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目的研究上海市闵行区家长参与绘制婴儿生长曲线的影响因素,为促进婴幼儿生长发育提供科学依据。方法通过闵行区儿保管理系统随机抽取2 400名婴儿,指导家长绘制生长曲线,在首次和末次评价时进行调查,评估家长生长曲线绘制的完成情况。进行单因素分析并拟合多因素Logistic回归模型。结果完成婴儿生长曲线绘制的家长共有1 529人,占63.71%。第3、4、6次评价时,三种生长曲线图均显示连线的百分比随评价次数而逐渐增加,而画点和未点的百分比则逐渐减少(P<0.001)。经考虑单因素分析和多因素分析,居住地区、户籍、母亲文化程度、母亲职业和父亲职业等5个因素是家长完成婴儿生长曲线绘制的影响因素(P<0.05),其OR值依次为母亲大专以上文化11.366、居住在市区5.333、本市户籍4.107、母亲为脑力劳动者1.752、父亲为脑力劳动者1.534。结论应加强对外地户籍、居住在郊区农村、低文化程度及待业或无业家长的教育指导,以进一步提升家长绘制生长曲线的依从性。
Objective To study the influencing factors of parents’ participation in drawing infant growth curve in Shanghai Minhang District, and to provide a scientific basis for promoting the growth and development of infants. Methods A total of 2 400 infants were randomly selected from the child care management system in Minhang District to guide parents to draw a growth curve. During the first and last evaluation, surveys were conducted to assess the completion of the growth curve of parents. Univariate analysis and fitting multivariate Logistic regression model. Results A total of 1 529 parents, 63.71%, completed the baby growth curve. At the 3rd, 4th, 6th evaluation, the three growth curves showed that the percentage of connection gradually increased with the number of evaluation, while the percentage of the painted spots and the untreated spots gradually decreased (P <0.001). After considering univariate analysis and multivariate analysis, five factors influencing parents’ completion of infant growth curve (P <0.05), such as living area, household registration, mother’s education level, mother’s occupation and father’s occupation, College above 11.366 culture, living in the urban 5.333, the city household registration 4.107, the mother of mental workers 1.752, the father of mental workers 1.534. Conclusions Educational guidance should be strengthened on foreign registered permanent residents, rural residents living in rural areas, low educational level and unemployed or unemployed parents, so as to further enhance parents’ compliance with the growth curve.