佛山市南海区6~23月龄流动和户籍婴幼儿喂养行为与腹泻的关系

Relationship between feeding behavior and diarrhea among migrant and local infants aged 6-23 months in Nanhai District of Foshan city

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 difference of prevalence rate of diarrhea within two weeks between migrant infants and local infants,explore the relationship between feeding behavior and diarrhea, provide data support for improving infantile diarrhea.Methods Two-stage sampling method was used to conduct a questionnaire survey among the caregivers of 1 408 infants aged 6-23 months in Nanhai District of Foshan city in July 2015,945 migrant infants and 463 local infants were included. Results The prevalence rates of diarrhea among migrant and local infants aged 6-23 months were 14. 6% and 10. 2%,respectively; the prevalence rates of diarrhea among infants aged 6-11 months were the highest,which were 18. 5% among migrant infants and 15. 3% among local infants. Multivariate analysis showed that the two-week prevalence rate of diarrhea among migrant infants aged 6-23 months was higher than that among local infants（ OR= 1. 57,95% CI= 1. 03,2. 38）; the two-week prevalence rate of diarrhea among infants aged 6-11 months was higher than that among infants aged 18-23 months（ OR = 2. 27,95% CI = 1. 42,3. 63）. The two-week prevalence rate of diarrhea among infants fed by unqualified complementary food types was higher than that among infants fed by qualified complementary food types（ OR = 1. 73,95% CI =1. 11,2. 69）. Conclusion The prevalence rate of diarrhea among infants in investigated area was relatively high,guidance of infantile scientific feeding should be enhanced,the health care awareness and feeding level of caregivers of infants should be improved,so health condition of infants can be improved.