甘肃省农村7岁以下儿童营养不良影响因素的调查研究

Survey on the influencing factors of malnutrition in rural children under 7 years of age in Gansu Province

目的了解甘肃省农村地区7岁以下儿童营养不良的现状及其影响因素。方法采用分层随机整群抽样方法抽取甘肃省4个市县农村地区7岁以下9390名儿童,进行营养状况调查;用logistic多元回归分析儿童营养不良的主要影响因素。结果在9390名儿童中,体重低下检出率为3.60%(338例),生长迟缓为10.56%(992例),5岁以下儿童消瘦检出率为2.49%(196/7868);性别、年龄、出生体重、生活方式、父母文化程度、家庭年收入等是营养不良发生的影响因素。结论甘肃省农村地区7岁以下儿童的营养不良问题值得重视;要通过发展经济增加家庭年收入以及加强营养教育、提高父母亲文化水平、改善儿童生活方式等综合措施有效降低儿童营养不良患病率。

Objective To study the status and influencing factors of malnutrition in rural children under 7 years of age in Gansu Province.Methods By stratified random cluster sampling,9 390 rural children under 7 years of age from 4 counties of Gansu Province were enrolled.A cross-sectional investigation on children′s nutritional status was performed.The major influencing factors of malnutrition were evaluated by logistic regression analysis.Results The detection rate of under-weight was 3.60%（338 cases）.The growth retardation occurred in 992 cases（10.56%）.Athrepsy was found in 196 cases（2.49%） out of 7 868 children under 5 years of age.Gender,age,birth weight,life style,parents′ educational level and family income were influencing factors of malnutrition.Conclusions More attention should be paid to the issue of malnutrition of rural children under 7 years of age in Gansu Province.The prevalence of malnutrition may be reduced through increasing family income and nutrition education,and improving parents′ education level and children′s life style.