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目的调查上海市松江区中山街道社区0~36个月儿童生长发育状况,分析危险因素,为进一步指导儿童保健工作提供依据。方法收集2015年1-12月于上海市松江区中山街道社区首次接受健康体检的2 276名儿童的生长发育指标、人口学指标及社会经济学指标。采用WHO推荐Z评分法评估儿童的生长发育水平,采用二元非条件Logistic回归法分析危险因素。结果本次研究共纳入2 276名儿童,其中男童1 024例(44.99%),女童1 252例(55.01%)。儿童低体重、生长迟缓及消瘦发病率分别为2.90%、4.53%及2.20%。非条件Logistic回归分析结果显示:低出生体重、母亲低文化程度、非本地户籍与儿童低体重的发病率呈正相关,低出生体重、非母乳喂养、母亲低文化程度与儿童生长迟缓发病率呈正相关,低出生体重、非母乳喂养与儿童消瘦发病率呈正相关。结论上海市松江区中山街道社区0~36个月儿童低体重、生长迟缓发病率较高,可能与低出生体重、母亲低文化程度有关。
Objective To investigate the growth and development status of children from 0 to 36 months in Zhongshan Street Community in Songjiang District, Shanghai, and to analyze the risk factors for further guidance on child health care. Methods The data of growth and development, demographic and socio-economic indicators of 2 276 children who were physically healthy for the first time in Zhongshan Community, Songjiang District, Shanghai from January to December 2015 were collected. The Z-score recommended by WHO was used to assess the growth and development of children. Binary non-conditional logistic regression was used to analyze the risk factors. Results A total of 2,276 children were enrolled in this study, including 1 024 boys (44.99%) and 1 252 girls (55.01%). Children with low birth weight, growth retardation and weight loss rates were 2.90%, 4.53% and 2.20%. Non-conditional logistic regression analysis showed that there was a positive correlation between the incidence of low birth weight, low motherhood, non-local household registration and low birth weight, and low birth weight, non-breastfeeding, low motherhood and child growth retardation , Low birth weight, non-breastfeeding and the incidence of childhood weight loss was positively correlated. Conclusion The incidence of low birth weight and growth retardation in children aged 0-36 months in Shanghai Zhongshan Community in Songjiang District of Shanghai Municipality is relatively high, which may be related to the low birth weight and low level of mother’s education.