higher than that of registered infants (OR = 1.57, 95% CI = 1.03,2.38), and diarrhea in infants aged 6 ~ 11 months The prevalence of diarrhea was higher in infants younger than 18-23 months old (OR = 2.27, 95% CI = 1.42, 3.63). The prevalence of diarrhea in infants with unadulterated supplementary diet was higher than that in infants (OR = 1.73, 95% CI = 1.11, 2.69). Conclusions The prevalence rate of diarrhea in infants and young children in the surveyed areas is relatively high in the surveyed areas. We should increase the guidance for scientific feeding of infants and young children, improve the health care awareness and feeding level of infant carers, so as to improve the health of infants and toddlers.